I get the same question all the time from existing and prospective clients:

“Do I tell me clients that I am outsourcing their work to India or not?”

Typically, medical billing companies have contractual provisions whereby the medical providers authorize the billing services to be performed by employees, agents, contractors, and subcontractors of the billing company, which includes the authority to perform certain billing services offshore.

These contractual provisions are now standard given the industry shift toward offshore services, and the desire of medical billing companies to have the offshore option open. Those clients are usually not concerned about having this conversation with their clients. They have most probably discussed it when signing on the client.

For clients that have not had the “outsourcing conversation” and then decide to outsource my advice is to tell your client that you will charge them X% if you send some work offshore and Y% if you keep all the billing work in the U.S. Charging them one or two percentage points more if keeping it all in the U.S The client can then decide what they feel most comfortable with.

If you use 4D Global for your outsourcing needs; you can also explain that no data/information goes offshore. This means that the data is never housed or stored on offshore servers. 4D Global has dual monitors and access the clients information on one screen and enter it from another screen. The security measures and protocols we implement to ensure HIPAA compliance prevent the transfer or movement of any protected data out of the U.S.


I see more of a HIPAA compliance problem with U.S. employees working from home than having an offshore team do the work. At 4D Global we restrict any cell phones or cameras in the office. It would be impossible for an employee to take a photo of any PHI (personal health information). If an employee is working from home, how would you prevent the employee from taking photos of PHI? How would you prevent their children, spouse or anyone else from accessing their computer or viewing printed EOB’s or any other PHI information?

Outsourcing is a far better option from a compliance standpoint, price and speed of claims processing. They do all data entry during the U.S. evening time and are working while you are sleeping creating a 24 hour service – something you can not get from a U.S. employee.

Deepesh Rana

Executive Vice President & Head of Operations

Deepesh is an accomplished executive with 22+ years of experience in operations management. He has a proven track record of driving operational efficiency, optimizing processes, and delivering results. As an Executive Vice President and Head of Operations, Deepesh is responsible for overseeing a range of functions critical to our company’s success, including HR, finance, IT, and facilities management. He oversees all aspects of our company’s operations, logistics & administration.

Deepesh is a strong advocate for customer service and employee engagement and is committed to creating a positive workplace culture that fosters collaboration and innovation. He is dedicated to delivering exceptional results and is passionate about helping 4D achieve its full potential. Prior to joining 4D, he held senior operations roles where he successfully implemented operational improvements that increased efficiency and reduced costs.

Hobby & Interest: Deepesh is an avid traveler and loves exploring new destinations across the world. He has a young family & prefers spending quality time with his daughter, wife, and mother.

Randy Farwell

Senior Vice President of Business Development and Marketing

Randy has 25 years of experience in the Healthcare Industry as a team builder, team leader, and national sales manager. He is passionate, dynamic, creative, and innovative. He has a successful career in the Healthcare Industry by maximizing business performance through a foundation of strategy, analytics, as well as people and culture development. Demonstrated success driving multi-million-dollar sales growth, developing, and building company infrastructures, building sales and business development teams, and executing sales strategies. He is known for strategy development and execution and has broad cross-functional experience in sales management and sales operations.

Randy will be leading our sales, business development, and marketing teams. He will be developing, implementing, and executing our sales, marketing, and growth strategies. He is dedicated to building leaders and helping others to achieve success. He will be creating new business opportunities and strategic partnerships for 4D Global Inc.

Hobbies and Interests: Randy enjoys exercising, lifting weights, golfing, pickleball, and spending time with family and friends.

Chanie Gluck

Founder & CEO

Chanie Gluck is a successful entrepreneur and seasoned veteran of the medical billing business. She launched 4D Global, Inc. after selling her Medical Billing Company – 4D Medical, which she owned and operated for 13 years. Chanie began her medical billing career in 1994 working in the billing department of a multi-specialty medical center.

Chanie is a visionary entrepreneur with 28+ years of experience in the medical billing industry. She has a passion for making healthcare effective and efficient through outsourcing capabilities. Under Chanie’s leadership, 4D Global has grown from a startup to a fast-growing company Inc 5000 company and a leader in the medical billing market. As the Founder and CEO of 4D Global, Chanie is responsible for setting the strategic direction of the organization and driving growth and success.

She is deeply committed to 4D’s mission and values and is dedicated to delivering exceptional results for our customers and stakeholders. She hosts two podcasts’ Leaders In Medical Billing and Growing Global .  Chanie’s entrepreneurial journey includes being recognized as one of the top CEO’s & She is also actively involved in corporate social responsibility initiatives and is committed to making a positive impact on the world.

Check out her website at www.chaniegluck.com

Hobby & Interest:  Yoga, cycle classes, art – painting, reading, lifetime learner, world traveler and enjoys spending time with her husband and four children.

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