{"id":18732,"date":"2025-05-12T06:40:00","date_gmt":"2025-05-12T06:40:00","guid":{"rendered":"https:\/\/zhealthsoftware.com\/?p=18732"},"modified":"2025-07-28T14:18:22","modified_gmt":"2025-07-28T14:18:22","slug":"in-house-chiropractic-billing-or-outsource-it-thats-a-million-dollar-question","status":"publish","type":"post","link":"https:\/\/myzhealth.io\/blog\/in-house-chiropractic-billing-or-outsource-it-thats-a-million-dollar-question\/","title":{"rendered":"In-House Chiropractic Billing or Outsource It &#8211; That\u2019s a Million Dollar Question!"},"content":{"rendered":"\n[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;section&#8221; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_row admin_label=&#8221;row&#8221; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text admin_label=&#8221;Text&#8221; _builder_version=&#8221;4.17.4&#8243; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]<p><span style=\"font-weight: 400;\"><em><strong>[This post was originally published on 13th January 2022. It has been updated on 12th May 2025]<\/strong><\/em><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Chiropractic billing is one of the most crucial components of running a profitable and sustainable practice. However, it\u2019s also one of the most time-consuming and complex aspects, especially as your practice grows.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Many chiropractors eventually find themselves asking:<\/span><\/p>\n<p><strong>\u201c<i>Should I outsource my chiropractic medical billing?\u201d<\/i><\/strong><\/p>\n<p><strong><i>\u00a0<\/i><i>\u201cIs itcheaper to outsource chiropractic billing?\u201d<\/i><\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Let\u2019s explore the pros, cons, and latest trends around outsourcing chiropractic billing services vs. keeping billing in-house, and help you make the right decision for your practice in 2025.<\/span><\/p>\n<h2><strong>When Do Most Chiropractic Clinics Start Outsourcing Billing?<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">Most chiropractors begin by handling billing in-house, either doing it themselves or having an administrative staff member manage claims. But as the practice expands and patient volume increases, so does the complexity of billing and insurance follow-ups. Here\u2019s when many practices consider outsourcing:<\/span><\/p>\n<ul>\n<li aria-level=\"1\"><b>When patient visits exceed 100\u2013150\/month<\/b><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><b>When claims processing and denial rates become hard to manage<\/b><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><b>When hiring, training, and retaining billing staff becomes expensive<\/b><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><b>When in-house billing starts affecting focus on patient care<\/b><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If your practice is generating over $50,000 annually and you\u2019re feeling the burden of managing billing and collections, it might be time to outsource chiropractic billing services.<\/span><\/p>\n<p><a href=\"https:\/\/myzhealth.io\/billing-software\/\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/myzhealth.io\/wp-content\/uploads\/2024\/05\/Chiropractic-Billing-Software.webp\" width=\"1425\" height=\"200\" alt=\"\" class=\"wp-image-29248 aligncenter size-full\" srcset=\"https:\/\/myzhealth.io\/wp-content\/uploads\/2024\/05\/Chiropractic-Billing-Software.webp 1425w, https:\/\/myzhealth.io\/wp-content\/uploads\/2024\/05\/Chiropractic-Billing-Software-1280x180.webp 1280w, https:\/\/myzhealth.io\/wp-content\/uploads\/2024\/05\/Chiropractic-Billing-Software-980x138.webp 980w, https:\/\/myzhealth.io\/wp-content\/uploads\/2024\/05\/Chiropractic-Billing-Software-480x67.webp 480w\" sizes=\"auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 1425px, 100vw\" \/><\/a><\/p>\n<h2><strong>Pros of Outsourcing Chiropractic Billing Services<\/strong><strong><\/strong><\/h2>\n<p><strong><\/strong><\/p>\n<h4><strong>1. Cost Efficiency<\/strong><b style=\"font-size: 16px;\"><\/b><\/h4>\n<p><span style=\"font-weight: 400;\">Outsourcing eliminates the need for payroll, employee benefits, software licenses, and ongoing training. Most chiropractic billing outsourcing companies charge between <\/span><b>4%\u20138% of collections<\/b><span style=\"font-weight: 400;\">, which is often cheaper than in-house staff when factoring in hidden costs.