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Before I get started in my reply, let me disclose the fact that I work for a billing company as software development and IT support.
Whether or not your outsource your billing is depedant on your situation. For some, they would rather do it in-house. Billing for their speciality is easy enough, they have the expertise, and they have the time.
For other practices, life isn't so simple. Perhaps their speciality is more complicated, they are seeing too many patients a day so they don't have the time (unless they don't want to get home until midnight every day), and they don't have the expertise.
It all depends on your situation. Based on the data I see every day, our clients have neither the time nor the expertise so contracting with us was the right thing to do. For the larges practices, it's cheaper to go with us and pay that 6 or so percent than hire full time staff at ~$25,000 - $35,000 a year or more.
Think about the situation you are in. If you don't like your current billing solution, get another one. It's your money.
JamesNT
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