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 4.99% of monthly collections, and the rate scales down toward 2.74% 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.