If you’re at a place where your clinic’s billing is the bane of your (or your staff’s) existence, it may be time to get some help. Not every practice needs to outsource its billing—let’s make that perfectly clear. If you have an expert biller (or a few) on staff—and you’re not experiencing any major billing frustrations—then outsourcing is probably not the right move for your clinic. But, for the clinics that are overloaded, overwhelmed, or completely burnt out on billing, it may be time to consider some revenue cycle management (RCM) outsourcing options. Who knows? Offloading your RCM process could be the perfect move for your clinic. Here are a few benefits to outsourcing: 

Medicare Open Forum - Regular BannerMedicare Open Forum - Small Banner

1. You’ll free up loads of time. 

“Billing takes barely any time at all!” said no one, ever. Real talk: RCM is complicated, and it takes a lot of time and/or manpower to successfully pull off. So, if you outsource your RCM needs, then whoever handles the billing in your clinic will suddenly find themselves with oodles of extra time. They could then devote that rediscovered time to other pressing initiatives (e.g., deploying marketing campaigns or improving the patient experience), or to improving the quality of their other work. Reducing work responsibilities could also boost employee morale, which could improve your company culture—which could lead to all sorts of cascading positive effects. You get the idea!

2. You won’t have to track—or worry about adhering to—tumultuous payer policy changes. 

Every year, Medicare publishes a myriad of updates to its billing policies that billers must follow to the letter. Additionally, commercial payers sometimes update their billing policies in response to Medicare’s updates—and that’s on top of the other updates that they periodically roll out. The Department of Health and Human Services (HHS) frequently changes HIPAA guidelines. Even individual states occasionally create new billing laws. It’s a lot to keep track of, but the good news is that a good RCM team will track—and adhere to—these changes for you. Talk about a relief!  

3. You’ll likely receive fewer claim denials and improve your clinic’s claim processing time. 

Speaking of good RCM teams: they’re comprised of billing experts. In addition to staying up to date with payer changes, these experts are less likely to make common billing mistakes, thereby reducing your office’s denial rate. Take WebPT's RCM service, for instance: our team has a clean claim submission rate of 98.5%. It’s hard to beat a number like that! In addition to helping you achieve a lower denial rate, a good RCM team can help you reduce days in A/R, improving your cash flow and preventing money from getting stuck in limbo before it runs through the whole pipeline. 

4. You might increase your collection rate.

Becker’s reports that some clinics may actually see a slight increase to their collection rate if they trade their in-house billing efforts for an outsourced RCM team. That’s because RCM teams can typically reduce rejections and denials, which improves claim turnaround time. That, in turn, increases the likelihood that you’ll collect patient payment because—according to a study conducted by McKesson—your chances of successfully collecting payment drop from 90% or better to 29% over the course of seven months. (Of course, the best way to boost your practice’s patient payment collection rate is to collect at the time of service whenever possible.) A global market report found similar trends: “Practices and hospitals that have outsourced their revenue cycle management function to third-party experts have experienced significant improvement in their collection rates, denial resolution efficiency, patient satisfaction rates, and revenue.”

5. You could save some dough. 

Hiring staff is expensive. You’re not just paying the amount on an employee’s paycheck: you’re also paying for things like health insurance, 401k-matching, and holidays. In some cases (especially if you’re working in a smaller clinic), it’s cheaper to pay for an RCM service than it is to hire in-house help. Another thing to consider: In-house billers need a good billing software to maximize their performance, and while you shouldn’t overpay for software, it’s an additional expense that you’ll have to absorb. Finally, don’t forget about the higher collection rate and steadier cash flow that an RCM team can provide; that’ll pad your RCM ROI even more!


 Outsourcing your billing may not be the best move for your practice—or it might be the move that steers you out of troubled waters. You really have to decide what’s best for your staff and your budget-related needs. (If you need help making that decision, take this quiz.) In the meantime, if you have any RCM-related questions, feel free to leave them in the comment section below! 

