FAQ

Frequently Asked Questions.

Pricing, onboarding, security and results. If yours is not here, call and ask.

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What does it cost?

Billing only is 4.5% of collections, full revenue cycle management is 5.5%, and full RCM with coding is 6.5%. Credentialing is a flat fee per provider per payer, and aged A/R recovery is 12% of what we recover. No setup fees, no per-claim fees, no statement fees.

How does that compare to billing in-house?

A full-time biller runs roughly $52,000 plus benefits, software and the cost of turnover — already around 5.5% of a $1M practice before you have paid for anything else, and with no coverage when they are out. Outsourcing converts a fixed cost into a variable one that scales with collections.

What is your clean claim rate?

We report it to you every month alongside your net collection rate and days in A/R. Those three together are what determine what you actually bank, and you see all of them on your dashboard rather than only in a summary.

What is net collection rate, and why does it matter more?

It is what you collected divided by what you were allowed to collect after contractual adjustments. It captures every leak at once — denials never appealed, underpayments never noticed, patient balances that aged out, claims that passed timely filing. A practice can run a 98% clean claim rate and an 87% net collection rate simultaneously, and that gap is real money.

Do I have to change my EHR or practice management software?

No. We work inside whatever you already use — Epic, athenahealth, eClinicalWorks, Kareo, AdvancedMD, DrChrono, NextGen, SimplePractice, TherapyNotes, CareCloud, WebPT and most others.

How long does onboarding take?

Ten business days from signed agreement to first clean claim in a typical case, depending on how fast system access and payer enrollments clear. We run parallel with your existing process throughout, so there is no date on which claims can fall between two systems.

What happens to claims already in flight?

They keep moving and stay tracked until they pay or are appealed. There is no hard handoff, which is the usual point of failure when practices switch billers.

Will you work our old aged A/R?

Yes, as a separate recovery project at 12% of what we recover. If we recover nothing, you pay nothing. During the audit we will tell you what is realistically collectible and what is already dead.

Who owns the data?

You do, and it is written into the agreement. Patient data, financial data, all of it. On exit you get a complete export within ten business days or your final month is refunded.

What happens if we want to leave?

Thirty days' notice, no penalty, no termination fee. We will also do an exit call with your incoming biller, because your patients should not absorb the cost of us losing an account.

Do you handle patient phone calls about bills?

Yes, on a dedicated line during business hours. Billing questions should not be your front desk's problem.

Are you HIPAA compliant?

Yes. A signed business associate agreement before any access, encrypted transmission and storage, role-based permissions, logged audit trails and annual staff training. We are happy to walk your compliance officer through the specifics.

We are a two-provider practice. Are we too small?

No. Small practices often benefit most, because one biller out sick is a two-week gap in submissions. The comparison that matters is our rate against the fully loaded cost of doing it in-house, not our rate against zero.

How quickly will we see results?

Submission timing and clean-claim performance improve in the first month, because those are process changes. Denial rate and days in A/R move over one to two quarters, because they depend on fixing stages upstream of billing. Aged A/R recovery is slower and depends entirely on what is still collectible.