<\/span><\/p>\n<p><b>Example<\/b><span style=\"font-weight: 400;\">: If you collect $20,000 per month and pay a 5% fee, your cost is $1,000, less than what you&#8217;d pay for even a part-time biller with benefits.<\/span><\/p>\n<h4><strong>2. Time Savings<\/strong><\/h4>\n<ol start=\"2\"><\/ol>\n<p><span style=\"font-weight: 400;\">When you outsource your billing, your team is instantly freed from the mountain of admin work tied to insurance claims, rejections, and follow-ups. No more long hold times with insurance companies or digging through EOBs, your front desk can finally breathe.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Instead of juggling billing tasks, your staff can focus on what truly grows your practice: building stronger relationships with patients, improving check-in experiences, and ramping up your marketing or recall efforts.<\/span><\/p>\n<h4><strong>3. Access to Trained Experts<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">Chiropractic billing isn\u2019t just data entry, it\u2019s a complex dance of codes, modifiers, and payer rules that change constantly. When you outsource, you gain access to certified billing pros who live and breathe this stuff.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Billing experts know how to avoid coding pitfalls, ensure proper documentation, and submit claims that get approved the first time. They keep up with <\/span><a href=\"https:\/\/myzhealth.io\/blog\/know-the-top-chiropractic-cpt-codes-that-can-save-your-billing-time\/\"><span style=\"font-weight: 400;\">CPT Codes<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/myzhealth.io\/blog\/icd-10-cm-code-updates\/\"><span style=\"font-weight: 400;\">ICD-10 changes<\/span><\/a><span style=\"font-weight: 400;\"> so <\/span><i><span style=\"font-weight: 400;\">you<\/span><\/i><span style=\"font-weight: 400;\"> don\u2019t have to, ensuring every dollar you\u2019ve earned gets reimbursed, fast.<\/span><\/p>\n<h4><strong>4. Faster Payments and Lower Denial Rates<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">Outsourced billing teams work quickly, and more importantly, consistently. They follow up on denied or delayed claims within days, not weeks, and rework rejected submissions efficiently to minimize delays.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The result? Reduced accounts receivable (AR) days, a healthier revenue cycle, and fewer \u201cwhere\u2019s the money?\u201d headaches for your practice.<\/span><\/p>\n<p><strong>[Must Read: <\/strong><a href=\"https:\/\/myzhealth.io\/case-study\/how-ca-chiro-clinic-reduce-ar-balance-with-zhealth\/\"><b>How zHealth Helped A Chiropractic Clinic Reduce AR By 32.8% In Just One Week]<\/b><\/a><\/p>\n<h4><b><strong>5. Detailed Reports and Transparency<\/strong><\/b><\/h4>\n<p><span style=\"font-weight: 400;\">Think outsourcing means losing visibility? Think again. Top-tier billing companies provide clear, consistent reporting, weekly, biweekly, or monthly, so you can track performance, spot issues early, and make data-driven decisions.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">From claim volume to payer trends and denial reasons, you\u2019ll always have a clear picture of your financial health without spending hours inside your billing software.<\/span><\/p>\n<h4><b>6. Scalability<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">Planning to add a new provider? Launching another location? Increasing patient visits? With an outsourced billing partner, scaling is simple. You don\u2019t need to scramble to hire, train, or onboard new staff just to handle extra claims.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Billing companies are built to scale with your practice. Whether you see 100 or 1,000 patients a week, your billing operation remains seamless, and stress-free.<\/span><\/p>\n<h2><strong>B. Cons of Outsourcing Chiropractic Billing<\/strong><\/h2>\n<p><strong><\/strong><\/p>\n<h4 style=\"margin-top: 0in; line-height: normal;\"><strong>1. Variable Cost Structure<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">Most outsourced billing services charge based on collections, so your cost may increase in high-revenue months. However, this is usually offset by the increased efficiency and fewer claim denials.