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Ask The Expert
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Ask The Expert

Dr. Michael Fossum
CEO, Nobility RCM

Dr. Michael Fossum
CEO, Nobility RCM
The 5 Most Important Questions You Should Ask a Prospective Billing Partner
Dr. Michael Fossum, CEO, Nobility RCM
When a medical practice decides to partner with a new billing service provider, there are typically one of three over-arching reasons for the change: (1) the client’s hair is proverbially on fire due to ongoing crises with the current medical biller, resulting in the practice experiencing a significant decline in its financial health; (2) the client is so inspired by the value proposition of the new medical billing service provider, it’s unquestionably worth making the transition; or (3) the medical billing process has simply become too overwhelming for office staff to adequately manage, and a billing partner is the next natural step to alleviating those back office pressures.
Regardless of which scenario applies, it is critically important to ask the right questions when considering a new medical billing partner. Using these questions as your guide for vetting the billing company will help to ensure you receive quality services that meet the specific needs of your practice.
1. Are specific metrics utilized to assess the performance of the medical billing partner? If so, what data is tracked and how is it reported?
2. How and when will the medical billing partner communicate with your practice? What type(s) of information will be delivered through those communications?
3. How is the billing partner’s company structured and what support team and resources will be deployed to your practice?
4. What steps will the medical billing partner take to deliver service, and why are those steps optimal relative to other options in the market?
5. What examples can the medical billing partner provide to demonstrate how they have historically provided exceptional outcomes? Do they have reviews, endorsements, and/or current clients willing to share their experiences with you?
Every practice is unique, and as the practice owner, you have distinct goals and objectives aligned with your short and long-term growth plan. Taking the time to ask the right questions will help you identify the best partner to support your medical billing processes and improve the financial position of your practice.
financing 101: Factoring, Operating Lines of Credit and Pre-Funding Dr. Michael Fossum, CEO, Nobility RCM
When assessing potential revenue cycle management (RCM) partners for your practice, understanding the additional services or enhancements a prospective partner can deliver is nearly as important as the billing solution itself. Since your RCM partner should be an extension of your practice, having the opportunity to align that partner with your other priorities will undoubtedly improve efficiencies and outcomes. For example, is your RCM partner willing to invest in your future by offering methods to infuse capital into your practice? Access to capital directly influences your current stability and your long-term financial health, so who better to provide financing than the partner managing your revenue cycle?
Financing options available to today’s practices can seem as complex and nebulous as navigating the massive index of insurance reimbursement codes. The right RCM partner should have the expertise to provide both transparency and clarity, so you can feel confident in the financial decisions you make.
Financing comes in numerous forms, and a common one is factoring. In simple terms, factoring is selling your Accounts Receivable (A/R) at a discount to a third party. Sometimes, the A/R will be used as collateral for a loan, and an interest rate will be assessed on the accompanying loan. The discount or interest rate, depending on the structure, is essentially the fee for getting cash sooner rather than waiting for patients or insurance companies to pay. Also, the factoring company will likely handle collections on invoices, which may reduce time and expenses for your office. However, this structure also separates you from interaction with your patients regarding collections, which could have an adverse effect on your relationships.
Another frequently used financing tool is an operating line of credit. Operating lines of credit can be secured through banks and other financial institutions or through private entities. In some cases, the RCM partner will provide financing for operating and expansion capital. Nobility’s Easy Credit program is an example of this type of financing. With Easy Credit, Nobility offers a competitive interest rate to a pre-approved client, and that client’s A/R is used as the primary collateral.
Pre-Funding is yet another option, though this program is exclusive to Nobility clients. With Pre-Funding, Nobility pays a client’s claims upfront at a pre-determined rate and collects from insurance companies afterward. Unlike other financing tools, no personal guarantee is required with Pre-Funding. This provides the client with 100% predictable revenue, month after month, to more effectively manage cash flow.
Your growth objectives will inform much of your financing decisions, but don’t assume you must take the traditional bank route to get the capital you need. An innovative and creative RCM partner can be your gateway to financial stability and freedom in all aspects of your practice.
When a medical practice decides to partner with a new billing service provider, there are typically one of three over-arching reasons for the change: (1) the client’s hair is proverbially on fire due to ongoing crises with the current medical biller, resulting in the practice experiencing a significant decline in its financial health; (2) the client is so inspired by the value proposition of the new medical billing service provider, it’s unquestionably worth making the transition; or (3) the medical billing process has simply become too overwhelming for office staff to adequately manage, and a billing partner is the next natural step to alleviating those back office pressures.
Regardless of which scenario applies, it is critically important to ask the right questions when considering a new medical billing partner. Using these questions as your guide for vetting the billing company will help to ensure you receive quality services that meet the specific needs of your practice.
1. Are specific metrics utilized to assess the performance of the medical billing partner? If so, what data is tracked and how is it reported?
2. How and when will the medical billing partner communicate with your practice? What type(s) of information will be delivered through those communications?
3. How is the billing partner’s company structured and what support team and resources will be deployed to your practice?
4. What steps will the medical billing partner take to deliver service, and why are those steps optimal relative to other options in the market?
5. What examples can the medical billing partner provide to demonstrate how they have historically provided exceptional outcomes? Do they have reviews, endorsements, and/or current clients willing to share their experiences with you?
Every practice is unique, and as the practice owner, you have distinct goals and objectives aligned with your short and long-term growth plan. Taking the time to ask the right questions will help you identify the best partner to support your medical billing processes and improve the financial position of your practice.
financing 101: Factoring, Operating Lines of Credit and Pre-Funding Dr. Michael Fossum, CEO, Nobility RCM
When assessing potential revenue cycle management (RCM) partners for your practice, understanding the additional services or enhancements a prospective partner can deliver is nearly as important as the billing solution itself. Since your RCM partner should be an extension of your practice, having the opportunity to align that partner with your other priorities will undoubtedly improve efficiencies and outcomes. For example, is your RCM partner willing to invest in your future by offering methods to infuse capital into your practice? Access to capital directly influences your current stability and your long-term financial health, so who better to provide financing than the partner managing your revenue cycle?
Financing options available to today’s practices can seem as complex and nebulous as navigating the massive index of insurance reimbursement codes. The right RCM partner should have the expertise to provide both transparency and clarity, so you can feel confident in the financial decisions you make.
Financing comes in numerous forms, and a common one is factoring. In simple terms, factoring is selling your Accounts Receivable (A/R) at a discount to a third party. Sometimes, the A/R will be used as collateral for a loan, and an interest rate will be assessed on the accompanying loan. The discount or interest rate, depending on the structure, is essentially the fee for getting cash sooner rather than waiting for patients or insurance companies to pay. Also, the factoring company will likely handle collections on invoices, which may reduce time and expenses for your office. However, this structure also separates you from interaction with your patients regarding collections, which could have an adverse effect on your relationships.
Another frequently used financing tool is an operating line of credit. Operating lines of credit can be secured through banks and other financial institutions or through private entities. In some cases, the RCM partner will provide financing for operating and expansion capital. Nobility’s Easy Credit program is an example of this type of financing. With Easy Credit, Nobility offers a competitive interest rate to a pre-approved client, and that client’s A/R is used as the primary collateral.
Pre-Funding is yet another option, though this program is exclusive to Nobility clients. With Pre-Funding, Nobility pays a client’s claims upfront at a pre-determined rate and collects from insurance companies afterward. Unlike other financing tools, no personal guarantee is required with Pre-Funding. This provides the client with 100% predictable revenue, month after month, to more effectively manage cash flow.
Your growth objectives will inform much of your financing decisions, but don’t assume you must take the traditional bank route to get the capital you need. An innovative and creative RCM partner can be your gateway to financial stability and freedom in all aspects of your practice.