  • Timely Filing: A Cheat Sheet for PTs Image

    articleSep 26, 2019 | 6 min. read

    Timely Filing: A Cheat Sheet for PTs

    When it comes to punctuality, here’s my motto: “If you’re early, you’re on time. If you’re on time, you’re late.” Maybe I think that way because I have a Type A personality (holy organization, Batman ). Or, maybe it’s because this rule truly applies in many situations—even in physical therapy billing . Because with claim submissions , lateness isn’t only unacceptable; it also causes denials . So, how do you know when your claim submissions are early, …

  • Rate Your PT Clinic's Billing [Quiz] Image

    articleSep 27, 2019 | 1 min. read

    Rate Your PT Clinic's Billing [Quiz]

    At the end of the day, you can’t have a successful PT clinic without a reliable, efficient billing process. But, when you’re consumed by the stressors of running a PT clinic and don’t exactly feel over the moon with your current billing situation, it’s difficult to tell if your clinic’s billing process is out of this world and just needs a small tuneup—or if it’s earthbound and needs a complete overhaul.  So, there’s never been a better …

  • FAQ: Physical Therapy Billing Live Q&A Image

    articleAug 30, 2019 | 51 min. read

    FAQ: Physical Therapy Billing Live Q&A

    Earlier this week, Heidi Jannenga, PT, DPT, ATC—WebPT’s Co-Founder and Chief Clinical Officer—and John Wallace, WebPT’s Chief Business Development Officer of Revenue Cycle Management, paired up to answer rehab therapists’ most burning billing questions during a live Q&A-style webinar . And, boy, did we get a lot of great ones. So many, in fact, that we couldn’t possibly get to them all live, so we created this massive post-webinar post (our biggest yet) with the most commonly …

  • PT Billing Tips from the Trenches Image

    articleMay 22, 2017 | 6 min. read

    PT Billing Tips from the Trenches

    It’s hard out here for a biller—between dodging denials, hunting past-due balances, and navigating the ever-changing compliance climate, keeping a rehab therapy practice’s billing processes in tip-top shape is no simple feat. The heat is definitely on when a good portion of your company’s cash flow falls squarely on your shoulders—but you don’t have to go it alone. In fact, we’ve rounded up several therapy billing gurus who were happy to lend their expertise and spill some …

  • Common Questions from Our Medicare Open Forum Webinar Image

    articleOct 25, 2018 | 43 min. read

    Common Questions from Our Medicare Open Forum Webinar

    Earlier this week, WebPT President Dr. Heidi Jannenga, PT, DPT, ATC, teamed up with Rick Gawenda, PT—President and CEO of Gawenda Seminars & Consulting—to host a Medicare Open Forum . As expected, we received more questions than our Medicare experts could answer during the live session, so we've provided the answers to the most frequently asked ones below. Don't see the answer you're looking for? Post your question in the comment section at the end of this …

  • EDI, ERA, and EFT Overview for Rehab Therapists Image

    articleAug 27, 2019 | 4 min. read

    EDI, ERA, and EFT Overview for Rehab Therapists

    What would health care be without its love for initialism? And healthcare billing is no exception, which is why we decided to shed some light on three common ones: EDI, ERA, and EFT. If you’re in the rehab therapy billing world, you’ve probably heard these terms bandied about. But because they directly impact your practice’s ability to make money, it’s imperative that you’re crystal clear about electronic data interchange, electronic funds transfer, and electronic remittance advice definitions. …

  • 9 Questions to Ask a Potential Billing Software Vendor Image

    articleMay 30, 2017 | 7 min. read

    9 Questions to Ask a Potential Billing Software Vendor

    The consumer landscape has changed drastically over the last two decades, and the healthcare space is no exception. Technology has driven much of that change. The rapid pace of innovation has created a technological smorgasbord, meaning consumers can sift through dozens of products until they find the perfect match. This proliferation of options has yielded a fresh set of challenges—including the overwhelming nature of so much choice. Salespeople might be counting on you to make a quick—and …

  • 7 PT Billing Software Deal Breakers Image

    articleMay 24, 2017 | 6 min. read

    7 PT Billing Software Deal Breakers

    I don’t know about you, but for me, it’s hard to put a price on a good cup of coffee. For some, it’s not merely a beverage to be sipped with eggs and toast—it’s an integral part of a morning ritual. For these folks, the difference between a stellar cup of joe and a subpar one can mean the difference between a productive day and one they struggle to push through. Much like a hot cup of …

  • 6 Biggest Factors Impacting Your PT Clinic’s Cash Flow Image

    articleJul 23, 2018 | 8 min. read

    6 Biggest Factors Impacting Your PT Clinic’s Cash Flow

    Most of us went into physical therapy so we could make a difference in our patients’ lives. PT can be extremely fulfilling and rewarding—and for many of us, owning a practice has been a lifelong dream. Once that dream becomes a reality, however, it can be a sobering experience. Bills need to be paid and bottom lines need to be met. It’s not always easy to bring in enough money to cover cancellations and billing snafus, not …

Achieve greatness in practice with the ultimate EMR for PTs, OTs, and SLPs.