Medical Billing And RCM Pricing Explained.
You pay a percentage of the insurance payments our work brings into your account. Not billed charges, not patient payments. Your rate and scope are set in a written quote before any work begins.
- No setup fee
- No monthly minimum
- Month-to-month with 30 days' notice
Your rate is set in your written quote. Claim approval alone does not trigger an invoice.
How Your Fee Is Calculated.
- 1 We Work The Claim We submit or correct qualifying insurance claims within your agreed scope.
- 2 The Payer Pays The insurance payment reaches your account. Claim approval alone does not trigger an invoice.
- 3 We Invoice A Percentage Your agreed percentage applies to that received insurance payment only.
Four Pricing Models, Compared Honestly.
Knowing how each model works makes any quote easier to compare, including ours.
| Model | How it works | What to watch |
|---|---|---|
| Percentage of collections OneBill RCM uses this | A percentage of the insurance payments actually collected | What counts as "collections": patient payments, billed charges, or only insurance payments received |
| Per claim | A flat fee for each claim submitted | Fees are earned on submission, whether or not the claim is paid |
| Flat monthly fee | A fixed amount each month, often by provider | What happens to denials and follow-up work above the expected volume |
| Hourly or itemized | Billed by time or by task | Hard to predict; easy to under-invest in follow-up |
With a percentage of insurance collections, we are paid only when the payer pays, which keeps follow-up on denials and old balances worth doing.
Eight Fee Questions To Ask Any Billing Company.
These are the terms that decide what billing really costs. Here are our answers, in writing.
Medical Billing Or Full RCM.
With either service, your practice keeps scheduling, patient care and clinical documentation.
Medical Billing
- Charge entry, claims and payment posting
- Denial and A/R follow-up
- Patient statements and monthly Excel reporting
- ·Coding is optional. Credentialing is ordered separately.
Full RCM
Everything in Medical Billing, plus:
- Registration assistance and eligibility verification
- Prior authorization support
- Coding and credentialing
- Revenue analysis
Old A/R Has Its Own Rate
Inherited insurance claims older than 120 days are worked at a separate rate set in your quote. That rate replaces the standard rate for that work and is never added on top of it. Claims we manage in the ordinary course do not move to the old A/R rate just because they age.
About Old A/R RecoveryStarting With An Audit
The billing audit is free. You receive a written report, an action plan and a findings call. We explain the audit terms on your discovery call, before the audit begins.
About The Billing AuditTerms In Plain Words.
Questions Before You Book.
Why rates are quoted, and what is never charged.
Why Don't You List Your Rates?
Rates depend on your volume and the service you choose, so we put yours in a written quote rather than show a range that may not apply.
Do You Charge On Patient Payments?
No.
Is There A Setup Fee Or Minimum?
No setup fee and no monthly minimum.
Is Credentialing Extra?
It is included with Full RCM and ordered separately by Medical Billing clients. About Credentialing
Get Your Rate And Scope In Writing.
Tell us about your practice and the support you need. We put your rate and scope in a written quote before any work begins.
- No setup fee and no monthly minimum
- No fee on patient payments
- Month-to-month with 30 days' notice