In-house billing isn't cheaper. It just hides the cost.
Salaries, benefits, software, training, turnover, coverage gaps, missed claims. Most practices spend about 10.9% of gross billing in-house. JARALL Medical Management is around 6%, and lifts collections.
What In-House Billing Actually Costs
The salary line is the visible part. The honest total is closer to 10.9%.
The in-house ledger
As a share of gross collections
- Biller salaryThe visible line item
- ~7.0%
- Benefits & payroll taxesAttached to every hire
- ~1.4%
- Software & clearinghouseLicenses, updates, portals
- ~1.2%
- Training & compliancePayer rules change constantly
- ~0.5%
- IT & overheadThe desk, the machine, the support
- ~0.8%
- True cost of in-house billing
- ~10.9%
Plus the entries no ledger shows: hiring and turnover, coverage gaps, and the claims that never get worked.
The JARALL ledger
One line
~6%
of collections. No salary, no benefits, no software line, no coverage gap. One fee, tied to what we actually collect for you.
- A podiatry-only team, U.S.-based
- 24/7 account oversight
- Aurora analytics and reporting included
The question isn't cost. It's return.
The Argument Is Structural, Not Personal
Many in-house billers are loyal, hard-working people with too much on their plate. The problem is the structure: one person, twenty payers, constant rule changes, and zero coverage when they are out.
“Doctors were meant to be doctors, not administrators.”
A single point of failure
When your biller is out sick or on vacation, claims sit and revenue stops moving. A team never takes the week off.
No specialty depth
One person cannot track every podiatry modifier, LCD, and payer rule change while also working the phones. A podiatry-only team does nothing else.
The hidden growth tax
Every hour your practice spends chasing claims is an hour not spent on patients. Billing is the fuel, not the brake.
Run Your Own Numbers
What switching typically looks like:
- 25 to 40%drop in denial rate
- 98%+of claims clean on the first pass
- 10 to 14 dayssooner to payment
- Up to 30%lift in collections, sustained
Outcomes vary by practice, payer mix, and starting position. Set the slider to your annual collections and see the comparison for your practice.
Driven by Data
Designed to Outperform In-House
In-House
Total Billing Cost
Net Revenue
$841,000Plus you manage
- Hiring & Turnover
- Training & Compliance
- Coverage Gaps
JARALL
Total Billing Cost
Net Revenue
$1,005,800Included
- Denial Reduction (25-40%)
- 24/7 Account Oversight
- Analytics & Reporting
Your JARALL Advantage
Estimates based on industry averages. Your results will vary.
Ready to Do the Math on Your Practice?
A complimentary consultation takes 30 minutes and comes with no pitch deck. We will walk through your numbers with you.
Book Your Complimentary Consultation