Medical Billing Outsourcing Market Size, Share & Trends Report

Medical Billing Outsourcing Market Size, Share & Trends Analysis Report By Component (In-house, Outsourced), By Service (Front-End, Middle-End, Back-End), By End-use, By Region, And Segment Forecasts, 2023 - 2030

  • Report ID: GVR-1-68038-261-7
  • Number of Pages: 108
  • Format: Electronic (PDF)
  • Historical Range: 2018 - 2021
  • Industry: Healthcare

Market Segmentation

  • Medical Billing Outsourcing Component Outlook (Revenue, USD Million, 2018 - 2030)
    • In-house
    • Outsourced
  • Medical Billing Outsourcing Services Outlook (Revenue, USD Million, 2018 - 2030)
    • Front-end Services
    • Middle-end Services
    • Back-end Services
  • Medical Billing Outsourcing End-Use Outlook (Revenue, USD Million, 2018 - 2030)
    • Hospital
    • Physician Office
    • Others
  • Medical Billing Outsourcing Regional Outlook (Revenue, USD Million, 2018 - 2030)
    • North America
      • North America Medical Billing Outsourcing Market, by Component
        • In-house
        • Outsourced
      • North America Medical Billing Outsourcing Market, by Service
        • Front-end Services
        • Middle-end Services
        • Back-end Services
      • North America Medical Billing Outsourcing Market, by End-Use
        • Hospital
        • Physician Office
        • Others
      • U.S.
        • U.S. Medical Billing Outsourcing Market, by Component
          • In-house
          • Outsourced
        • U.S. Medical Billing Outsourcing Market, by Service
          • Front-end Services
          • Middle-end Services
          • Back-end Services
        • U.S. Medical Billing Outsourcing Market, by End-Use
          • Hospital
          • Physician Office
          • Others
      • Canada
        • Canada Medical Billing Outsourcing Market, by Component
          • In-house
          • Outsourced
        • Canada Medical Billing Outsourcing Market, by Service
          • Front-end Services
          • Middle-end Services
          • Back-end Services
        • Canada Medical Billing Outsourcing Market, by End-Use
          • Hospital
          • Physician Office
          • Others
    • Europe
      • Europe Medical Billing Outsourcing Market, by Component
        • In-house
        • Outsourced
      • Europe Medical Billing Outsourcing Market, by Service
        • Front-end Services
        • Middle-end Services
        • Back-end Services
      • Europe Medical Billing Outsourcing Market, by End-Use
        • Hospital
        • Physician Office
        • Others
      • Germany
        • Germany Medical Billing Outsourcing Market, by Component
          • In-house
          • Outsourced
        • Germany Medical Billing Outsourcing Market, by Service
          • Front-end Services
          • Middle-end Services
          • Back-end Services
        • Germany Medical Billing Outsourcing Market, by End-Use
          • Hospital
          • Physician Office
          • Others
      • UK
        • UK Medical Billing Outsourcing Market, by Component
          • In-house
          • Outsourced
        • UK Medical Billing Outsourcing Market, by Service
          • Front-end Services
          • Middle-end Services
          • Back-end Services
        • UK Medical Billing Outsourcing Market, by End-Use
          • Hospital
          • Physician Office
          • Others
      • Spain
        • Spain Medical Billing Outsourcing Market, by Component
          • In-house
          • Outsourced
        • Spain Medical Billing Outsourcing Market, by Service
          • Front-end Services
          • Middle-end Services
          • Back-end Services
        • Spain Medical Billing Outsourcing Market, by End-Use
          • Hospital
          • Physician Office
          • Others
      • France
        • France Medical Billing Outsourcing Market, by Component
          • In-house
          • Outsourced
        • France Medical Billing Outsourcing Market, by Service
          • Front-end Services
          • Middle-end Services
          • Back-end Services
        • France Medical Billing Outsourcing Market, by End-Use
          • Hospital
          • Physician Office
          • Others
      • Italy
        • Italy Medical Billing Outsourcing Market, by Component
          • In-house
          • Outsourced
        • Italy Medical Billing Outsourcing Market, by Service
          • Front-end Services
          • Middle-end Services
          • Back-end Services
        • Italy Medical Billing Outsourcing Market, by End-Use
          • Hospital
          • Physician Office
          • Others
      • Norway
        • Norway Medical Billing Outsourcing Market, by Component
          • In-house
          • Outsourced
        • Norway Medical Billing Outsourcing Market, by Service
          • Front-end Services
          • Middle-end Services
          • Back-end Services
        • Norway Medical Billing Outsourcing Market, by End-Use
          • Hospital
          • Physician Office
          • Others
      • Sweden
        • Sweden Medical Billing Outsourcing Market, by Component
          • In-house
          • Outsourced
        • Sweden Medical Billing Outsourcing Market, by Service
          • Front-end Services
          • Middle-end Services
          • Back-end Services
        • Sweden Medical Billing Outsourcing Market, by End-Use
          • Hospital
          • Physician Office
          • Others
      • Denmark
        • Denmark Medical Billing Outsourcing Market, by Component
          • In-house
          • Outsourced
        • Denmark Medical Billing Outsourcing Market, by Service
          • Front-end Services
          • Middle-end Services
          • Back-end Services
        • Denmark Medical Billing Outsourcing Market, by End-Use
          • Hospital
          • Physician Office
          • Others
    • Asia Pacific
      • Asia Pacific Medical Billing Outsourcing Market, by Component
        • In-house
        • Outsourced
      • Asia Pacific Medical Billing Outsourcing Market, by Service
        • Front-end Services
        • Middle-end Services
        • Back-end Services
      • Asia Pacific Medical Billing Outsourcing Market, by End-Use
        • Hospital
        • Physician Office
        • Others
      • China