<\/span><\/p>\n<h4><strong>2. More Flexibility<\/strong><\/h4>\n<p>Whether you want to change the billing process, improve the coding practices, or introduce new payment methods, it is easier to pass on<br \/>instructions to the billing team working in-house and execute procedures with greater flexibility.<\/p>\n<h4><strong>3. Choosing the Right Partner is Critical<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">Not all chiropractic billing companies are equal. Some lack experience with chiropractic-specific codes, don\u2019t offer real-time reports, or charge high fees. Always vet a billing company by asking key questions like:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do they specialize in chiropractic billing?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">What\u2019s their average claim denial rate?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">What\u2019s their turnaround time for rejected claims?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Can they integrate with your EHR or practice software?<\/span><\/li>\n<\/ul>\n<p><strong>Tip: <\/strong>Start with a company that has experience in chiropractic billing and is transparent about fees, reports, and communication.<\/p>\n<h2><strong>Is It Cheaper to Outsource Chiropractic Billing?<\/strong><\/h2>\n<p><b>In most cases, yes.<\/b><span style=\"font-weight: 400;\"> Outsourcing your billing can reduce your total cost while improving cash flow, especially if your in-house billing isn\u2019t efficient or you\u2019re managing billing yourself.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here\u2019s a quick cost comparison:<\/span><\/p>\n<table>\n<tbody>\n<tr>\n<td><b>Billing Option<\/b><\/td>\n<td><b>Monthly Cost Estimate<\/b><\/td>\n<td><b>Staffing Issues<\/b><\/td>\n<td><b>Claims Follow-up<\/b><\/td>\n<td><b>Coding Updates<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">In-House (1 Biller)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$3,000\u2013$5,000+<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Often Delayed<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Risk of Errors<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Outsourced Billing<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$800\u2013$1,500 (based on 5\u20137%)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Timely<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Always Updated<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><b><\/b><\/p>\n<h3><b>Trends in Chiropractic Billing for 2025<\/b><strong><\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">As we move into 2025, here are key trends influencing chiropractic billing:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increased payer scrutiny of documentation and coding<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rising costs of employee salaries and software licenses<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Higher patient volumes from insurance and personal injury cases<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increased demand for cash-based and membership models<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Growth of hybrid practices (chiropractic + acupuncture or massage)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Outsourcing helps practices handle these complexities without overloading their internal staff.<\/span><b><\/b><\/p>\n<h2><strong>Conclusion: What\u2019s Right for Your Practice?<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">Outsourcing chiropractic billing is becoming a smart, scalable, and cost-effective option for clinics looking to improve collections and reduce administrative burdens. In-house billing may work well for smaller clinics with low patient volumes, but once you cross 100+ visits\/month or $50,000+ in annual revenue, <\/span>outsourced chiropractic billing services often deliver better ROI.<\/p>\n<p><span style=\"font-weight: 400;\">Still unsure what\u2019s right for your practice?<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Talk to our <a href=\"https:\/\/myzhealth.io\/managed-billing-services\/\">billing specialists<\/a> about how you can improve your revenue cycle, so you can focus on patient care.