Personally I still feel there is as much need, if not more for outsourcing, now than there was in the past. In this economy providers can't afford to not collect everything they are entitled to, and most billers know that many providers just cannot accomplish this in the office. Some can - don't get me wrong. They have a good biller that's been with them for a while. But most have high turnover and really don't know what the person doing the billing is doing. Some think that do to EMR they need to bring it in house, but in my opinion they are wrong. EMR really shouldn't affect billing. The EMR companies use billing as a sales tool.
Most PM systems are 5010 ready, or will be. Most likely you will need to update before ICD 10 anyway, so it won't be added cost. If you purchase your PM system now, you will need to update in a year or two for other reasons.