        • China Medical Billing Outsourcing Market, by Component
          • In-house
          • Outsourced
        • China Medical Billing Outsourcing Market, by Service
          • Front-end Services
          • Middle-end Services
          • Back-end Services
        • China Medical Billing Outsourcing Market, by End-Use
          • Hospital
          • Physician Office
          • Others
      • Japan
        • Japan Medical Billing Outsourcing Market, by Component
          • In-house
          • Outsourced
        • Japan Medical Billing Outsourcing Market, by Service
          • Front-end Services
          • Middle-end Services
          • Back-end Services
        • Japan Medical Billing Outsourcing Market, by End-Use
          • Hospital
          • Physician Office
          • Others
      • India
        • India Medical Billing Outsourcing Market, by Component
          • In-house
          • Outsourced
        • India Medical Billing Outsourcing Market, by Service
          • Front-end Services
          • Middle-end Services
          • Back-end Services
        • India Medical Billing Outsourcing Market, by End-Use
          • Hospital
          • Physician Office
          • Others
      • Australia
        • Australia Medical Billing Outsourcing Market, by Component
          • In-house
          • Outsourced
        • Australia Medical Billing Outsourcing Market, by Service
          • Front-end Services
          • Middle-end Services
          • Back-end Services
        • Australia Medical Billing Outsourcing Market, by End-Use
          • Hospital
          • Physician Office
          • Others
      • South Korea
        • South Korea Medical Billing Outsourcing Market, by Component
          • In-house
          • Outsourced
        • South Korea Medical Billing Outsourcing Market, by Service
          • Front-end Services
          • Middle-end Services
          • Back-end Services
        • South Korea Medical Billing Outsourcing Market, by End-Use
          • Hospital
          • Physician Office
          • Others
      • Thailand
        • Thailand Medical Billing Outsourcing Market, by Component
          • In-house
          • Outsourced
        • Thailand Medical Billing Outsourcing Market, by Service
          • Front-end Services
          • Middle-end Services
          • Back-end Services
        • Thailand Medical Billing Outsourcing Market, by End-Use
          • Hospital
          • Physician Office
          • Others
    • Latin America
      • Latin America Medical Billing Outsourcing Market, by Component
        • In-house
        • Outsourced
      • Latin America Medical Billing Outsourcing Market, by Service
        • Front-end Services
        • Middle-end Services
        • Back-end Services
      • Latin America Medical Billing Outsourcing Market, by End-Use
        • Hospital
        • Physician Office
        • Others
      • Brazil
        • Brazil Medical Billing Outsourcing Market, by Component
          • In-house
          • Outsourced
        • Brazil Medical Billing Outsourcing Market, by Service
          • Front-end Services
          • Middle-end Services
          • Back-end Services
        • Brazil Medical Billing Outsourcing Market, by End-Use
          • Hospital
          • Physician Office
          • Others
      • Mexico
        • Mexico Medical Billing Outsourcing Market, by Component
          • In-house
          • Outsourced
        • Mexico Medical Billing Outsourcing Market, by Service
          • Front-end Services
          • Middle-end Services
          • Back-end Services
        • Mexico Medical Billing Outsourcing Market, by End-Use
          • Hospital
          • Physician Office
          • Others
      • Argentina
        • Argentina Medical Billing Outsourcing Market, by Component
          • In-house
          • Outsourced
        • Argentina Medical Billing Outsourcing Market, by Service
          • Front-end Services
          • Middle-end Services
          • Back-end Services
        • Argentina Medical Billing Outsourcing Market, by End-Use
          • Hospital
          • Physician Office
          • Others
    • Middle East & Africa (MEA)
      • Middle East & Africa Medical Billing Outsourcing Market, by Component
        • In-house
        • Outsourced
      • Middle East & Africa Medical Billing Outsourcing Market, by Service
        • Front-end Services
        • Middle-end Services
        • Back-end Services
      • Middle East & Africa Medical Billing Outsourcing Market, by End-Use
        • Hospital
        • Physician Office
        • Others
      • South Africa
        • South Africa Medical Billing Outsourcing Market, by Component
          • In-house
          • Outsourced
        • South Africa Medical Billing Outsourcing Market, by Service
          • Front-end Services
          • Middle-end Services
          • Back-end Services
        • South Africa Medical Billing Outsourcing Market, by End-Use
          • Hospital
          • Physician Office
          • Others
      • Saudi Arabia
        • Saudi Arabia Medical Billing Outsourcing Market, by Component
          • In-house
          • Outsourced
        • Saudi Arabia Medical Billing Outsourcing Market, by Service
          • Front-end Services
          • Middle-end Services
          • Back-end Services
        • Saudi Arabia Medical Billing Outsourcing Market, by End-Use
          • Hospital
          • Physician Office
          • Others
      • UAE
        • UAE Medical Billing Outsourcing Market, by Component
          • In-house
          • Outsourced
        • UAE Medical Billing Outsourcing Market, by Service
          • Front-end Services
          • Middle-end Services
          • Back-end Services
        • UAE Medical Billing Outsourcing Market, by End-Use
          • Hospital
          • Physician Office
          • Others
      • Kuwait
        • Kuwait Medical Billing Outsourcing Market, by Component
          • In-house
          • Outsourced
        • Kuwait Medical Billing Outsourcing Market, by Service
          • Front-end Services
          • Middle-end Services
          • Back-end Services
        • Kuwait Medical Billing Outsourcing Market, by End-Use
          • Hospital
          • Physician Office
          • Others

