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Outsourcing is not a new word for healthcare. The speed of growth of outsourced services is new. Now administrative services joins the ranks of services under outsourcing consideration. A recent survey indicates providers look to outsourcing Physician Advisor complex case review and complex claims review, because they anticipate a decline in reimbursements and inpatient margins narrowing further next year. Almost a 20% growth from 2013 to 2016.
Black Book’s 2016 Revenue Cycle Management survey responses of 1,309 hospital chief financial officers and business office leaders reveals that outsourcing of complex claims to a specialized provider climbed from 20.4% of all US hospitals in 2013, to 39.8% in Q3 2016.
“Hospitals must do more with less, even with the accelerating pressure to streamline claims processing efficiencies and maximize profitability,” said Doug Brown, managing partner of Black Book, in a statement.
Releasing in-house staff to focus solely on optimizing traditional claims also improved internal productivity according to 77% of all current hospital outsourcing users surveyed.
- 81% of hospitals state they lack the specialized talent to resolve very difficult claims/cases, including 92% of hospitals under 150 beds.
- 69% of hospital CFOs state the