Faisal Bhatti
Vice President, Revenue Cycle Operations, Nobility RCM

Faisal Bhatti
Vice President, Revenue Cycle Operations, Nobility RCM
How the Right Billing Partner Can Change Your Practice – and Your Life
Faisal Bhatti, Vice President, Revenue Cycle Operations, Nobility RCM
One of the chief complaints from medical practices today is the overwhelming task of managing billing processes. Smaller practices are struggling with the time it takes to adequately handle these processes, and they often lack the technological support necessary to automate billing activities. In most cases, larger practices have already engaged a billing partner to assist with insurance collections. However, many have billing partners that are not providing the promised value or efficiency, or causing the practice even more hassles than when billing was managed in-house. All of these challenges ultimately lead to reduced income, and even more problematic, a decline in quality of life for the provider and staff.
When you engage the right medical biller for your practice, you can restore some sanity to your staff and yourself. The right medical biller should be able to offer you certain promises; without those commitments, you won’t be guaranteed improvement.
The right biller should be your partner, working behind the scenes quickly and quietly to accomplish the tasks at hand. This means less time spent on billing-related tasks by you and your staff and more time to focus on delivery of patient care. Because of the contracted relationship with a billing partner and the accountability inherently tied to it, your practice can reduce its risk of embezzlement by staff while stabilizing revenue. The right biller will link your success with theirs, such that there is a financial incentive integrated into the partnership to motivate the biller to collect every available cent for you.
In addition to optimizing revenue, the billing partner can alleviate human resource pressures and reduce your practice’s personnel footprint, which typically results in immediate savings. A biller with the right technology and a complementary commitment to advancing innovation will reduce stress and hassle while providing improved financial outcomes to your practice.
Finally, the right billing partner can free you of financial worries through special financing opportunities secured by your account. For example, Nobility is the only RCM provider that offers Pre-Funding. With this model offered exclusively to qualifying Nobility clients, the company pays the practice’s claims upfront and then collects from the insurance companies on the practice’s behalf. Pre-Funding enables the provider to have 100% predictable revenue, which, in turn, creates true financial freedom, now and in the future.
One of the chief complaints from medical practices today is the overwhelming task of managing billing processes. Smaller practices are struggling with the time it takes to adequately handle these processes, and they often lack the technological support necessary to automate billing activities. In most cases, larger practices have already engaged a billing partner to assist with insurance collections. However, many have billing partners that are not providing the promised value or efficiency, or causing the practice even more hassles than when billing was managed in-house. All of these challenges ultimately lead to reduced income, and even more problematic, a decline in quality of life for the provider and staff.
When you engage the right medical biller for your practice, you can restore some sanity to your staff and yourself. The right medical biller should be able to offer you certain promises; without those commitments, you won’t be guaranteed improvement.
The right biller should be your partner, working behind the scenes quickly and quietly to accomplish the tasks at hand. This means less time spent on billing-related tasks by you and your staff and more time to focus on delivery of patient care. Because of the contracted relationship with a billing partner and the accountability inherently tied to it, your practice can reduce its risk of embezzlement by staff while stabilizing revenue. The right biller will link your success with theirs, such that there is a financial incentive integrated into the partnership to motivate the biller to collect every available cent for you.
In addition to optimizing revenue, the billing partner can alleviate human resource pressures and reduce your practice’s personnel footprint, which typically results in immediate savings. A biller with the right technology and a complementary commitment to advancing innovation will reduce stress and hassle while providing improved financial outcomes to your practice.
Finally, the right billing partner can free you of financial worries through special financing opportunities secured by your account. For example, Nobility is the only RCM provider that offers Pre-Funding. With this model offered exclusively to qualifying Nobility clients, the company pays the practice’s claims upfront and then collects from the insurance companies on the practice’s behalf. Pre-Funding enables the provider to have 100% predictable revenue, which, in turn, creates true financial freedom, now and in the future.

