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Since 2013, the trend of using offshore vendors for coding, transcription and billing services has accelerated as healthcare providers look for ways to trim expenses. This trend increased sharply in 2014 and 2015 due to the looming financial threat of ICD-10. Today, with continued pressure on administrative expenses, offshoring is still an attractive option due to the lower upfront costs and fees. While these upfront costs are easy to compare to in-house or domestic based solutions, very little analysis is available on the overall impact on costs and revenue cycle for providers.

This presentation will present the results of a two year study across six large Covered Entities that compares the actual costs and benefits of utilizing offshore coding services versus domestic coding resources. The comparison will include analysis of:

  • Upfront fees
  • Auditing expense
  • Training
  • Denied claims
  • Accuracy
  • Depth of coding
  • Turnaround time
  • On-boarding
  • HIPAA compliance

At the end of the presentation, the audience will have full understanding of the benefits, risks and cost of offshoring revenue cycle services.


Bill Wagner, Co-founder, Chief Operations Officer

Mr. Wagner is an experienced senior executive with a 26-year career in corporate retail prior to co-founding KIWI-TEK, LLC, in 2002. He currently manages the ever changing coding needs of over 100 clients for KIWI-TEK by directing a team of 25 managers and auditors and over 400 coders.

Mr. Wagner has continually kept his company at the forefront of revenue cycle challenges. He developed a successful RAC prevention program for KIWI-TEK clients. He was a featured speaker on ICD-10 preparation at the 2013 AHIMA National Conference. In 2014, His ICD-10 Revenue Cycle Calculator was nominated for an AHIMA Innovation Award. Mr. Wagner successfully guided his company through a Security Risk Assessment in 2015 and again in 2016. Under his guidance, KIWI-TEK comprehensively trained and tested hundreds of employees in preparation for ICD-10 leading to a seamless conversion for his clients.


1.0 – External Forces

Date Published

June 28, 2018