If you are considering changing medical billing companies, something probably caused you to start looking.
Maybe A/R is growing. Denials are sitting too long. Communication has become difficult. Collections have stalled. Or you simply do not have enough visibility into what your billing company is actually doing.
Whatever the reason, changing billing companies does not have to mean changing your EHR or disrupting the rest of your practice.
Before making the switch, understand what is happening today and what needs to improve.
Changing vendors without understanding the underlying issue can move the same problems to a different billing company.
Start by looking at the revenue cycle itself.
Those questions help separate a billing-company problem from a payer problem, workflow issue, staffing problem, or revenue that simply is not receiving enough attention.
If you are still deciding whether your current biller is actually underperforming, start with our guide on how to know if your medical billing company is underperforming.
You do not have to leave your current billing company to find out whether something is being missed.
Vero's Free Revenue Leak Audit reviews available billing information and helps establish a clearer picture of the current revenue cycle.
Depending on the data available, we may review:
If we identify something important, we show you.
If the current billing operation looks healthy, that is useful information too.
Changing medical billing companies does not automatically require changing software. Vero works within the EHR and practice-management environment your physicians and staff already use whenever possible. Your clinical workflow stays in place. The billing responsibility changes.
Before the handoff, identify every outstanding account that still needs attention. That includes open claims, denials, pending appeals, payer responses, unpaid balances, and incoming payments.
Old A/R cannot sit between two billing companies. The transition should clearly define who is responsible for:
Every account should have a clear owner and a clear next step.
Changing billing companies does not stop payer deadlines. Claims approaching timely filing, reconsideration, or appeal limits should be identified before the transition begins.
The incoming billing team may need access to prior claims, remits, payment records, payer information, account notes, reports, and previous follow-up activity. Make sure that information remains accessible after the outgoing vendor leaves.
The new billing arrangement should give the practice better visibility into what is happening. You should know what was inherited, what is still outstanding, what is being worked, and how performance will be measured.
Old A/R is one of the biggest areas of risk during a billing transition.
Claims may already be submitted. Denials may be waiting for appeal. Payers may be requesting additional information. Payments may arrive weeks after the outgoing company stops working the account.
Someone still has to own that work.
The exact arrangement can vary between practices and vendors, but one principle should not:
Every outstanding account needs a clear owner and a clear next action.
Without that, valuable claims can sit untouched while each billing company assumes the other is handling them.
If your practice likes its current EHR, keep it.
Vero works with major EHR and practice-management systems including Athenahealth, eClinicalWorks, Tebra/Kareo, AdvancedMD, NextGen, DrChrono, ModMed, Practice Fusion, and others.
Changing your medical billing company should not automatically force your physicians and staff through an unrelated software migration.
A new billing company should deliver more than a different logo on the same monthly collections report.
Your practice should have better visibility into:
The goal should be a revenue cycle that is easier for the practice to understand and harder for unresolved accounts to disappear inside.
No.
A medical billing company can often work within the EHR and practice-management system your team already uses.
Vero is specifically structured to work around existing practice technology whenever possible.
Yes, if possible.
An audit gives you a baseline and helps determine why you are considering a change in the first place.
It can also identify specific issues that need to be protected or addressed during the handoff.
No.
The Free Revenue Leak Audit is designed to help you understand the existing revenue cycle before making a vendor decision.
Old claims, denials, appeals, and incoming payments need clearly assigned responsibility.
That decision should be made before the transition so accounts are not left between the outgoing and incoming billing companies.
The exact timeline depends on your systems, payer setup, access, current billing arrangement, claim volume, and how much historical A/R needs to be transitioned.
The more important point is to define responsibilities before the new billing operation goes live.
The transition can be structured around the practice's existing billing and administrative workflows. Responsibilities should be clearly defined so the practice knows who owns each part of the revenue cycle during the handoff.
If you are unhappy with your current medical billing company, you do not have to make an immediate switch.
Start with your own data.
Understand what is happening with your claims, denials, payments, underpayments, and A/R.
Then decide whether the billing company needs to change.
And if it does, you will have a much clearer picture of exactly what needs to improve.