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What are the advantages and disadvantages of in-house billing?

By offering in-house billing the provider potentially maintains the highest level of control and oversight over the process. Office staff can be assigned tasks flexibly to include billing and other administrative jobs. The administrative-clinical relationship is seamless and may provide for a better provider-patient relationship. However, many mental health providers come to realize that they lack the expertise necessary to competently oversee billing. Billing is driven by sophisticated technology which needs to be maintained, updated, and upgraded and many mental health providers do not have sufficient background. It is estimated that in-house billing results in anywhere from 3%-10% reduction in revenue as opposed to using outsourced professional billing.