In-House Billing vs. Outsource Billing

In-House Billing
Solo Practice		 Monthly In-House Cost California Medical Billing Cost Real-Time Cost
(Enter your own values)
Employee Salary (per employee)

$16.50 per hour x 40 hours per week = $660
$660 x 52 weeks = $34,320
$34,320 ÷ 12 months = $2,860
$2,860 = one month gross pay		 $2,860.00 $2,250.00

Average of $30,000.00
Net Receivables at 7.5%
Medical Benefits

Average PPO plan $165.00
(50% Employer's portion of dues)		 $82.50 NONE
Sick Leave

Based on 1/2 day per month = 6 days per year		 $66.00 NONE
Vacation Leave

Based on a one week paid Vacation per year		 $55.00 NONE
Retirement Plan
Simple IRA

Based on a 3% Employer Contribution per month		 $85.80 NONE
Deferred Compensation / 401k

Employer matched contribution		 Varies NONE
Workers Compensation

Based on $0.95 per $100.00 on payroll
California policy minimum $500.00		 $27.17 NONE
Payroll Taxes (estimated)

Social Security, Medicare, State Unemployment		 $219.16 NONE
Practice Management Software

Average cost for monthly ASP model		 $150.00 NONE
Electronic Claims Submission Fee

@ $0.25 per claim
Based on 70% of total monthly claims (200 claims)		 $35.00 NONE
Paper Claims
(Cost of Supplies & Postage)

@ $0.54 per claim
Based on 30% of total monthly claims (200 claims)		 $32.40 NONE
Patient Statements
(Cost of Supplies & Postage)

@ $0.59 per statement
Approximately 50 per month		 $29.50 NONE

TOTAL COST PER MONTH
$3,642.53
$2,250.00		 Your Total:


ADDITIONAL COSTS FOR IN-HOUSE BILLING

Office Space Lease - Office Equipment (Computer System, Phone, Fax, Scanner, Copier, Filing System) - Billing Software & IT Support - Coding Books - Updates - Training - Storage Space - Electricity - Phone Charges - Copy Charges - Office Supplies (HCFA Forms, Statement Forms, Envelopes) - Printer & Copier Ink - Postage

THIS COULD ADD UP TO THOUSANDS!!

California Medical Billing