Your Investment for Outsourcing RCM Services

Customized RCM Contracts by 3-Tiers

Term 1

6-8%

*Tiered Quote if you’re in a state that prohibits percentage-based billingOne-year contract with automatic renewals.

  • Billing services

  • Dedicated billing contact

  • Remote login to your EHR

Add-Ons:

Insurance benefit eligibility verifications

A/R analysis and cleanup services (call for rates)

Credentialing services

Popular

Term 3

3-7%

Three-year contract, all inclusive services. No additional fees.

*Tiered Quote if you’re in a state that prohibits percentage-based billing

Monthly service fee is calculated as a percentage of successful insurance claim allowed amounts plus a $250 monthly minimum.

Month-to-month

10%*

*Tiered Quote if you’re in a state that prohibits percentage-based billing

Monthly contracts, best for as-needed services.

* Add-On services are subject to additional fees

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YOUR RETURN OF INVESTMENT

For every $1 spent on outsourced billing, a practice may see $3–$6 in revenue recouped compared to in-house billing inefficiencies.

Increased Revenue Collection

  • Fewer errors mean more claims get paid the first time.

  • Billing experts follow up on denials and underpayments more aggressively.

  • Cleaner claims = faster payments = better cash flow.

2. Reduced Overhead Costs

  • No need to hire, train, or manage a billing team.

  • Reduces salary, benefits, software, and infrastructure costs.

  • Providers only pay a percentage of collections, which aligns incentives.

3. Faster Reimbursements

  • Professional billing companies know the latest payer rules and coding changes.

  • Claims are submitted and resubmitted faster than most in-house teams can manage.

4. Focus on Patient Care

  • Providers and office staff can focus on patient care and growing the practice, not chasing down payments.

Table comparing small practice ROI between in-house and outsourced billing. Both have $100,000 in monthly billing revenue. In-house billing has an 85% collection rate, $85,000 collected revenue, $6,000 billing costs with 2 staff, and $79,000 net revenue after costs. Outsourced billing has a 96% collection rate, $96,000 collected revenue, $6,000 billing costs (6% fee) with 4 billers, and $90,000 net revenue after costs, resulting in an extra $11,000/month, equating to $132,000/year in additional income with the same patient volume.

Medical RCM’s Dedicated Team

  • Our Patient Relations team handles all incoming calls, generates patient statements, prepares payment plans, and collections. They also perform thorough benefit verifications, retrieves authorizations when necessary, and stays on top of all payor-related changes.

  • Certified Medical Billers & Coders for charge entry, claim scrubbing, claim submissions, and efficient denial management.

  • Reconciles and posts payments against your bank records to ensure accuracy. Also ensures claims are processing according to the correct fee schedule.

  • Experts in Aging Projects. Strong skillset to tackle small-to-large volume of claim follow-up.

  • Our business development team helps start-ups with all the administrative tasks to get you on your way to seeing your first patient!

  • The CEO of Medical RCM leads in the Compliance and Quality Assurance for all clients. Ensuring that our staff adheres to our above-standard performance. Meets with clients regularly. Also attends conferences to stay-on-top of industry changes.

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