Mike,
I think your previous post above is a perfect example of why physicians should do the coding instead of billers or a billing service. And I am confident that you and your wife are much more efficient than any billing service could ever be.
I wonder how many extra patients you would have to see every day to pay for the relative inefficiency of a billing service.
I also have a wife who runs the business so I only have to run the practice, and a spoiled man I am.
The profits of insurance companies depend on having so many complex rules that only the motivated, focused, determined, capable people can accomplish it. That is why the rules are always changing.
Anyone who graduated from medical school is capable, and has probably chosen a spouse that is capable. I think it is like in school, some are determined to master something while most are willing to just do enough to pass. And, I just don't see how the profit motive incentive for a billing service can compare to the "this is our money" incentive your wife brings to the practice.
Obviously, we cannot all master coding and inhouse billing, but there is low hanging fruit worth picking. And more importantly, some of our spouses could make better use of their time outside of practice, whether that means income or not.