As the financial pressures on healthcare providers grow, the decision between in-house billing and hiring a medical billing service is more important than ever. Both approaches come with advantages and drawbacks — but in today’s fast-paced, regulation-heavy environment, many practices are turning to professional billing partners like Perigonmed to boost revenue, reduce stress, and regain focus on patient care.

In this blog, we’ll walk you through the differences, compare the pros and cons, and explain why outsourcing is becoming the smart, scalable solution for healthcare providers of all sizes.

Understanding the Two Billing Models

In-house billing involves managing the entire revenue cycle from within your practice. Your team handles insurance verification, coding, claim submission, denial follow-ups, and patient collections — often while juggling other administrative responsibilities.

Outsourced medical billing means you partner with a professional third-party service like Perigonmed, which manages these tasks with dedicated billing experts and advanced tools designed to optimize your financial performance.

Pros and Cons of In-House Medical Billing

Pros:

• More direct control over day-to-day billing operations

• Immediate access to staff for real-time communication

• Easy to customize processes and workflows

Cons:

• Requires hiring and training skilled billing staff

• Higher payroll, software, and infrastructure costs

• Vulnerable to errors, turnover, and burnout

• Difficult to keep up with ever-changing billing rules

Pros and Cons of Outsourced Medical Billing Services

Pros:

• Access to certified experts with specialized knowledge

• Advanced billing software without the licensing costs

• Fewer claim denials and faster payments

• Scalable solutions that grow with your practice

• Clear reporting and data transparency

• No staff turnover or sick day disruptions

Cons:

• Less direct oversight (though this is often solved with strong communication and reporting)

• Requires trust in an external partner

Outsourcing isn’t about giving up control — it’s about delegating to professionals who make your practice stronger, leaner, and more profitable.

Cost Comparison: What’s Really Cheaper?

Many practices think in-house billing is cheaper, but when you factor in:

• Staff salaries and benefits

• Billing software and licensing fees

• Training, certifications, and compliance updates

• Office space and equipment

• Lost revenue from claim errors or delays

…outsourcing often comes out ahead — both in cost and revenue recovered. In fact, practices that switch to Perigonmed’s medical billing service often see:

• 15–30% increase in collections

• Faster reimbursement cycles

• Significant reduction in claim denials

What Makes Perigonmed Different?

At Perigonmed, we don’t offer cookie-cutter solutions. We provide customized billing services tailored to your specialty, practice size, and workflow preferences. Here’s what you get when you partner with us:

• Accuracy First: Expert coders and real-time claim scrubbing

• Real Insights: Transparent reporting dashboards

• Responsive Support: A dedicated team who knows your practice

• Compliance-Driven: Always up-to-date with payer and regulatory changes

• Revenue Optimization: Constant focus on identifying missed revenue opportunities

We become an extension of your team, not just a vendor.

Which Option Is Right for You?

If you have a large, well-trained billing team and internal resources to maintain software, compliance, and staff, in-house billing can work. But for most practices — especially small to mid-sized providers — outsourcing provides more stability, savings, and scalability.

When you work with a reliable partner like Perigonmed, you gain more than just billing support. You gain:

•  More time to care for patients

• More money collected from each claim

• Less stress on your admin staff

•  A clear plan for growth

Conclusion: Let Experts Handle the Billing So You Can Focus on Care

Whether you’re a solo provider, urgent care clinic, or specialty practice, Perigonmed’s medical billing services can help you improve cash flow, reduce errors, and gain control of your revenue cycle — without the burden of managing it all in-house.