<\/span><span style=\"font-weight: 400;\"><\/span><\/p>\n<p><span style=\"font-weight: 400;\"><\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-weight: 400;\"><a href=\"https:\/\/myzhealth.io\/bg-zhealth-demo-booking\/\" target=\"_blank\" class=\"get-free-demo\" rel=\"noopener\">Request a Free Consultation<\/a><\/span><\/p>\n<p><span style=\"font-weight: 400;\"><\/span><\/p>\n<p><strong>Next reads:<\/strong><\/p>\n<p><a href=\"https:\/\/myzhealth.io\/blog\/5-chiropractic-medical-billing-strategies-to-boost-your-monthly-revenue\/\"><span style=\"font-weight: 400;\">5 Chiropractic Medical Billing Strategies to Boost Your Monthly Revenue<\/span><\/a><\/p>\n<p><a href=\"https:\/\/myzhealth.io\/guide\/the-complete-guide-to-chiropractic-billing-2023\/\"><span style=\"font-weight: 400;\">A Complete Guide to Chiropractic Billing and Coding<\/span><\/a><\/p>\n<p><a href=\"https:\/\/myzhealth.io\/blog\/free-chiropractic-medical-billing-resources\/\"><span style=\"font-weight: 400;\">Top 8 Free Chiropractic Medical Billing Resources<\/span><\/a><\/p>\n<p><a href=\"https:\/\/myzhealth.io\/billing-profit-calculator\/\"><span style=\"font-weight: 400;\">Maximize your Revenue with Free Chiropractic Billing Calculator<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/myzhealth.io\/blog\/5-chiropractic-medical-billing-strategies-to-boost-your-monthly-revenue\/\"><span style=\"font-weight: 400;\">5 Chiropractic Medical Billing Strategies To Boost Your Monthly Revenue<\/span><\/a><\/p>\n<p><!-- divi:html --> <!-- \/divi:html --><\/p>\n<div id=\"gtx-trans\" style=\"position: absolute; left: 682px; top: 3193.17px;\">\n<div class=\"gtx-trans-icon\"><\/div>\n<\/div>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]\n","protected":false},"excerpt":{"rendered":"<p>Struggling with chiropractic billing? Explore the pros, cons, &#038; 2025 trends of outsourcing vs. in-house billing to grow your practice efficiently. Read more!<\/p>\n","protected":false},"author":5,"featured_media":34112,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<h1>&nbsp;<\/h1>\n<h1>\u201c<i>Should I outsource my chiropractic medical billing?\u201d<\/i><\/h1>\n<h1><i>&nbsp;<\/i><i>\u201cIs itcheaper to outsource chiropractic billing?\u201d<\/i><\/h1>\n<p><\/p>\n<p>The question of whether to outsource chiropractic billing operations or keep the process in-house weighs heavily on chiropractic practices. First of all, insurance billing is the pillar of success for any growing practice and also one of the most complicated. Before we move forward, it\u2019s important to know <i>when<\/i> most practices outsource their billing process.&nbsp; A doctor of chiropractic opens a new practice and brings staff members on board to manage the administrative tasks. But as the practice grows, the staff has to devote more time to stay on top of patient care and practice management. Whether you\u2019re managing it yourself or hired a biller to do it, in-house billing turns out to be a time-consuming and costly endeavor as your patient volume grows. Why? When practices manage billing operations in-house, they need to make sure they can cover expenses like payroll or per hour charges of the biller, purchase the right&nbsp;<a href=\"https:\/\/myzhealth.io\/blog\/5-things-to-consider-when-selecting-chiropractor-billing-software\/\">chiropractic billing software<\/a>, register with a financial institution and clearinghouse, stay up to date with billing\/coding changes, and so much more. A chiropractic practice earning more than $50,000 in a year has the option to outsource billing to a managed billing services company. By outsourcing billing, they can avoid costly expenses, avoid worrying about staffing billers, and reduce stress.&nbsp;The best way to decide whether you should manage your billing process in-house or consider outsourcing to a managed billing service provider is to look into these factors<\/p>\n<p>What is the size of your staff&nbsp;<\/p>\n<p>What is the skill level of your staff in billing&nbsp;<\/p>\n<p>Your budget for managing in billing operations<\/p>\n<p>Your average daily patient volume&nbsp;<\/p>\n<p>State of your practice's finances&nbsp;<\/p>\n<p>Let\u2019s discuss the differences between in-house and outsourced chiropractic billing, so you can decide which is right for your practice.