The medical
billing outsourcing market was valued at USD 6.3 billion in 2015 and
is anticipated to reach a value of USD 16.9billion by 2024, according to a new
report by Grand View Research, Inc. Large amount of medical code representation
for diagnosis and treatment coupled with the presence of multiple payers
renders medical billingan intricate part of any medical practice, posing
significant challenges. The challenge mounts when this process mandates
adherence to the International Classification of Diseases-10th revision
(ICD-10) code along with dealing with rising healthcare costs and declining
reimbursements. Challenges in managing in-house billing processes include
setbacks experienced in the IT structure, untrained staff, billing errors, and
lack of proper financial policy in place. In order to curb or alleviate these
challenges, several healthcare providers,such as acute care hospitals and
clinics/physician offices, prefer outsourcing their medical billing process.
According to studies, in 2015, 95% of independent physicians have acknowledged
that outsourcing revenue management is the right decision.
Healthcare providers face certain challenges in
ascertaining the disadvantages of in-house operation or benefits of outsourcing
revenue management operations;hence, they arrived at this decision by
implementing thorough assessment and evaluation of the revenue percentage they
spend on several billing operations. Currently, the healthcare system is
witnessing a subsequent increase in outsourcing of medical billing services by
hospitals and physicians. This increase is attributed to factors such as
obligatory implementation of complex ICD-10 coding system, increasing
healthcare costs, and federal mandate to implement electronic medical records
(EMR) to maintain reimbursement levels.
Furthermore, clinics/physician offices are gradually
outsourcing their revenue management to cut unnecessary costs and prevent the
burden of managing an administrative team to ensure effectivehandling of
in-house billing functions.
Browse full research report on Medical Billing Outsourcing Market: https://www.grandviewresearch.com/industry-analysis/medical-billing-outsourcing-market
Further
Key Findings From the Study Suggest:
- North America reported highest revenue growth in this market. The
U.S. is witnessing rapid changes in healthcare structure reflected by
implementation of new medical coding system known as the ICD-10 coding as
well as pressure from the government to implement EMR management system.
These changing regulations coupled with rising healthcare costs are major
growth drivers for the market in this region.
- Multispecialty medical groups are implementing consolidation
requiring electronic health record (EHR) integration and building large
healthcare networks This integrationcreates a need forRevenue
CycleManagement (RCM), which in turn demands additional expertise and
trained personnel to manage the same. Consolidation of large healthcare
practices is expected to be a one of the factors that will help in the
growth of the market.
- Hospitals end-use segment accounts for the largest market share in
the medical billing outsourcing market. The ability to gain total control
over billing procedures and minimize loss is the main focus of these
providers. As healthcare costs rise and profits are decline,
RCMoutsourcing is expected to be the best practice considered by these
care facilities to manage their revenue.
- Some of the key players in this industry include Accretive Health,
Inc.; Allscripts; Cerner Corporation; EClinicalWorks; Experian Information
Solutions, Inc.; GE Healthcare; Genpact; HCL; Kareo; McKesson Corporation;
Quest Diagnostics; and The SSI Group.
Browse more reports of this category
by Grand View Research: https://www.grandviewresearch.com/industry/healthcare-it
Grand
View Research has segmented the medical billing outsourcing market bycomponent,
service and end user:
Component
Outlook (Revenue, USD Million, 2013 - 2024)
- In-House
- Outsourced
Service
Outlook (Revenue, USD Million, 2013 - 2024)
- Front End
- Middle End
- Back End
End
User Outlook (Revenue, USD Million, 2013 - 2024)
- Hospitals
- Physician
Offices
- Others
Regional
Outlook (Revenue, USD Million, 2013 - 2024)
- North America
- U.S.
- Canada
- Europe
- Germany
- UK
- Asia Pacific
- Japan
- India
- China
- Latin America
- Brazil
- Mexico
- MEA
- South Africa
- Saudi Arabia
About Grand View
Research
Grand View Research, Inc. is a U.S. based market research
and consulting company, registered in the State of California and headquartered
in San Francisco. The company provides syndicated research reports,
customized research reports, and consulting services. To help clients make
informed business decisions, we offer market intelligence studies ensuring
relevant and fact-based research across a range of industries, from technology
to chemicals, materials and healthcare.
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