What this costs
Published rates, and what moves a quote inside the range. If a billing company will not tell you their model before a sales call, that is information too.
Full-service revenue cycle management
From 4.99% of monthly collections, scaling to 2.74%
Practices that want the whole cycle handled: charge entry, coding review, claim submission, denial work, appeals, patient statements and reporting. Practices starting out begin at 2.74% of monthly collections, and the rate scales down as volume grows, so what we charge moves with what we actually collect for you.
Coding and coding review only
Quoted per encounter
Practices with a billing team they are happy with, who want certified coders and an MD reading the chart before the claim goes out. Priced per encounter rather than as a share of collections, because we are not touching the collections side.
Credentialing and payer enrollment
Quoted per provider, per payer
New providers, new locations, and re-credentialing that has been sitting on somebody's desk. Flat fee per application so the cost does not move if a payer takes six months to respond.
What the rate does not cover
Listed here rather than discovered on an invoice. Anything not on this list is included.
- Your clearinghouse and practice management software fees
- Postage on paper statements, where a payer or patient still requires them
- Legal representation in a payer audit or appeal beyond the administrative levels
- Collections agency placement for accounts you decide to write off
See what your claims are leaving behind
Send us a month of remittance data and we will tell you what it says: which codes are being denied, how much of it is recoverable, and how long your money is sitting in A/R. It takes about a week and there is nothing to sign.