Why outsource your billing? The smart approach is to maximize revenues and control and minimize costs and work. An in-house billing operation has little control and high costs. It is unable to identify and solve billing problems proactively. Think process, technology, and personnel. MAKE MORE MONEY!
How often does your office biller participate in coding/billing conferences? What happens if your biller becomes unavailable? What are the real costs of managing your own personnel, including hiring, training, benefits, vacations, sick days, your own time spent on resolving personality conflicts and following up on problems left behind because of their lack of knowledge?
Does it do everything you need and is it managed according to industry standards?