@ Bert, I didn't want to miss any responses from billing and coding. Ah, wrong term used what I was thinking..
Life is not getting any simpler than this. I love Dave inputs (on many things), Alaskan honesty or remote roughness your choice.
When we started our clinic, we didn't know anything about billing and 6% percent then was not that much or greed comes with time. 3, 4 years later and 6 percent of 200K not same as 6 percent of 500K or going 1 Mil. The agony of writing out 6% of something we feel we could do ourselves is much higher than 6 % itself, not taking into account that 6% of 'easier money' then might be equal 10-12% EMR time.
We are being pushed hard, not much control of anything anymore. If payments getting lower, expenses higher and billing rates still sick at 5-8% then billing outsource pros is not longer an attractive option if not 'crazy' option like Travis'. Also web based billing programs not that popular 4 years back then.
Solo docs have to adapt to survive, I think billing model also need to be changed.
My 2 cents for new doc still thinking of solo practice is that you need to investigate in doing billing yourself first per web based programs out there then to decide .
