I think one additional aspect to consider for all parties involved with in house billing versus out of house billing, is the projected cost of ICD-10 implementation in your office in both scenarios.
How is your group postured do deal with the implementation process this year and the ensuing years, and which billing scenario makes the most sense for the viability of your organization over the long haul?
Do you have the resources and cash flow to do this implementation in house or not?
Is this transition to ICD-10 better done in house or by another out of house entity?