<\/p>\n<h1>&nbsp;<\/h1>\n<h1>Pros and Cons of In-House Billing<\/h1>\n<h3>&nbsp;<\/h3>\n<h3>A. Pros of In-House Billing<\/h3>\n<h5>&nbsp;<\/h5>\n<h5 style=\"margin-top: 0in; line-height: normal;\">1. Direct Oversight over Financial Processes<\/h5>\n<p>If you appreciate having hands-on control of financial operations, then in-house billing is right for your practice. If you\u2019ve already hired billing staff who is knowledgeable and experienced with billing software, that\u2019s another reason for keeping it under your roof.<\/p>\n<h5>&nbsp;<\/h5>\n<h5>2. More Flexibility<\/h5>\n<p>Whether you want to change the billing process, improve the coding practices, or introduce new payment methods, it is easier to pass on<br>instructions to the billing team working in-house and execute procedures with greater flexibility.<\/p>\n<h3>&nbsp;<\/h3>\n<h3>B. Cons of In-House Billing<\/h3>\n<h5>&nbsp;<\/h5>\n<h5>1. More Expensive<\/h5>\n<p>With in-house billing, you need to hire an experienced coder and biller, purchase technology systems and equipment, pay the biller\u2019s salary, and cover employee benefits and training costs. They can add up more than what is commonly paid to a managed billing company.<\/p>\n<h5>&nbsp;<\/h5>\n<h5>2. Liabilities<\/h5>\n<p>If practice owners don\u2019t keep a stringent eye on their billing department, chances of seeing their liabilities go up increase due to many reasons, such as general employee neglect and unappealed claim denials.<\/p>\n<h5>&nbsp;<\/h5>\n<h5>3. Full-Time Support Not Available<\/h5>\n<p>If you\u2019ve a part-time biller, it will be difficult to manage your billing operations because you may not get full-time support when needed. Even<br>with full-time billing staff, problems might arise when one employee takes a leave of absence or quits altogether. Training new billing staff at your own expense is a waste of time and resources. Practice owners and providers will face challenges in maintaining an optimal quality of carewhile managing the administrative tasks, billing, staffing, and other daily operations.<\/p>\n<h1>&nbsp;<\/h1>\n<h1>Pros and Cons of Outsourcing Billing<\/h1>\n<h3>&nbsp;<\/h3>\n<h3>A. Pros of Outsourcing Billing<\/h3>\n<h5>&nbsp;<\/h5>\n<h5><b style=\"text-indent: -0.25in;\">1.<\/b> Save Money<\/h5>\n<p>The complexity of onsite billing can cost chiropractic practices more money than it\u2019s worth when compared to outsourcing the revenue cycle management process. Outsourcing your billing operations is a cost-effective option that can greatly increase revenue and return on investment for growing practices. For instance, if you collect $10,000 per month from insurance companies and the billing services provider charges 5% of the total collection, you will only have to pay $500\/month to the billing company. However, you might end up paying more to your part-time or full-time biller when handling billing in-house.<\/p>\n<h5>&nbsp;<\/h5>\n<h5><b>2.<\/b> Save Time<\/h5>\n<p>When billing is done internally, then providers will have to get involved in most of the claims and billing processes. This might consume some of<br>your time, resulting in less focus on patient care. Outsourcing your billing practice lets you focus on patients rather than stressing about overhead<br>expenses, liabilities, and support issues.<\/p>\n<h5>&nbsp;<\/h5>\n<h5>3. Experienced Billing Professionals<\/h5>\n<p>Chiropractic billing companies have expert billers and coders who have years of combined experience in processing claims, posting payments,<br>managing denials and rejections, follow-ups, appeals, and more. When you hire a chiropractic billing company, they focus on only one thing that is billing &amp; collecting revenue for your practice. When you keep your billing in-house, you\u2019ll need to make sure that your staff is properly trained in how to code claims and submit them to insurance companies. Chiropractic billing companies work extensively with insurance companies and clearinghouse and know what needs to be done to ensure that your claims are paid. They closely work with you to ensure your coding is accurate, claims are submitted on time, resubmit claims, and follow-up with insurance companies when required.