Brian Flynn
Vice President, Business Development Nobility RCM

Brian Flynn
Vice President, Business Development Nobility RCM
Four Steps You Should Take When Choosing a Billing Partner
Brian Flynn, Vice President, Business Development, Nobility RCM
When you decide it’s time to identify a new billing partner, the options can seem endless and overwhelming. But a “one size fits all” solution rarely leads to ideal outcomes because medical billing needs can be sensitive, and providers have diverse priorities influenced by the practice’s size, scope and stage of its own life cycle.
Before considering a new medical billing partner, taking a few critical steps can help to ensure the process is productive and the final selection is one that benefits all parties involved.
Step 1: Understand and communicate your goals to prospective billing partners.
The best way for a medical billing partner to customize its solution for your practice is to first understand your specific goals and objectives. What kind of HR footprint does your practice have? What elements of the billing process challenge you most? What are you ultimately wanting to accomplish with your medical billing partner?
Step 2: Secure recommendations from industry colleagues and ask for the rationale behind the recommendation.
Your peers often face the same challenges as you, so if they are satisfied – or better yet, ecstatic – with their medical billing partner, this partner may provide services that also align with your goals. But it’s not enough to simply ask for the name of a company; the most important question you can ask is, “Why are you recommending this billing partner?” Putting the “why” behind the endorsement gives you context and proof of performance.
Step 3: Identify billing partners that can show evidence of performance and are financially stable.
Financial stability is a crucial factor because the billing partner you choose will be managing your revenue. If the biller isn’t financial healthy, it stands to reason that the service it provides to you won’t improve your financial position either. Billing partners able to demonstrate a long-term commitment to remaining in the market will promote continuity for your practice, and those that can produce data to showcase performance – essentially walking their talk – will likely be a stronger and more valued partner for you, now and in the future.
Step 4: Speak directly with the company’s operations and billing personnel.
A billing partner should be a natural extension of your practice. When assessing if a billing partner is the right fit for your existing staff and your specific needs, you can get a much better sense of how your respective organizations will interface by opening the lines of communication to all stakeholders on the front end. This dialogue enables you to find out what the billing partner’s contingency plans might be to ensure there’s no disruption to the work on your account, get a preliminary glance into the communication style of the billing partner, and gain intelligence on other tangible and intangible dynamics.
Though the process can be time-consuming, undergoing a diligent and thoughtful assessment of a prospective billing partner is a worthy investment. Taking an investigative approach is the best measure to ensure your partnership is successful.
When you decide it’s time to identify a new billing partner, the options can seem endless and overwhelming. But a “one size fits all” solution rarely leads to ideal outcomes because medical billing needs can be sensitive, and providers have diverse priorities influenced by the practice’s size, scope and stage of its own life cycle.
Before considering a new medical billing partner, taking a few critical steps can help to ensure the process is productive and the final selection is one that benefits all parties involved.
Step 1: Understand and communicate your goals to prospective billing partners.
The best way for a medical billing partner to customize its solution for your practice is to first understand your specific goals and objectives. What kind of HR footprint does your practice have? What elements of the billing process challenge you most? What are you ultimately wanting to accomplish with your medical billing partner?
Step 2: Secure recommendations from industry colleagues and ask for the rationale behind the recommendation.
Your peers often face the same challenges as you, so if they are satisfied – or better yet, ecstatic – with their medical billing partner, this partner may provide services that also align with your goals. But it’s not enough to simply ask for the name of a company; the most important question you can ask is, “Why are you recommending this billing partner?” Putting the “why” behind the endorsement gives you context and proof of performance.
Step 3: Identify billing partners that can show evidence of performance and are financially stable.
Financial stability is a crucial factor because the billing partner you choose will be managing your revenue. If the biller isn’t financial healthy, it stands to reason that the service it provides to you won’t improve your financial position either. Billing partners able to demonstrate a long-term commitment to remaining in the market will promote continuity for your practice, and those that can produce data to showcase performance – essentially walking their talk – will likely be a stronger and more valued partner for you, now and in the future.
Step 4: Speak directly with the company’s operations and billing personnel.
A billing partner should be a natural extension of your practice. When assessing if a billing partner is the right fit for your existing staff and your specific needs, you can get a much better sense of how your respective organizations will interface by opening the lines of communication to all stakeholders on the front end. This dialogue enables you to find out what the billing partner’s contingency plans might be to ensure there’s no disruption to the work on your account, get a preliminary glance into the communication style of the billing partner, and gain intelligence on other tangible and intangible dynamics.
Though the process can be time-consuming, undergoing a diligent and thoughtful assessment of a prospective billing partner is a worthy investment. Taking an investigative approach is the best measure to ensure your partnership is successful.

