Pricing
Medical billing pricing you can check before you call
It's a percentage of what your practice receives on the claims we manage, with a monthly minimum. There's no setup fee and no long contract.
Your exact rate comes in writing after the audit
- 3 to 5%
- of the payments your practice receives on the claims we manage
- $500
- monthly minimum, which only applies when the percentage comes to less
- $0
- setup fee
- 30 days
- written notice to leave. It's month to month, with no long contract
Your fee
Work out what you'd pay
Slide to roughly what your practice receives in a month.
This is arithmetic using our published range. Your exact rate comes in writing after the audit, and depends on your volume and how much follow up your claims need.
Your monthly fee would be between
| Monthly payments | Fee at 3% | Fee at 5% |
|---|---|---|
| $10,000 | $500 | $500The minimum applies |
| $25,000 | $750 | $1,250 |
| $50,000 | $1,500 | $2,500 |
| $100,000 | $3,000 | $5,000 |
What's included
What your price covers
Your agreement lists each item, so you can see what you're paying for.
In your billing fee
- Preparing and submitting claims
- Handling rejections and following up on claim status
- Posting and reconciling payments
- A regular billing report
Spelled out in your agreement
- Denial work
- Insurance verification
- Coding support
- Custom reporting
- Care management billing
Priced as separate projects
- Older A/R recovery, as a share of eligible recovered amounts
- Standalone denial recovery, as a share of eligible recovered amounts
- Credentialing, as a fixed fee per payer application
Your rate
What moves you within the range
Monthly volume
Practices with higher payments on the claims we manage generally land toward 3%.
Specialty and claim mix
Some claims take five minutes. Others take several phone calls.
Payer mix
Plans with a lot of authorization and appeal work take more time.
What you hand over
We'll price what you want us to do, and leave out what you want to keep.
Your system and backlog
How your EHR is set up, and how far behind things are when we start.
Questions
Questions about pricing
How much does medical billing cost with you?
3 to 5% of the payments your practice receives on the claims we manage, with a $500 monthly minimum. There's no setup fee. You'll get your exact rate in writing after the free audit.
When does the $500 minimum apply?
When the percentage would come to less than $500. At 5%, that's below $10,000 in monthly payments, and at 3% it's below about $16,667. In those months your effective rate is higher than the percentage, so it's worth checking if your practice is small.
Do you charge a percentage of patient payments too?
Your agreement says exactly which payments count, so you can check it before you sign. It covers payments on the claims we manage.
Is the audit really free?
Yes. There's no charge, you don't have to hire us, and the findings are yours to keep.
Can we leave if it isn't working?
Yes. It's month to month, so you give 30 days' written notice. Your data stays yours, and your agreement covers how open claims get handed back.
Is percentage pricing allowed everywhere?
No. It depends on state law, payer contracts and federal rules. Some states restrict percentage billing, and Medicare and Medicaid limit percentage fees when a billing company receives the payment. Under our model, payments go directly to your practice. Where a percentage arrangement doesn't work, we'll quote a different structure.
Who pays payer and state fees?
Your practice does, directly. That covers things like credentialing fees charged by payers or states.
Get your exact rate in writing
Start with the free audit. You'll have a written report within 48 hours of sending your reports, and your rate if you'd like one.
