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  • Writer's pictureRobert Dimaano

What Is the True Cost of In-House Billing?

Updated: Aug 5, 2021

When considering whether outsourcing your billing

makes good financial sense, let’s take into account

all of the costs associated with an in-house billing

department. Often, providers only look at the hourly

rate they pay billing staff and forget about the other

tangible and intangible costs that go along with

getting paid for your services.



Tangible Costs


  1. Staff hourly wage

  2. Employer share of taxes

  3. Benefits

  4. Software

  5. Clearinghouse fees

  6. Postage Fees




Intangible Costs


  1. Increased rejections and denials

  2. Decrease in net collections and cash flow

  3. Increase in patient bad debt








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