With 4 providers, we benefit from keeping the billing in-house. We did previously outsource this, but billing services also bill for a number of procedure-heavy high income specialists. So, when the choice comes up of working a $300 account from us, or a $3,000 account from a surgeon, you can imagine who got the attention.

Once the billing comes in-house, the PM program is mandatory.. automatically printing insurance forms, electronic billing, etc. It also gives a bunch of reporting functions, like which payor is paying well and which not, in-depth information about accounts receivable, etc.

I don't want to feed your paranoia, if any, but all of our experiences with outsourcing billing ended badly. No one is interested in your money like you are, and if you make your income with a bunch of small charges you are easy to get second rate attention.



David Grauman MD
Department of Medicine
Commonwealth Health Center
Saipan, Northern Mariana Islands