Kerry Hamilton
CMO, Nobility RCM

Kerry Hamilton
CMO, Nobility RCM
5 Steps to Market Your Medical Billing Company for Growth
By Kerry Hamilton, CMO, Nobility RCM
Plenty of economic optimism surrounds the medical billing industry. The medical billing outsourcing market is expected to grow 12.6% by 2028, according to a recent report by Grand View Research, Inc. An effective marketing strategy plays a key role in accelerating business growth. When executed correctly, that strategy makes a broader audience aware of your services, differentiates your billing company, and highlights data that proves your value. Here are five steps to successfully market your billing company for growth.
Step 1: Set growth goals. Before you experiment with any marketing initiative, you need to know where you want to go. Set growth goals around the marketing activities you want to achieve. Is your goal to bring on more clients? Raise awareness? Generate revenue? Having a clear vision from the start will help you generate a strategy that advances the specific objectives of your billing company.
Step 2: Identify your differentiators. Focus on the elements of your business that set your billing company apart from others. Look at the services you offer and use data to prove your value to prospective clients. For example, can you present case studies that demonstrate your performance based on certain metrics? Incorporate substantive data into cases that can be shared with prospects. When evaluating your differentiators, it is also important to take a step outside your company and look inward at what might resonate to a prospect, not simply what you think is beneficial. Your differentiators should be defined by metrics that showcase how your services relieve a pain point. Don’t try to be everything to everybody; focus on what you do well and be exceptional in that space. At the end of the day, fulfilling your promise to the client is what ultimately breeds loyalty and future referrals.
Step 3: Build messaging. Once you have established your differentiators, it is time to craft messaging for your marketing mix. Determine your value proposition in one to two sentences and flight the message across all channels, including your website, social media, and print materials. Hone your message by listening to feedback from current clients. Engage a third party who does not know who you are and what you do to get additional perspective. Hear what your current clients have to say about your role as a difference maker and test that same message to ensure it is clearly understood by the third party.
Step 4: Determine your marketing mix. Developing the right marketing mix is a process unique to your company; there is no one-size-fits-all model. Your mix may include B2B social media platforms; establishing a thought leadership position through engaging content; networking and referral incentives; digital advertising, such as sponsored newsletters, pay-per-click, and more. For example, if you have strong performance metrics, it’s easier to market via referral because you have delighted clients who are ready to endorse you. Also, billing companies often have limited marketing resources, so it’s critical to evaluate ways to leverage consistent content across multiple channels. A single blog post can be repurposed as multiple social media posts.
Step 5: Pilot a portion of your marketing mix. Select one or two marketing initiatives and conduct a 90 to 120-day test. By focusing on one or two initiatives at a time, you will have better clarity when assessing the tactic against the goal because you have a clear start and end point. During the time you were running the campaign, did you onboard new clients? Why did they commit? After the test period, you may decide to invest more energy behind a specific campaign. Conversely, if the tactic did not move the needle, you should re-evaluate and see where you might adjust to ensure the next effort is more successful.
Takeaways The key to successfully marketing for billing company growth is the willingness to adapt and pivot. Understand the objectives of your prospects and align your message accordingly. Try a campaign for a period of time long enough to measure results, but don’t be so committed that you are investing resources into a losing proposition. Be open to taking calculated risks and trying new tactics, but always make sure your approach is measured and thoughtful.
Plenty of economic optimism surrounds the medical billing industry. The medical billing outsourcing market is expected to grow 12.6% by 2028, according to a recent report by Grand View Research, Inc. An effective marketing strategy plays a key role in accelerating business growth. When executed correctly, that strategy makes a broader audience aware of your services, differentiates your billing company, and highlights data that proves your value. Here are five steps to successfully market your billing company for growth.
Step 1: Set growth goals. Before you experiment with any marketing initiative, you need to know where you want to go. Set growth goals around the marketing activities you want to achieve. Is your goal to bring on more clients? Raise awareness? Generate revenue? Having a clear vision from the start will help you generate a strategy that advances the specific objectives of your billing company.
Step 2: Identify your differentiators. Focus on the elements of your business that set your billing company apart from others. Look at the services you offer and use data to prove your value to prospective clients. For example, can you present case studies that demonstrate your performance based on certain metrics? Incorporate substantive data into cases that can be shared with prospects. When evaluating your differentiators, it is also important to take a step outside your company and look inward at what might resonate to a prospect, not simply what you think is beneficial. Your differentiators should be defined by metrics that showcase how your services relieve a pain point. Don’t try to be everything to everybody; focus on what you do well and be exceptional in that space. At the end of the day, fulfilling your promise to the client is what ultimately breeds loyalty and future referrals.
Step 3: Build messaging. Once you have established your differentiators, it is time to craft messaging for your marketing mix. Determine your value proposition in one to two sentences and flight the message across all channels, including your website, social media, and print materials. Hone your message by listening to feedback from current clients. Engage a third party who does not know who you are and what you do to get additional perspective. Hear what your current clients have to say about your role as a difference maker and test that same message to ensure it is clearly understood by the third party.
Step 4: Determine your marketing mix. Developing the right marketing mix is a process unique to your company; there is no one-size-fits-all model. Your mix may include B2B social media platforms; establishing a thought leadership position through engaging content; networking and referral incentives; digital advertising, such as sponsored newsletters, pay-per-click, and more. For example, if you have strong performance metrics, it’s easier to market via referral because you have delighted clients who are ready to endorse you. Also, billing companies often have limited marketing resources, so it’s critical to evaluate ways to leverage consistent content across multiple channels. A single blog post can be repurposed as multiple social media posts.
Step 5: Pilot a portion of your marketing mix. Select one or two marketing initiatives and conduct a 90 to 120-day test. By focusing on one or two initiatives at a time, you will have better clarity when assessing the tactic against the goal because you have a clear start and end point. During the time you were running the campaign, did you onboard new clients? Why did they commit? After the test period, you may decide to invest more energy behind a specific campaign. Conversely, if the tactic did not move the needle, you should re-evaluate and see where you might adjust to ensure the next effort is more successful.
Takeaways The key to successfully marketing for billing company growth is the willingness to adapt and pivot. Understand the objectives of your prospects and align your message accordingly. Try a campaign for a period of time long enough to measure results, but don’t be so committed that you are investing resources into a losing proposition. Be open to taking calculated risks and trying new tactics, but always make sure your approach is measured and thoughtful.
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Nobility RCM disrupts the standard in medical billing and revenue cycle management