<\/p>\n<h5>&nbsp;<\/h5>\n<h5>4. Greater Transparency and Control<\/h5>\n<p>A managed billing services provider shares with you a comprehensive report every week or when you request it. You gain unparalleled visibility into your billing operations, even each claim. You don\u2019t have to spend time micro managing your billing staff. Robust reporting and dedicated teams mean that outsourcing&nbsp;billing offers the same level of control or even a higher level of control when you compare it with in-house<br>billing.<\/p>\n<h3>&nbsp;<\/h3>\n<h3>B. Cons of Outsourcing Billing<\/h3>\n<h5>&nbsp;<\/h5>\n<h5>1. Variable Cost<\/h5>\n<p>Generally, billing service fees from outsourced companies are based on a percentage of collection. When you might have to pay higher during<br>the busy months and less in passive months. If you hire a billing company like zHealth that charges a lower percentage of the total monthly collection, you can ensure more profits both during busy and passive months.<\/p>\n<h5>&nbsp;<\/h5>\n<h5>2. Finding the Right Billing Company<\/h5>\n<p>When you outsource your billing, it is recommended to do your due diligence to ensure that the billing company you choose has experienced billing specialists, offers the flexibility you need, and charges&nbsp;a lower percentage of the total collection. Make sure the company is up-to-date on all coding changes and updates. If you find it difficult to find the right billing company, try asking these <a href=\"https:\/\/myzhealth.io\/blog\/10-questions-you-should-ask-before-hiring-chiropractic-billing-services\/\">10 questions to evaluate a chiropractic billing services provider<\/a>.<\/p>\n<h1>&nbsp;<\/h1>\n<h1>Conclusion<\/h1>\n<p>Chiropractic practices that have planned to <a href=\"https:\/\/myzhealth.io\/blog\/6-effective-tips-for-chiropractic-practices-to-improve-billing-and-claims-process\/\">improve their billing process in 2022<\/a> and increase their flow of revenue may find that outsourced billing operations meets their needs better and is more cost-effective compared to keeping it in-house. If you're still not sure what is the right option for your practice, we'd be happy to showcase what a dedicated billing team can do for you.&nbsp;Contact&nbsp;<a href=\"https:\/\/zhealthsoftware.com\/contact\/\">us<\/a> to discuss your billing concerns.<\/p>\n<p>Next read:<\/p>\n<p><a href=\"https:\/\/myzhealth.io\/blog\/5-chiropractic-medical-billing-strategies-to-boost-your-monthly-revenue\/\">5 Chiropractic Medical Billing Strategies to Boost Your Monthly Revenue<\/a>&nbsp;<\/p>\n\n<!-- wp:html -->\n<div style=\"display:flex; justify-content:center;\">\n<a href=\"https:\/\/myzhealth.io\/best-chiropractic-software-demo-organic-software\/\" target=\"_blank\" class=\"get-free-demo\" rel=\"noopener\">Request a free demo<\/a>\n<\/div>\n<!-- \/wp:html -->","_et_gb_content_width":"","footnotes":""},"categories":[34],"tags":[],"class_list":["post-18732","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-chiropractic-billing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.2 (Yoast SEO v26.2) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>In-House Chiropractic Billing or Outsource It - zHealth<\/title>\n<meta name=\"description\" content=\"Struggling with chiropractic billing? Explore the pros, cons, &amp; 2025 trends of outsourcing vs. in-house billing to grow your practice efficiently. Read more!\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/myzhealth.io\/blog\/in-house-chiropractic-billing-or-outsource-it-thats-a-million-dollar-question\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"In-House Chiropractic Billing or Outsource It - That\u2019s a Million Dollar Question!\" \/>\n<meta property=\"og:description\" content=\"Struggling with chiropractic billing? Explore the pros, cons, &amp; 2025 trends of outsourcing vs. in-house billing to grow your practice efficiently. Read more!\" \/>\n<meta property=\"og:url\" content=\"https:\/\/myzhealth.io\/blog\/in-house-chiropractic-billing-or-outsource-it-thats-a-million-dollar-question\/\" \/>\n<meta property=\"og:site_name\" content=\"Best Cloud-Based Chiropractic Practice Management Software\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/myzhealth\/\" \/>\n<meta property=\"article:published_time\" content=\"2025-05-12T06:40:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-07-28T14:18:22+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/myzhealth.io\/wp-content\/uploads\/2025\/05\/In-House-Chiropractic-Billing-or-Outsource-It-\u2013-Thats-a-Million-Dollar-Question.