Do your billing in house! I'm biased because I started doing this when I started using AC. It has been great. Things don't fall through the cracks, aging reports get worked up, etc. You do figure out how crooked insurance companies are and how amazing it is the reasons they don't pay you.
The only problem is that I am much closer to the business side of things now and tend to give way too many self-pay patients a break. I need to stay out of that part of it and let my office manager deal with those issues.