Dr. Michael Fossum
CEO, Nobility RCM

Dr. Michael Fossum
CEO, Nobility RCM
The 5 Most Important Questions You Should Ask a Prospective Billing Partner
Dr. Michael Fossum, CEO, Nobility RCM
When a medical practice decides to partner with a new billing service provider, there are typically one of three over-arching reasons for the change: (1) the client’s hair is proverbially on fire due to ongoing crises with the current medical biller, resulting in the practice experiencing a significant decline in its financial health; (2) the client is so inspired by the value proposition of the new medical billing service provider, it’s unquestionably worth making the transition; or (3) the medical billing process has simply become too overwhelming for office staff to adequately manage, and a billing partner is the next natural step to alleviating those back office pressures.
Regardless of which scenario applies, it is critically important to ask the right questions when considering a new medical billing partner. Using these questions as your guide for vetting the billing company will help to ensure you receive quality services that meet the specific needs of your practice.
1. Are specific metrics utilized to assess the performance of the medical billing partner? If so, what data is tracked and how is it reported?
2. How and when will the medical billing partner communicate with your practice? What type(s) of information will be delivered through those communications?
3. How is the billing partner’s company structured and what support team and resources will be deployed to your practice?
4. What steps will the medical billing partner take to deliver service, and why are those steps optimal relative to other options in the market?
5. What examples can the medical billing partner provide to demonstrate how they have historically provided exceptional outcomes? Do they have reviews, endorsements, and/or current clients willing to share their experiences with you?
Every practice is unique, and as the practice owner, you have distinct goals and objectives aligned with your short and long-term growth plan. Taking the time to ask the right questions will help you identify the best partner to support your medical billing processes and improve the financial position of your practice.
financing 101: Factoring, Operating Lines of Credit and Pre-Funding Dr. Michael Fossum, CEO, Nobility RCM
When assessing potential revenue cycle management (RCM) partners for your practice, understanding the additional services or enhancements a prospective partner can deliver is nearly as important as the billing solution itself. Since your RCM partner should be an extension of your practice, having the opportunity to align that partner with your other priorities will undoubtedly improve efficiencies and outcomes. For example, is your RCM partner willing to invest in your future by offering methods to infuse capital into your practice? Access to capital directly influences your current stability and your long-term financial health, so who better to provide financing than the partner managing your revenue cycle?
Financing options available to today’s practices can seem as complex and nebulous as navigating the massive index of insurance reimbursement codes. The right RCM partner should have the expertise to provide both transparency and clarity, so you can feel confident in the financial decisions you make.
Financing comes in numerous forms, and a common one is factoring. In simple terms, factoring is selling your Accounts Receivable (A/R) at a discount to a third party. Sometimes, the A/R will be used as collateral for a loan, and an interest rate will be assessed on the accompanying loan. The discount or interest rate, depending on the structure, is essentially the fee for getting cash sooner rather than waiting for patients or insurance companies to pay. Also, the factoring company will likely handle collections on invoices, which may reduce time and expenses for your office. However, this structure also separates you from interaction with your patients regarding collections, which could have an adverse effect on your relationships.
Another frequently used financing tool is an operating line of credit. Operating lines of credit can be secured through banks and other financial institutions or through private entities. In some cases, the RCM partner will provide financing for operating and expansion capital. Nobility’s Easy Credit program is an example of this type of financing. With Easy Credit, Nobility offers a competitive interest rate to a pre-approved client, and that client’s A/R is used as the primary collateral.
Pre-Funding is yet another option, though this program is exclusive to Nobility clients. With Pre-Funding, Nobility pays a client’s claims upfront at a pre-determined rate and collects from insurance companies afterward. Unlike other financing tools, no personal guarantee is required with Pre-Funding. This provides the client with 100% predictable revenue, month after month, to more effectively manage cash flow.
Your growth objectives will inform much of your financing decisions, but don’t assume you must take the traditional bank route to get the capital you need. An innovative and creative RCM partner can be your gateway to financial stability and freedom in all aspects of your practice.
When a medical practice decides to partner with a new billing service provider, there are typically one of three over-arching reasons for the change: (1) the client’s hair is proverbially on fire due to ongoing crises with the current medical biller, resulting in the practice experiencing a significant decline in its financial health; (2) the client is so inspired by the value proposition of the new medical billing service provider, it’s unquestionably worth making the transition; or (3) the medical billing process has simply become too overwhelming for office staff to adequately manage, and a billing partner is the next natural step to alleviating those back office pressures.
Regardless of which scenario applies, it is critically important to ask the right questions when considering a new medical billing partner. Using these questions as your guide for vetting the billing company will help to ensure you receive quality services that meet the specific needs of your practice.
1. Are specific metrics utilized to assess the performance of the medical billing partner? If so, what data is tracked and how is it reported?
2. How and when will the medical billing partner communicate with your practice? What type(s) of information will be delivered through those communications?
3. How is the billing partner’s company structured and what support team and resources will be deployed to your practice?
4. What steps will the medical billing partner take to deliver service, and why are those steps optimal relative to other options in the market?
5. What examples can the medical billing partner provide to demonstrate how they have historically provided exceptional outcomes? Do they have reviews, endorsements, and/or current clients willing to share their experiences with you?
Every practice is unique, and as the practice owner, you have distinct goals and objectives aligned with your short and long-term growth plan. Taking the time to ask the right questions will help you identify the best partner to support your medical billing processes and improve the financial position of your practice.
financing 101: Factoring, Operating Lines of Credit and Pre-Funding Dr. Michael Fossum, CEO, Nobility RCM
When assessing potential revenue cycle management (RCM) partners for your practice, understanding the additional services or enhancements a prospective partner can deliver is nearly as important as the billing solution itself. Since your RCM partner should be an extension of your practice, having the opportunity to align that partner with your other priorities will undoubtedly improve efficiencies and outcomes. For example, is your RCM partner willing to invest in your future by offering methods to infuse capital into your practice? Access to capital directly influences your current stability and your long-term financial health, so who better to provide financing than the partner managing your revenue cycle?
Financing options available to today’s practices can seem as complex and nebulous as navigating the massive index of insurance reimbursement codes. The right RCM partner should have the expertise to provide both transparency and clarity, so you can feel confident in the financial decisions you make.
Financing comes in numerous forms, and a common one is factoring. In simple terms, factoring is selling your Accounts Receivable (A/R) at a discount to a third party. Sometimes, the A/R will be used as collateral for a loan, and an interest rate will be assessed on the accompanying loan. The discount or interest rate, depending on the structure, is essentially the fee for getting cash sooner rather than waiting for patients or insurance companies to pay. Also, the factoring company will likely handle collections on invoices, which may reduce time and expenses for your office. However, this structure also separates you from interaction with your patients regarding collections, which could have an adverse effect on your relationships.
Another frequently used financing tool is an operating line of credit. Operating lines of credit can be secured through banks and other financial institutions or through private entities. In some cases, the RCM partner will provide financing for operating and expansion capital. Nobility’s Easy Credit program is an example of this type of financing. With Easy Credit, Nobility offers a competitive interest rate to a pre-approved client, and that client’s A/R is used as the primary collateral.
Pre-Funding is yet another option, though this program is exclusive to Nobility clients. With Pre-Funding, Nobility pays a client’s claims upfront at a pre-determined rate and collects from insurance companies afterward. Unlike other financing tools, no personal guarantee is required with Pre-Funding. This provides the client with 100% predictable revenue, month after month, to more effectively manage cash flow.
Your growth objectives will inform much of your financing decisions, but don’t assume you must take the traditional bank route to get the capital you need. An innovative and creative RCM partner can be your gateway to financial stability and freedom in all aspects of your practice.