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"zhealth\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"zhealth\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"In-House Chiropractic Billing or Outsource It - zHealth","description":"Struggling with chiropractic billing? Explore the pros, cons, & 2025 trends of outsourcing vs. in-house billing to grow your practice efficiently. Read more!","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/myzhealth.io\/blog\/in-house-chiropractic-billing-or-outsource-it-thats-a-million-dollar-question\/","og_locale":"en_US","og_type":"article","og_title":"In-House Chiropractic Billing or Outsource It - That\u2019s a Million Dollar Question!","og_description":"Struggling with chiropractic billing? Explore the pros, cons, & 2025 trends of outsourcing vs. in-house billing to grow your practice efficiently. Read more!","og_url":"https:\/\/myzhealth.io\/blog\/in-house-chiropractic-billing-or-outsource-it-thats-a-million-dollar-question\/","og_site_name":"Best Cloud-Based Chiropractic Practice Management Software","article_publisher":"https:\/\/www.facebook.com\/myzhealth\/","article_published_time":"2025-05-12T06:40:00+00:00","article_modified_time":"2025-07-28T14:18:22+00:00","og_image":[{"width":1200,"height":675,"url":"https:\/\/myzhealth.io\/wp-content\/uploads\/2025\/05\/In-House-Chiropractic-Billing-or-Outsource-It-\u2013-Thats-a-Million-Dollar-Question.webp","type":"image\/webp"}],"author":"zhealth","twitter_card":"summary_large_image","twitter_misc":{"Written by":"zhealth","Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/myzhealth.io\/blog\/in-house-chiropractic-billing-or-outsource-it-thats-a-million-dollar-question\/#article","isPartOf":{"@id":"https:\/\/myzhealth.io\/blog\/in-house-chiropractic-billing-or-outsource-it-thats-a-million-dollar-question\/"},"author":{"name":"zhealth","@id":"https:\/\/myzhealth.io\/#\/schema\/person\/f37c0afe0b52b19464b3e221202a3542"},"headline":"In-House Chiropractic Billing or Outsource It &#8211; That\u2019s a Million Dollar Question!","datePublished":"2025-05-12T06:40:00+00:00","dateModified":"2025-07-28T14:18:22+00:00","mainEntityOfPage":{"@id":"https:\/\/myzhealth.io\/blog\/in-house-chiropractic-billing-or-outsource-it-thats-a-million-dollar-question\/"},"wordCount":1157,"commentCount":0,"publisher":{"@id":"https:\/\/myzhealth.io\/#organization"},"image":{"@id":"https:\/\/myzhealth.io\/blog\/in-house-chiropractic-billing-or-outsource-it-thats-a-million-dollar-question\/#primaryimage"},"thumbnailUrl":"https:\/\/myzhealth.io\/wp-content\/uploads\/2025\/05\/In-House-Chiropractic-Billing-or-Outsource-It-\u2013-Thats-a-Million-Dollar-Question.webp","articleSection":["Chiropractic Billing"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/myzhealth.io\/blog\/in-house-chiropractic-billing-or-outsource-it-thats-a-million-dollar-question\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/myzhealth.io\/blog\/in-house-chiropractic-billing-or-outsource-it-thats-a-million-dollar-question\/","url":"https:\/\/myzhealth.io\/blog\/in-house-chiropractic-billing-or-outsource-it-thats-a-million-dollar-question\/","name":"In-House Chiropractic Billing or Outsource It - zHealth","isPartOf":{"@id":"https:\/\/myzhealth.io\/#website"},"primaryImageOfPage":{"@id":"https:\/\/myzhealth.io\/blog\/in-house-chiropractic-billing-or-outsource-it-thats-a-million-dollar-question\/#primaryimage"},"image":{"@id":"https:\/\/myzhealth.io\/blog\/in-house-chiropractic-billing-or-outsource-it-thats-a-million-dollar-question\/#primaryimage"},"thumbnailUrl":"https:\/\/myzhealth.io\/wp-content\/uploads\/2025\/05\/In-House-Chiropractic-Billing-or-Outsource-It-\u2013-Thats-a-Million-Dollar-Question.webp","datePublished":"2025-05-12T06:40:00+00:00","dateModified":"2025-07-28T14:18:22+00:00","description":"Struggling with chiropractic billing? Explore the pros, cons, & 2025 trends of outsourcing vs. in-house billing to grow your practice efficiently. Read