Question 1

Why should we outsource?

Accepted Answer

Outsourcing replaces single-point-of-failure staffing with a full RCM team while cutting overhead by up to 25%. You eliminate the 30% annual biller turnover rate, hit a 95%+ first-pass clean claim rate, and lift net collections by up to 30%.

Question 2

We already have an internal billing team.

Accepted Answer

We don’t have to replace them—we co-source. We absorb high-friction bottlenecks like 60–120+ day AR, prior authorizations, eligibility, or credentialing so your staff can focus on front-desk care and daily charge entry.

Question 3

We already have a billing company.

Accepted Answer

Most of our partners did when we met. Standard vendors make 85% of their fee on easy first-pass claims and abandon the hardest 10%–15%. We often step in via a side-by-side audit or just take over neglected 90–120+ day AR.

Question 4

Our billing company is doing a good job.

Accepted Answer

Great—if daily claims are smooth, don't disrupt them. Many clinics keep their primary vendor for daily billing while using DOS for standalone gaps like CAQH credentialing, 120+ day AR cleanup, or pre-visit eligibility.

Question 5

We only need one employee.

Accepted Answer

One employee gives you one skillset and 40 hours a week, minus PTO and sick days. For a similar or lower cost, DOS gives you a cross-trained pod of CPC coders, AR collectors, and eligibility pros with zero downtime or payroll taxes.

Question 6

How much do you charge?

Accepted Answer

Pricing depends on your specialty, claim volume, average encounter value, and scope (percentage of net collections vs. flat-fee FTE support). We structure every deal so your recovered revenue more than pays for our fee.

Question 7

Are you offshore?

Accepted Answer

DOS is headquartered in Farmington Hills, Michigan, backed by a blended global operations team. You get U.S. leadership, strict HIPAA governance, and direct accountability paired with a 24-hour revenue cycle engine.

Question 8

How do you protect PHI?

Accepted Answer

We enforce 100% HIPAA/HITECH compliance. Zero PHI is ever downloaded locally; our team works inside encrypted, IP-restricted virtual environments with MFA, disabled USB/print ports, screen-capture blocks, and continuous audit logs.

Question 9

Do you sign a BAA?

Accepted Answer

Yes—we execute a formal HIPAA Business Associate Agreement (BAA) before accessing a single login or patient record, adhering strictly to 45 CFR § 164.504(e).

Question 10

Can you work with our current software?

Accepted Answer

Yes, we are 100% EHR/PMS agnostic. We log directly into your existing system—whether eClinicalWorks, Athenahealth, Epic, Tebra/Kareo, NextGen, AdvancedMD, Open Dental, or Cloud9—with zero software migration required.

Question 11

Can you handle credentialing too?

Accepted Answer

Yes, we manage end-to-end Medicare (PECOS), Medicaid, and commercial enrollment, CAQH ProView attestations, EFT/ERA setups, and re-credentialing—tracking expirations 120 days ahead so no provider ever gets billing-frozen.

Question 12

Can you handle AR?

Accepted Answer

Yes, AR recovery is our core specialty. We segment aging buckets (31–60, 61–90, 91–120, 120+ days) and attack unpaid, underpaid, and stalled claims before timely filing windows close.

Question 13

Can you handle patient collections?

Accepted Answer

Yes, we run separate, compassionate patient AR workflows—using clear statements, SMS/email reminders, inbound support, and payment plans that recover deductibles while protecting your Google reviews.

Question 14

Can you handle denials?

Accepted Answer

Yes—we pair 24–48 hour appeal turnarounds with weekly root-cause CARC/RARC trend audits (fixing CO-16 missing info, CO-22 COB, CO-50 medical necessity, and CO-197 prior auths) to stop repeat rejections.

Question 15

Can you handle eligibility?

Accepted Answer

Yes, we verify benefits 48–72 hours before appointments—checking active coverage, copays, remaining deductibles, out-of-network rules, COB, PCP assignment, and CPT prior authorization requirements.

Question 16

Can you handle coding?

Accepted Answer

Yes, our AAPC (CPC) and AHIMA (CCS) certified coders handle specialty ICD-10-CM, CPT, and HCPCS coding, E/M leveling, modifier linkage (24, 25, 59, 95), NCCI edits, and LCD/NCD compliance.

Question 17

Can you do everything?

Accepted Answer

We offer modular, end-to-end healthcare operations built around your workflow. Whether you need full RCM or a single fix like 120+ day AR recovery, we audit your bottlenecks first and prescribe the exact scope.

Question 18

We don't want to lose control.

Accepted Answer

You actually gain more control. We work inside your EHR, 100% of payer EFTs go straight into your bank account, we enforce a 0% unapproved write-off rule, and you get weekly KPI dashboards.

Question 19

We had a bad experience with an offshore billing company.

Accepted Answer

That happens when vendors sell cheap labor with no U.S. oversight or specialty coding rules. DOS eliminates that risk with U.S.-managed quality control, a Free Billing Audit, and a 30-Day Trial so we prove our numbers first.

Question 20

Send me your information.

Accepted Answer

“I’ll send that right over. So I don’t spam you with a generic brochure, which 30-day fix would put the most cash back in your pocket right now: cleaning up 90+ day AR, stopping eligibility denials, or speeding up credentialing?”

Urgent Care

Family Practice Billing

Dermatology

Ophthalmology

Oncology

Podiatry

Pediatrics

Urology

Nephrology

Neurology

Orthopedics

Cardiology

Laboratory Billing

Rheumatology

Chiropractic

Radiology

Gastroenterology

Geriatric

Pain Management

Internal Medicine

Personal Injury

Workers Compensation

Hematology Billing

Pulmonology

Endocrinology

Behavioral Health Billing

Woundcare billing

Hospitalist Group Billing

Massachusetts

New York

Maine

Rhode Island

Vermont

California

Alaska

Texas

Georgia

Wyoming

Illinois

South Carolina

North Carolina

Maryland

Louisiana

New Jersey

Utah

Tennessee

New Hampshire

Alabama

Florida

Indiana

Arizona

Ohio

Pennsylvania

Connecticut

Mississippi

Michigan

Colorado

Washington

Oklahoma

Virginia

West Virginia

Delaware

Oregon

Minnesota

Arkansas

Hawaii

Idaho