Managing billing in-house used to be the norm for podiatry practices. But as coding rules become more complex and staff costs continue to rise, many providers are rethinking the way they handle revenue cycle management. So what’s the better choice in 2025: outsourcing or keeping it internal?

In-House Billing: The Pros and Cons

Pros:

  • You maintain full control over processes.
  • Staff is accessible and communication is immediate.
  • Billing team can be trained in your specific workflows.

Cons:

  • High overhead: salaries, benefits, and training.
  • Limited expertise in specialized podiatry coding.
  • Increased risk of errors and delayed reimbursements.

Outsourced Podiatry Billing: Why It’s Gaining Ground

Outsourcing to a podiatry-specific billing company offers:

  • Specialized knowledge in foot care coding, modifiers, and compliance.
  • Lower long-term costs due to fewer denials and faster payments.
  • Access to tools and technology that improve claim accuracy.
  • Less stress for your front desk and admin staff.

Cost Comparison: In-House vs. Outsourcing

In-house billing can cost upwards of $60K per year for just one experienced biller, not including software, hardware, and training. Outsourcing, on the other hand, often works on a percentage basis (typically 4-7% of collections), making it more scalable and predictable.

When Outsourcing Makes Sense

  • You’re a small to mid-sized practice without billing volume to justify a full department.
  • You’ve experienced frequent denials or audit flags.
  • You want to reduce administrative overhead and improve cash flow.

Why Podiatrists Trust A Step Above Health We specialize in podiatry billing. Our team understands the ins and outs of routine foot care, diabetic ulcer coding, and surgical modifiers. We not only submit claims—we proactively manage your revenue cycle to reduce denials, improve cash flow, and give you peace of mind.

Conclusion

If you’re struggling with staffing, rising costs, or persistent billing errors, it might be time to consider outsourcing. At A Step Above Health, we make billing easy so you can focus on patient care.

Get in touch for a custom quote and learn how much more your practice could be collecting.