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Some providers outsource their medical billing to a third parties, known as medical billing companies, which provide medical billing services. One goal of these entities is to reduce the amount of paperwork for medical staff and to increase efficiency, providing the practice with the ability to grow.
Medical outsourcing is a business process used by organizations like hospitals, nursing homes, and healthcare provider practices to obtain physician, nursing, healthcare technician, or other services in a managed services model.
Business process outsourcing (BPO) is a subset of outsourcing that involves the contracting of the operations and responsibilities of a specific business process to a third-party service provider. Originally, this was associated with manufacturing firms, such as Coca-Cola that outsourced large segments of its supply chain .
The acronym HCPCS originally stood for HCFA Common Procedure Coding System, a medical billing process used by the Centers for Medicare and Medicaid Services (CMS). Prior to 2001, CMS was known as the Health Care Financing Administration (HCFA).
Knowledge Process Outsourcing (KPO) is a type of outsourcing that involves or requires more advanced technical skills and a higher level of expertise. Customer Support Outsourcing (CSO) involves delegating customer service functions to offshore call centres or service providers to handle inquiries, complaints, and assistance.
Because one provider may outsource part of the care of a patient to other providers, it may be difficult to assign financial accountability for a given bundled payment. [4] There is an administrative and operational burden, for example in establishing fair compensation rates.
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