Brian Flynn
Vice President, Business Development Nobility RCM

Brian Flynn
Vice President, Business Development Nobility RCM
Four Steps You Should Take When Choosing a Billing Partner
Brian Flynn, Vice President, Business Development, Nobility RCM
When you decide it’s time to identify a new billing partner, the options can seem endless and overwhelming. But a “one size fits all” solution rarely leads to ideal outcomes because medical billing needs can be sensitive, and providers have diverse priorities influenced by the practice’s size, scope and stage of its own life cycle.
Before considering a new medical billing partner, taking a few critical steps can help to ensure the process is productive and the final selection is one that benefits all parties involved.
Step 1: Understand and communicate your goals to prospective billing partners.
The best way for a medical billing partner to customize its solution for your practice is to first understand your specific goals and objectives. What kind of HR footprint does your practice have? What elements of the billing process challenge you most? What are you ultimately wanting to accomplish with your medical billing partner?
Step 2: Secure recommendations from industry colleagues and ask for the rationale behind the recommendation.
Your peers often face the same challenges as you, so if they are satisfied – or better yet, ecstatic – with their medical billing partner, this partner may provide services that also align with your goals. But it’s not enough to simply ask for the name of a company; the most important question you can ask is, “Why are you recommending this billing partner?” Putting the “why” behind the endorsement gives you context and proof of performance.
Step 3: Identify billing partners that can show evidence of performance and are financially stable.
Financial stability is a crucial factor because the billing partner you choose will be managing your revenue. If the biller isn’t financial healthy, it stands to reason that the service it provides to you won’t improve your financial position either. Billing partners able to demonstrate a long-term commitment to remaining in the market will promote continuity for your practice, and those that can produce data to showcase performance – essentially walking their talk – will likely be a stronger and more valued partner for you, now and in the future.
Step 4: Speak directly with the company’s operations and billing personnel.
A billing partner should be a natural extension of your practice. When assessing if a billing partner is the right fit for your existing staff and your specific needs, you can get a much better sense of how your respective organizations will interface by opening the lines of communication to all stakeholders on the front end. This dialogue enables you to find out what the billing partner’s contingency plans might be to ensure there’s no disruption to the work on your account, get a preliminary glance into the communication style of the billing partner, and gain intelligence on other tangible and intangible dynamics.
Though the process can be time-consuming, undergoing a diligent and thoughtful assessment of a prospective billing partner is a worthy investment. Taking an investigative approach is the best measure to ensure your partnership is successful.
When you decide it’s time to identify a new billing partner, the options can seem endless and overwhelming. But a “one size fits all” solution rarely leads to ideal outcomes because medical billing needs can be sensitive, and providers have diverse priorities influenced by the practice’s size, scope and stage of its own life cycle.
Before considering a new medical billing partner, taking a few critical steps can help to ensure the process is productive and the final selection is one that benefits all parties involved.
Step 1: Understand and communicate your goals to prospective billing partners.
The best way for a medical billing partner to customize its solution for your practice is to first understand your specific goals and objectives. What kind of HR footprint does your practice have? What elements of the billing process challenge you most? What are you ultimately wanting to accomplish with your medical billing partner?
Step 2: Secure recommendations from industry colleagues and ask for the rationale behind the recommendation.
Your peers often face the same challenges as you, so if they are satisfied – or better yet, ecstatic – with their medical billing partner, this partner may provide services that also align with your goals. But it’s not enough to simply ask for the name of a company; the most important question you can ask is, “Why are you recommending this billing partner?” Putting the “why” behind the endorsement gives you context and proof of performance.
Step 3: Identify billing partners that can show evidence of performance and are financially stable.
Financial stability is a crucial factor because the billing partner you choose will be managing your revenue. If the biller isn’t financial healthy, it stands to reason that the service it provides to you won’t improve your financial position either. Billing partners able to demonstrate a long-term commitment to remaining in the market will promote continuity for your practice, and those that can produce data to showcase performance – essentially walking their talk – will likely be a stronger and more valued partner for you, now and in the future.
Step 4: Speak directly with the company’s operations and billing personnel.
A billing partner should be a natural extension of your practice. When assessing if a billing partner is the right fit for your existing staff and your specific needs, you can get a much better sense of how your respective organizations will interface by opening the lines of communication to all stakeholders on the front end. This dialogue enables you to find out what the billing partner’s contingency plans might be to ensure there’s no disruption to the work on your account, get a preliminary glance into the communication style of the billing partner, and gain intelligence on other tangible and intangible dynamics.
Though the process can be time-consuming, undergoing a diligent and thoughtful assessment of a prospective billing partner is a worthy investment. Taking an investigative approach is the best measure to ensure your partnership is successful.

