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The primary argument against outsourcing billing services is its cost. It's no secret that billing companies make money by charging a percentage of what they collect. Depending on the vendor, that's typically 4% to 10% of your gross not a small expense but it probably pales in comparison to the cost of hiring, training and providing benefits to a business office staff that isn't billing and collecting everything that you're due. We learned that the hard way. Early on we handled our own billing and coding, but quickly discovered that we were in over our heads and needed help.
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