Disadvantages:
 High set up fees
 Low accountability from the billing service
 Lack of control
 Communication Problems(all collection problems will be blamed upon your office)
 Your staff will still probably wind up doing most of the work
 Completely reliant upon the Internet
 Loss of data
 HIPPA issues

Full-service

Advantages:
 completely remove the billing process from your office
 symbiotic relationship
 avoid expensive computer system
 system of checks and balances
 less employees

Disadvantages:
 expensive
 loss of control
 patient relations
 collection agency relationships

Should I outsource my billing checklist: If you answer yes to most of the following questions then you should probably consider outsourcing?

 Is your overall collection rate declining?
 Is your accounts receivable too high?
 Are you experiencing an increased number of denied claims?
 Is your overall frustration level regarding your billing/business office very high?
 Are you facing a major capital investment in new hardware or software?
 Are your computer support fees to high?
 Are you having a difficult time keeping or hiring experienced billing staff?
 Are you spending too much time on the business aspect of medicine?
 Are you concerned that your staff or office manager has knowledge of your income?
 Are you completely reliant upon your office manager?
 Are you planning to expand your practice?
 Do you believe that your practices cost structure is too high?
 Do you have several employees performing tasks that could be handled by a single more experienced manager?
 Is your computer system obsolete?
 Are hardware, software, and information technology disrupting the operation of your practice?