Faisal Bhatti
Vice President, Revenue Cycle Operations, Nobility RCM

Faisal Bhatti
Vice President, Revenue Cycle Operations, Nobility RCM
How the Right Billing Partner Can Change Your Practice – and Your Life
Faisal Bhatti, Vice President, Revenue Cycle Operations, Nobility RCM
One of the chief complaints from medical practices today is the overwhelming task of managing billing processes. Smaller practices are struggling with the time it takes to adequately handle these processes, and they often lack the technological support necessary to automate billing activities. In most cases, larger practices have already engaged a billing partner to assist with insurance collections. However, many have billing partners that are not providing the promised value or efficiency, or causing the practice even more hassles than when billing was managed in-house. All of these challenges ultimately lead to reduced income, and even more problematic, a decline in quality of life for the provider and staff.
When you engage the right medical biller for your practice, you can restore some sanity to your staff and yourself. The right medical biller should be able to offer you certain promises; without those commitments, you won’t be guaranteed improvement.
The right biller should be your partner, working behind the scenes quickly and quietly to accomplish the tasks at hand. This means less time spent on billing-related tasks by you and your staff and more time to focus on delivery of patient care. Because of the contracted relationship with a billing partner and the accountability inherently tied to it, your practice can reduce its risk of embezzlement by staff while stabilizing revenue. The right biller will link your success with theirs, such that there is a financial incentive integrated into the partnership to motivate the biller to collect every available cent for you.
In addition to optimizing revenue, the billing partner can alleviate human resource pressures and reduce your practice’s personnel footprint, which typically results in immediate savings. A biller with the right technology and a complementary commitment to advancing innovation will reduce stress and hassle while providing improved financial outcomes to your practice.
Finally, the right billing partner can free you of financial worries through special financing opportunities secured by your account. For example, Nobility is the only RCM provider that offers Pre-Funding. With this model offered exclusively to qualifying Nobility clients, the company pays the practice’s claims upfront and then collects from the insurance companies on the practice’s behalf. Pre-Funding enables the provider to have 100% predictable revenue, which, in turn, creates true financial freedom, now and in the future.
One of the chief complaints from medical practices today is the overwhelming task of managing billing processes. Smaller practices are struggling with the time it takes to adequately handle these processes, and they often lack the technological support necessary to automate billing activities. In most cases, larger practices have already engaged a billing partner to assist with insurance collections. However, many have billing partners that are not providing the promised value or efficiency, or causing the practice even more hassles than when billing was managed in-house. All of these challenges ultimately lead to reduced income, and even more problematic, a decline in quality of life for the provider and staff.
When you engage the right medical biller for your practice, you can restore some sanity to your staff and yourself. The right medical biller should be able to offer you certain promises; without those commitments, you won’t be guaranteed improvement.
The right biller should be your partner, working behind the scenes quickly and quietly to accomplish the tasks at hand. This means less time spent on billing-related tasks by you and your staff and more time to focus on delivery of patient care. Because of the contracted relationship with a billing partner and the accountability inherently tied to it, your practice can reduce its risk of embezzlement by staff while stabilizing revenue. The right biller will link your success with theirs, such that there is a financial incentive integrated into the partnership to motivate the biller to collect every available cent for you.
In addition to optimizing revenue, the billing partner can alleviate human resource pressures and reduce your practice’s personnel footprint, which typically results in immediate savings. A biller with the right technology and a complementary commitment to advancing innovation will reduce stress and hassle while providing improved financial outcomes to your practice.
Finally, the right billing partner can free you of financial worries through special financing opportunities secured by your account. For example, Nobility is the only RCM provider that offers Pre-Funding. With this model offered exclusively to qualifying Nobility clients, the company pays the practice’s claims upfront and then collects from the insurance companies on the practice’s behalf. Pre-Funding enables the provider to have 100% predictable revenue, which, in turn, creates true financial freedom, now and in the future.

