§ CompareHonest, not marketing

Sarthi vs.
the alternatives.

Every medical practice weighing Sarthi is also weighing offshore BPO, point tools (ambient scribes, coding add-ons), or staying put. Here’s the honest math.

Category
Option A
Sarthi
Operating layer · flat fee
Option B
Offshore BPO
Manila / India MAs
Option C
Point tools
Scribe / coding only
Option D
Do nothing
Keep absorbing it
What it does
Inbound calls, scheduling, triage
Fax + referral intake
Partial — manual
Ambient documentation
Coding + claim preparation
Partial — rules-based
Partial — coding-only tools
Full revenue cycle (ERA, denials, A/R)
Variable — vendor-dependent
Rare — usually a separate RCM stack
Prior authorization
Patient follow-up + callbacks
How it behaves
Works 24/7 with no scheduling gaps
Time-zone dependent
Only when clinician uses it
Concurrent capacity at zero marginal cost
Writes back to the chart automatically
Manual
Scribe only
Speaks cardiology and pulmonology fluently
Training-dependent
Depends on tool
Attrition risk
None
High (25–40% annual)
Low
None
What it costs
Typical monthly spend (mid-size practice)
Scoped by conversation
$10–18k (2–3 FTEs)
$2–5k per tool × several
Your team's evenings
Onboarding ramp
2 weeks
4–8 weeks per FTE
Varies per tool
Per-claim / per-seat fees
None
Varies
Often
Exit terms
90-day no-penalty
Contract dependent
Annual lock-in common
What it doesn't do
Replace clinical judgment
Never
Handle novel cases without escalation
Escalates to your team
Escalates
Varies
Work against a legacy EHR with zero API
Bridges via RPA
Usually not

This is how we think about it. Your mileage will depend on your EHR, payer mix, and how much of the day currently leaves with your team.

§ HonestWhere each option genuinely wins
Pick Sarthi if

You run a medical practice, your admin work is bleeding into evenings, and you want one system that handles the day — not four point tools that each own 10%.

Pick offshore BPO if

You have well-documented workflows, training bandwidth, and a strong relationship with your offshore team. For many practices, that’s a workable model — and the rotating team is something you’ve already learned to manage.

Pick point tools if

You have one workflow problem you’d like to solve cleanly — say, ambient scribing — and the rest of your ops are running well. A focused tool you can adopt narrowly may be a better fit than a platform commitment.

Stay put if

Your current team handles it well, your AR is clean, and your physicians are not staying late. If that's you — you don't need us.

Want to see the math
on your own numbers?