Thanks for the good discussion everyone. I agree that in-house is ideal for the reasons Leslie and Adam mention, assuming you have the people with the skills. Our labor pool here in New Orleans is so thin, if we lost our main biller-person, I'm really not sure what we'd do.

Adam, have you found a way to get demographics, claims and insurance information shared between Medware and AC? I'd love to keep Medware, since all of my wife's patient information is already on there. Or does your biller person simply take each day's superbills in AC and enter the information manually into Medware? Seems like a lot of duplicated clerical effort to have 2 parallel databases like that.

Thanks again, all - this is very helpful to me to think through the various options.


Jim Theis
Family Medicine
New Orleans, LA