Before we quote anything, we look at where your revenue is actually going. The discovery call is a free conversation about your claim volume, your denial patterns, and the state of your accounts receivable. You'll leave knowing which package fits, or whether you need something custom. No charge, no obligation, and if we aren't the right fit, we'll say so.
Smaller practices don't always need a full revenue cycle operation. Sometimes claims just need to go out clean, get posted, and get worked when a payer pushes back. Essential RCM covers electronic claim submission and management, payment posting, insurance follow-up, basic denial management, and clearinghouse rejection management, with monthly financial reporting and ongoing revenue cycle monitoring so nothing slips. Email support keeps you in the loop between reports.
Most practices lose revenue in the gap between submitting a claim and getting paid. Professional RCM closes it. You get everything in Essential, plus advanced denial management and appeals, accelerated insurance follow-up, and accounts receivable management that works balances before they age out of collection. We add patient billing support, bi-annual revenue cycle performance reporting, and monthly strategy meetings, with priority support when you need answers fast. A full billing department, without the payroll.
Premier RCM is for practices that want the billing function off their desk entirely, and the process around it improved. Everything in Professional, plus a dedicated account manager, comprehensive accounts receivable recovery, and workflow optimization. Add revenue cycle consulting, quarterly RCM reviews, virtual administrative support, and direct executive access, and your revenue becomes a standing conversation instead of a monthly report.
Three tiers can't cover every specialty, every claim volume, or every practice that needs only part of the cycle covered. If none of the packages fit, we'll build one that does, drawing from any of the services in our other tiers. Scope and pricing are set on a call, once we understand what you actually need.
Before we quote anything, we look at your claim volume, your denial patterns, and the state of your accounts receivable. The discovery call is free, and there's nothing to sign.
Essential, Professional, and Premier are starting points, not boxes you have to fit inside. We shape the package around how your practice actually bills before anything goes live.
We build a need profile specific to your practice, then set you up with the package that matches it. As your claim volume grows or your needs change, you move up without starting over.
Build Your Own
Already have an internal billing team? You don't need a full package. Pick only the services you need, whether you're covering a staff shortage, clearing backlogged A/R, or handling a one-time project. We slot into your existing workflow without disrupting it.
From $600/mo
Complete preparation, review, and electronic submission of claims to Medicare, Medicaid, and commercial payers.
Includes
From $800/mo · per ERA
Accurate posting of every insurance and patient payment into your billing software, reconciled so your records stay clean.
Includes
From $600/mo
Confirm patient eligibility and benefits before services are rendered, so claims aren't denied for coverage you could have caught up front.
Includes
From $1,000/mo
End-to-end handling of prior authorization requests, from submission through approval and renewal.
Includes
From $500/mo
Professional remote administrative help for your office, handling the day-to-day so your team can focus on patients.
Includes
From $175/hour
Strategic guidance to maximize reimbursement and tighten operational performance, backed by real numbers.
Includes
From $750/audit
A comprehensive review of your billing accuracy and the revenue you may be leaving on the table, delivered as a written report.
Includes
From $1,500/project
Recovery of aging claims and outstanding insurance balances, worked to resolution and summarized at the end.
Includes
Per-Unit Rates
Insurance Follow-Up
From $8 / insurance
Per-claim follow-up with payers on outstanding claims, each tracked through to resolution so balances don't age.
Denial Management
From $25 / denial
Individual denied claims corrected and resubmitted, with the pattern behind repeat denials identified and fixed.
Accounts Receivable Follow-Up
From $15 / account
Per-account follow-up on outstanding patient and insurance balances, each worked toward payment.
Need only part of the cycle covered? Book a free discovery call and we'll scope it.
Book A Discovery Call