Pricing
Three ways to pay for billing
Which one costs you least depends on your volume and how much of the work you keep. Below is what each model suits, what is included in all of them, and how to work out your own number.
Percentage of collections
Suits practices that want the billing company paid only when they are paid. The rate falls as monthly volume rises.
- No collection, no fee
- Scales with the practice, up and down
- Rate set on your volume and specialty
- Full revenue cycle included
Hourly
Suits practices that want named people working set hours on their account, and prefer a cost that does not move with revenue.
- Dedicated biller or coder
- Cost is predictable month to month
- Scale hours up or down as needed
- Works alongside your existing team
Fixed monthly fee
Suits larger or multi-provider groups where a percentage becomes the more expensive option as collections grow.
- One number, budgeted in advance
- Usually cheaper above a certain volume
- Priced on claim count and complexity
- Reviewed as the practice changes
Included in every model
The pricing changes. The work does not.
The revenue cycle
- Eligibility and benefits verification
- Prior authorisation
- Coding by certified coders
- Claim scrubbing and submission
- Payment posting and reconciliation
- Denial management and appeals
- A/R follow-up by payer and age
- Patient statements and queries
How you are covered
- Dedicated account manager
- Reporting dashboard, no extra charge
- HIPAA compliant, BAA signed before any record moves
- SOC 2 Type II, independently audited
- Coding by AAPC-certified coders
- No long-term lock-in
- Billing US practices since 2005
Which one is cheapest for you
It depends on your numbers, so work it out rather than guess.
A worked comparison
A percentage model costs more as you collect more; a fixed fee does not. There is a crossover point, and where it falls depends on your collections, not on anybody's sales pitch.
The billing cost calculator puts your own figures against each model — including what your current in-house setup costs once salaries, benefits, employer taxes, software and postage are counted. Most practices have never added that up.
Then tell us your monthly charges and specialty and we will quote a real rate rather than a range.
Questions worth asking any billing company
Including us.
Is the percentage taken on collections or on charges? On charges means you pay for money that never arrives. It should be collections.
What happens to old A/R when we switch? Ageing balances need working, and whether they are in scope changes the real cost.
Who does the coding, and what are they certified in? Billing and coding are different jobs, and denial rates follow the coding.
What is the notice period? A contract you cannot leave is a price rise you have not been told about yet.