Kerry Hamilton
CMO, Nobility RCM

Kerry Hamilton
CMO, Nobility RCM
5 Steps to Market Your Medical Billing Company for Growth
By Kerry Hamilton, CMO, Nobility RCM
Plenty of economic optimism surrounds the medical billing industry. The medical billing outsourcing market is expected to grow 12.6% by 2028, according to a recent report by Grand View Research, Inc. An effective marketing strategy plays a key role in accelerating business growth. When executed correctly, that strategy makes a broader audience aware of your services, differentiates your billing company, and highlights data that proves your value. Here are five steps to successfully market your billing company for growth.
Step 1: Set growth goals. Before you experiment with any marketing initiative, you need to know where you want to go. Set growth goals around the marketing activities you want to achieve. Is your goal to bring on more clients? Raise awareness? Generate revenue? Having a clear vision from the start will help you generate a strategy that advances the specific objectives of your billing company.
Step 2: Identify your differentiators. Focus on the elements of your business that set your billing company apart from others. Look at the services you offer and use data to prove your value to prospective clients. For example, can you present case studies that demonstrate your performance based on certain metrics? Incorporate substantive data into cases that can be shared with prospects. When evaluating your differentiators, it is also important to take a step outside your company and look inward at what might resonate to a prospect, not simply what you think is beneficial. Your differentiators should be defined by metrics that showcase how your services relieve a pain point. Don’t try to be everything to everybody; focus on what you do well and be exceptional in that space. At the end of the day, fulfilling your promise to the client is what ultimately breeds loyalty and future referrals.
Step 3: Build messaging. Once you have established your differentiators, it is time to craft messaging for your marketing mix. Determine your value proposition in one to two sentences and flight the message across all channels, including your website, social media, and print materials. Hone your message by listening to feedback from current clients. Engage a third party who does not know who you are and what you do to get additional perspective. Hear what your current clients have to say about your role as a difference maker and test that same message to ensure it is clearly understood by the third party.
Step 4: Determine your marketing mix. Developing the right marketing mix is a process unique to your company; there is no one-size-fits-all model. Your mix may include B2B social media platforms; establishing a thought leadership position through engaging content; networking and referral incentives; digital advertising, such as sponsored newsletters, pay-per-click, and more. For example, if you have strong performance metrics, it’s easier to market via referral because you have delighted clients who are ready to endorse you. Also, billing companies often have limited marketing resources, so it’s critical to evaluate ways to leverage consistent content across multiple channels. A single blog post can be repurposed as multiple social media posts.
Step 5: Pilot a portion of your marketing mix. Select one or two marketing initiatives and conduct a 90 to 120-day test. By focusing on one or two initiatives at a time, you will have better clarity when assessing the tactic against the goal because you have a clear start and end point. During the time you were running the campaign, did you onboard new clients? Why did they commit? After the test period, you may decide to invest more energy behind a specific campaign. Conversely, if the tactic did not move the needle, you should re-evaluate and see where you might adjust to ensure the next effort is more successful.
Takeaways The key to successfully marketing for billing company growth is the willingness to adapt and pivot. Understand the objectives of your prospects and align your message accordingly. Try a campaign for a period of time long enough to measure results, but don’t be so committed that you are investing resources into a losing proposition. Be open to taking calculated risks and trying new tactics, but always make sure your approach is measured and thoughtful.
Plenty of economic optimism surrounds the medical billing industry. The medical billing outsourcing market is expected to grow 12.6% by 2028, according to a recent report by Grand View Research, Inc. An effective marketing strategy plays a key role in accelerating business growth. When executed correctly, that strategy makes a broader audience aware of your services, differentiates your billing company, and highlights data that proves your value. Here are five steps to successfully market your billing company for growth.
Step 1: Set growth goals. Before you experiment with any marketing initiative, you need to know where you want to go. Set growth goals around the marketing activities you want to achieve. Is your goal to bring on more clients? Raise awareness? Generate revenue? Having a clear vision from the start will help you generate a strategy that advances the specific objectives of your billing company.
Step 2: Identify your differentiators. Focus on the elements of your business that set your billing company apart from others. Look at the services you offer and use data to prove your value to prospective clients. For example, can you present case studies that demonstrate your performance based on certain metrics? Incorporate substantive data into cases that can be shared with prospects. When evaluating your differentiators, it is also important to take a step outside your company and look inward at what might resonate to a prospect, not simply what you think is beneficial. Your differentiators should be defined by metrics that showcase how your services relieve a pain point. Don’t try to be everything to everybody; focus on what you do well and be exceptional in that space. At the end of the day, fulfilling your promise to the client is what ultimately breeds loyalty and future referrals.
Step 3: Build messaging. Once you have established your differentiators, it is time to craft messaging for your marketing mix. Determine your value proposition in one to two sentences and flight the message across all channels, including your website, social media, and print materials. Hone your message by listening to feedback from current clients. Engage a third party who does not know who you are and what you do to get additional perspective. Hear what your current clients have to say about your role as a difference maker and test that same message to ensure it is clearly understood by the third party.
Step 4: Determine your marketing mix. Developing the right marketing mix is a process unique to your company; there is no one-size-fits-all model. Your mix may include B2B social media platforms; establishing a thought leadership position through engaging content; networking and referral incentives; digital advertising, such as sponsored newsletters, pay-per-click, and more. For example, if you have strong performance metrics, it’s easier to market via referral because you have delighted clients who are ready to endorse you. Also, billing companies often have limited marketing resources, so it’s critical to evaluate ways to leverage consistent content across multiple channels. A single blog post can be repurposed as multiple social media posts.
Step 5: Pilot a portion of your marketing mix. Select one or two marketing initiatives and conduct a 90 to 120-day test. By focusing on one or two initiatives at a time, you will have better clarity when assessing the tactic against the goal because you have a clear start and end point. During the time you were running the campaign, did you onboard new clients? Why did they commit? After the test period, you may decide to invest more energy behind a specific campaign. Conversely, if the tactic did not move the needle, you should re-evaluate and see where you might adjust to ensure the next effort is more successful.
Takeaways The key to successfully marketing for billing company growth is the willingness to adapt and pivot. Understand the objectives of your prospects and align your message accordingly. Try a campaign for a period of time long enough to measure results, but don’t be so committed that you are investing resources into a losing proposition. Be open to taking calculated risks and trying new tactics, but always make sure your approach is measured and thoughtful.