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moving billing in house??  v RCM

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I am in a solo practice in Richmond.  I have a mix of insurance and cosmetic patients in my practice. I have been using eCW for a while, but have been using an outside billing company for the last 8 years.  After many years of paying 8.5% and having other service issues related to the firm, I have decided change my structure and bring everything in house. I have great staff, but none are billers. My office manage is sharp and really wants to bring this all in house.

Theoretically, I have a date to do this on July 1. (about 6 weeks).  I am now realizing that this change is more complex than I thought.

Here are my questions:
1. How quickly can I set up a clearinghouse and make this all happen?  I need to redirect ERA and EFTs to the new setup. How long does this take to do?
2. Any suggestions on clearinghouses?
3.  Is this a terrible idea?

I am also considering the RCM product from eCW.  How much easier will that make my billing?  It irritates me that it is $1000 just to talk with them.  As I do have income outside of insurance, I assume they would not try to grab a portion of that. Anybody know?

thanks!


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