I have followed this post for a few days - it is important to make sure you are utilizing staff for what they do best - the billing person is probably the most important ancillary staff you can hire. I like many others have my spouse doing this - she cares about revenue and has a vested interest in the office doing well.
I agree about nursing homes - I do them, but I consider that one of my contributions to the greater good - I don't make any money doing them.
I think technology is great - use amazing charts, scan things in, learn to use the e-mail in AC, but don't get caught up in a technology craze and spend a fortune. I use lots of very inexpensive computers in my office and they work well.
Take all of our advise and use what you can - I have been self employed for over 6 years and learned it all as I went along. The one person I had to help was an experienced biller who helped us set up and get our billing program going.
