I agree William.. spending that kind of money on top of all the things you will need to do to be ready would certainly not be beneficial. Those companies are business opportunities, they supply the items you need to service your client and with some companies it's a Franchise which would not cover you for things you need in place. For example, a business associates agreement is required for you to have with each client for HIPAA Privacy and Security, however without the required things needed to live up to that BA Agreement, the BA Agreement is just words on a piece of paper. Billing companies need nearly everything a CE needs such as risk assessment(s), policies & procedures, proof of privacy training, audit functions and all of these require proof and updating. I would strongly suggest doing all that you need to do first. If you have never worked as a billing professional I even advise you go get some hands on experience for a couple of years in an office first.