Medical Billing Outsourcing Market Dynamics

Driver: Growing Focus On Increasing Profitability And Revenue Generated By The Business

Pressure on healthcare providers to improve patient services is high. Factors such as increasing healthcare costs, decrease in Medicare payments, and rise in billing volume have led to decrease in demand for in-house processing. All these factors result in outsourcing of billing activities, as it can help reduce costs by omitting the need to hire skilled staff and renting an office space. Expenditure on training and supervision of staff is also eliminated. The follow-up process for any unpaid claims is handled by the agency that handles the billing process. Another benefit of outsourcing the billing process is reduction in expenses of implementing and maintaining a compliance plan, especially for independent care providers. The billing company, to which the task is outsourced, allocates cost of compliance professionals across multiple clients. In addition, outsourcing can help save costs of buying expensive technologies, EHR & practice management systems, and various software, such as denial management tools, claim scrubber, & business intelligence reporting software.

Driver: Federal Mandate To Implement Digital Record Keeping By Healthcare Providers

The federal mandate to implement digital record keeping has had a significant impact on the healthcare industry, particularly for medical billing specialists. The Healthcare Reform Act of 2020 made it mandatory for healthcare providers to use EHR systems, which has enabled a reduction in coding errors, increased staff efficiency, and improved reimbursement rates. The integration of EHR and medical billing services has allowed for seamless transfer of billing data from documentation system to billing company, eliminating the tedious task of entering patient data in two systems. The number of reimbursements provided has been low due to coding errors or incorrect ICD & CPT codes entered by healthcare professionals, which can be eliminated by usage of digitized health records. The Centers for Medicare and Medicaid Services (CMS) have led this transition with financial incentives by Meaningful Use/Incentives Programs, which has resulted in widespread adoption of EHRs. As per ONC Data Brief, in 2017, more than 85% of physicians adopted EHR systems. The growing adoption of EHR systems is expected to help doctors & healthcare professionals remain well-connected and ensure greater efficiency, which could help expedite payment cycles. The implementation of EHR was made mandatory with the intention of reducing administrative burden on the medical billing/coding specialists and other staff that dealt with medical information.

Restraint: High Threat Of Data Breaching

The healthcare industry is facing a major challenge in protecting patient records and their confidentiality, with data breaches becoming a growing concern. The implementation of EHRs has led to an increase in data breaches, with the healthcare industry experiencing the highest number of breaches among all industries. A data breach can cost an average of USD 3.86 million, with healthcare data breaches costing an average of USD 7.13 million. As a result, the healthcare sector is expected to spend more than USD 65 billion on cybersecurity products and services from 2017 to 2021. When outsourcing medical billing and coding processes, it is essential to ensure that the outsourcing company is compliant with security best practices and has strict security measures in place. The high threat associated with offshore medical billing processes is expected to impede market growth. To mitigate the risk of data breaches, healthcare businesses should only outsource to competent and highly-skilled healthcare professionals who carry the necessary certifications and standards compliance. In addition, equipping employees with necessary tools and ensuring that data is stored securely can help reduce the risk of data breaches. 

What Does This Report Include?

This section will provide insights into the contents included in this medical billing outsourcing market report and help gain clarity on the structure of the report to assist readers in navigating smoothly.

Medical billing outsourcing market qualitative analysis

  • Industry overview

  • Industry trends

  • Market drivers and restraints

  • Market size

  • Growth prospects

  • Porter’s analysis

  • PESTEL analysis

  • Key market opportunities prioritized

  • Competitive landscape

    • Company overview

    • Financial performance

    • Product benchmarking

    • Latest strategic developments

Medical billing outsourcing market quantitative analysis

  • Market size, estimates, and forecast from 2018 to 2030

  • Market estimates and forecast for product segments up to 2030

  • Regional market size and forecast for product segments up to 2030

  • Market estimates and forecast for application segments up to 2030

  • Regional market size and forecast for application segments up to 2030

  • Company financial performance

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