Uncertain About Outsourcing Your Medical Business Functions?

Having contemplated the idea to outsource your healthcare business functions such as medical coding, billing management, compliance, and more, feeling slightly apprehensive is perfectly normal.

How does this work? What about your internal team? How will your responsibilities evolve? These are some of many valid questions you might have. As a high-quality service provider in this field, we at Red Road have answered some FAQs when it comes to outsourcing medical business functions to us.

Do I really need to outsource my medical business functions?

Recruiting high-quality staff in the United States has become immensely challenging over the last few years. This is only expected to worsen over time. The ever-decreasing margins faced by the home healthcare and hospice industry only add to this strain. This makes the decision to outsource not only essential, but eventually inevitable.

Outsourcing is a highly effective way to perform medical business functions while mitigating costs, by way of converting fixed expenses into variable costs that balance themselves out over time. While specifically working with Red Road, you will also have a direct line to monitor and manage the outcomes our teams produce for you, yet without needing to micromanage daily tasks.

How would my existing in-house team adapt to this change? What would this team look like in the future?

We do not recommend replacing your entire team from day one, or ever – if that is the desire of your organization. Red Road’s promise to to be an ‘extended team’ for our clients, so as to augment your organization’s existing team.

The transition to outsourcing is a step-by-step process. This enables our clients to become familiar with the process without delivering a major shock to your organizational structure. Even the manner in which we go about this process isn’t fixed, but rather tailored to your needs and the situation at hand. For instance:

Approach A

To start outsourcing on a trial basis when you lose an employee or have increased demands because of an upcoming clinical audit.

Approach B

While planning for future growth, we step in to expand your in-house compliance team – as opposed to you bearing the cost of hiring, onboarding, and managing new employees.

Your internal team will still play an important role in your organization. Typically, only tasks that have clearly defined processes and can be measured for quality are outsourced. Your internal team can monitor our quality assurance metrics through monthly or quarterly audits, and any issues identified can be brought up using the Service Level Agreement clause on these metrics.

In our experience thus far, most of our clients are working towards outsourcing a majority of tasks, but retain most of their experienced staff in order to monitor the productivity and quality of our services.

How does the process of outsourcing with Red Road work?

While the process works differently based on individual clients and their organizational needs, here are some key points that give you an indication of the Red Road experience.

  • Red Road has managers who are qualified and well experienced with how the onboarding process works for different types of clients in the US healthcare industry. These managers will interface with your team to understand your business, and their KRAs.
  • It usually takes about two or three video calls – prior to the pilot period – to set this up. Once our manager understands your needs and expectations, they select the right staff from our pool of expert staff for the pilot.
  • This is followed by the training of the selected staff by the manager, following which the pilot goes live with the agreed upon number of initial staff.
  • We organize bi-weekly check-ins with our manager and your team, in order to understand the progress of the pilot. These calls also present an opportunity to answer questions and address any issues, while also being used to design an internal QA process that’s specific to your needs. Specific QA metrics are identified and shared with you at regular intervals.
  • At the end of the successful 4-6 week pilot period, both parties typically agree to go ‘live’ with the project on a more permanent basis.
  • From the moment, the Red Road manager will be responsible for updating you at a frequency agreed between both parties. This manager will also train additional staff who might be required due to evolving requirements.

If these answers have assuaged your uncertainty, there might just be one more question on your mind – when do we start? Contact us for a consultation and let’s get you to experience the “Power of More” right away.