Stable monthly costs are essential for a dynamic businesses. Against the need to stabilise and streamline is the constant pressure to evolve with the market and retain competitive advantage. When your monthly costs are out of control, your ability to grow is compromised. Growth or innovation represents risk, not opportunity. If you manage coding and billing in-house, you carry the additional risk of overhead costs required to invest in necessary technology, and the burden of employee retention, and subsequent less time for marketing your services.