more!","breadcrumb":{"@id":"https:\/\/myzhealth.io\/blog\/in-house-chiropractic-billing-or-outsource-it-thats-a-million-dollar-question\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/myzhealth.io\/blog\/in-house-chiropractic-billing-or-outsource-it-thats-a-million-dollar-question\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/myzhealth.io\/blog\/in-house-chiropractic-billing-or-outsource-it-thats-a-million-dollar-question\/#primaryimage","url":"https:\/\/myzhealth.io\/wp-content\/uploads\/2025\/05\/In-House-Chiropractic-Billing-or-Outsource-It-\u2013-Thats-a-Million-Dollar-Question.webp","contentUrl":"https:\/\/myzhealth.io\/wp-content\/uploads\/2025\/05\/In-House-Chiropractic-Billing-or-Outsource-It-\u2013-Thats-a-Million-Dollar-Question.webp","width":1200,"height":675,"caption":"In-House Chiropractic Billing or Outsource It \u2013 That\u2019s a Million Dollar Question"},{"@type":"BreadcrumbList","@id":"https:\/\/myzhealth.io\/blog\/in-house-chiropractic-billing-or-outsource-it-thats-a-million-dollar-question\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/myzhealth.io\/"},{"@type":"ListItem","position":2,"name":"In-House Chiropractic Billing or Outsource It &#8211; That\u2019s a Million Dollar Question!"}]},{"@type":"WebSite","@id":"https:\/\/myzhealth.io\/#website","url":"https:\/\/myzhealth.io\/","name":"Best Cloud-Based Chiropractic Practice Management Software","description":"zHealth Empowers Chiropractic Practices and Optimizes Their Finances","publisher":{"@id":"https:\/\/myzhealth.io\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/myzhealth.io\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/myzhealth.io\/#organization","name":"zHealth","alternateName":"zHealth","url":"https:\/\/myzhealth.io\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/myzhealth.io\/#\/schema\/logo\/image\/","url":"https:\/\/myzhealth.io\/wp-content\/uploads\/2024\/12\/zHealth-Software-Logo.png","contentUrl":"https:\/\/myzhealth.io\/wp-content\/uploads\/2024\/12\/zHealth-Software-Logo.png","width":1181,"height":701,"caption":"zHealth"},"image":{"@id":"https:\/\/myzhealth.io\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/myzhealth\/","https:\/\/www.linkedin.com\/company\/zhealth-ehr\/about\/","https:\/\/www.youtube.com\/channel\/UCgQEK6LyrRcAFaxGExe32EQ\/videos","https:\/\/www.instagram.com\/myzhealth\/"],"description":"zHealth provides an all-in-one cloud-based practice management software for chiropractors, acupuncturists, and wellness providers. Our user-friendly solution includes EHR, scheduling, 2-way texting, custom SOAP notes, payments, recall, online reviews, insurance billing and more - starting from $119. Request a demo!","email":"sales@zhealthehr.com","telephone":"+1 (800) 939-0319","legalName":"zHealth, Inc.","numberOfEmployees":{"@type":"QuantitativeValue","minValue":"11","maxValue":"50"}},{"@type":"Person","@id":"https:\/\/myzhealth.io\/#\/schema\/person\/f37c0afe0b52b19464b3e221202a3542","name":"zhealth","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/myzhealth.io\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/e297958c0a9f3e775d8fc426e67bf3cfd9c1e3fd7f30ab4c7fd9eb8a9f73db47?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/e297958c0a9f3e775d8fc426e67bf3cfd9c1e3fd7f30ab4c7fd9eb8a9f73db47?s=96&d=mm&r=g","caption":"zhealth"},"url":"https:\/\/myzhealth.io\/blog\/author\/zhealth\/"}]}},"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/myzhealth.io\/wp-json\/wp\/v2\/posts\/18732","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/myzhealth.io\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/myzhealth.io\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/myzhealth.io\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/myzhealth.io\/wp-json\/wp\/v2\/comments?post=18732"}],"version-history":[{"count":5,"href":"https:\/\/myzhealth.io\/wp-json\/wp\/v2\/posts\/18732\/revisions"}],"predecessor-version":[{"id":34113,"href":"https:\/\/myzhealth.io\/wp-json\/wp\/v2\/posts\/18732\/revisions\/34113"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/myzhealth.io\/wp-json\/wp\/v2\/media\/34112"}],"wp:attachment":[{"href":"https:\/\/myzhealth.io\/wp-json\/wp\/v2\/media?parent=18732"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/myzhealth.io\/wp-json\/wp\/v2\/categories?post=18732"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/myzhealth.io\/wp-json\/wp\/v2\/tags?post=18732"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}