Skip to content
Estimate

Medical and Dental Billing (RCM)

Clean claims out, payments in, and an AR report you can actually read.

Get an EstimateTalk to a specialist(838) 910-3147

Starting price · US dollars

4-8%of net collections

Medical 4-7%, Dental 5-8% of net monthly collections. No setup fee.

Medical RCM
4-7% of collections
Dental RCM
5-8% of collections
Notice period
30 days
The problem

The care gets delivered. The money gets stuck.

Front-desk staff juggle insurance checks between patients, claims go out with avoidable errors, denials sit in a folder and AR quietly ages past 90 days. The practice is busy and cash flow is still tight.

  • Eligibility not checked before the visit
  • Claims rejected for avoidable coding or data errors
  • Denials never appealed and written off
  • AR over 90 days that nobody is working
What we do about it

A billing team that works every claim to payment

A named billing lead and team learn your payers, your specialty and your system, check coverage ahead of appointments, submit clean claims, and follow every unpaid or denied claim until it is paid, appealed or properly closed.

  • Named billing lead and a team behind them
  • Eligibility and benefits checked before appointments
  • Claims scrubbed before submission
  • Every denial worked, appealed where justified
  • Monthly collections, denial and AR report

What is inside

8 ways we run medical and dental RCM

Each one has its own page explaining what is delivered and how it is priced.

Always included

What comes with every engagement

Not an upsell list. These are part of the price, on every package.

Named billing lead for your practice
Eligibility and benefits verification
Claim scrubbing before submission
Payment posting from ERAs and EOBs
Denial management and appeals
AR follow-up by payer and age
Patient statements
Monthly collections and AR report
Work done in your existing system
No setup fee, 30 days notice

Packages

Three ways to start

Priced as a percentage, with no flat fee or setup fee. The final percentage is confirmed in writing.

Starter

Claims and payments for a smaller practice.

Quoted

after a free billing review

  • Eligibility verification
  • Charge entry and claim submission
  • Payment posting
  • Unpaid claim follow-up
  • Monthly billing report
Estimate this package
Most chosen

Growth

Full revenue cycle, medical or dental.

4-8%

of net monthly collections (medical 4-7%, dental 5-8%)

  • Everything in Starter
  • Denial management and appeals
  • AR follow-up and recovery
  • Patient statements
  • Coding review
  • Named billing lead
Estimate this package

Pro

Multi-provider or multi-location practices.

Quoted

per practice, percentage of collections

  • Everything in Growth
  • Prior authorization
  • Credentialing and payer enrollment
  • Coding audit each quarter
  • Provider-level reporting
  • Monthly review call
Estimate this package

Full price table

A percentage of net monthly collections, so our fee moves with what your practice actually collects. No setup fee. Dollar figures below are worked examples, not prices.

All prices in USD
Medical and dental revenue cycle management pricing in US dollars
Item and scopePrice (USD)
Fixed-scope projects (one-time, confirmed in a written proposal)
Provider credentialing and payer enrollmentPer provider and payer listQuoted per scopeproject
Coding audit or standalone codingICD-10-CM, CPT, HCPCS or CDTQuoted per scopeproject
Prior authorization onlyVolume-basedQuoted per scopeper month
Worked examples (not a price list)
Medical practice RCM: 4-7% of net collectionsExample: 4-7% of USD 50,000 monthly collections$2,000 – $3,500per month (example)
Dental practice RCM: 5-8% of net collectionsExample: 5-8% of USD 40,000 monthly collections$2,000 – $3,200per month (example)
Percentage of net monthly collections (what is actually collected after adjustments), not gross charges. Credentialing and payer enrollment, standalone coding audits and prior-authorization-only work are quoted separately. The final percentage depends on specialty, claim volume and payer mix and is confirmed in writing after a free billing review. Prices exclude any sales tax, VAT or withholding tax that applies to your invoice.

Try it yourself

RCM fee calculator

Move the inputs and the numbers move with them. Nothing is submitted until you choose to.

Practice type

Use your average over the last three months, after adjustments.

4-7% of net collections

$2,000 – $3,500

USD per month, estimated

Included in full RCM

  • Insurance eligibility and benefits verification
  • Charge entry and claim submission
  • Payment posting (ERA and EOB)
  • Denial management and appeals
  • Accounts receivable follow-up
  • Patient statements and balance follow-up
  • Monthly collections and AR reporting
Percentage of net monthly collections (what is actually collected after adjustments), not gross charges. Credentialing and payer enrollment, standalone coding audits and prior-authorization-only work are quoted separately. The final percentage depends on specialty, claim volume and payer mix and is confirmed in writing after a free billing review. Results and collections are not guaranteed.
Ask for a free billing review

Process

How the work actually runs

  1. 1Week 1

    Billing review

    A free review of your current claim, denial and AR position using summary reports, with no patient records needed.

  2. 2Week 2

    Agreement and access

    Scope, percentage and data-handling terms agreed in writing, then user access to your system and payer portals set up.

  3. 3Weeks 2-4

    Transition

    Payer list, fee schedule and workflows documented; current claims taken over and the oldest AR prioritised.

  4. 4Monthly

    Run and report

    Daily claims and posting, weekly denial work, and a monthly report on collections, denials and AR.

Tools and platforms we work in

Your EHR or EMRYour practice management systemPayer portalsClearinghousesCMS-1500UB-04ADA claim formICD-10-CMCPTHCPCSCDTERA and EOBYour EHR or EMRYour practice management systemPayer portalsClearinghousesCMS-1500UB-04ADA claim formICD-10-CMCPTHCPCSCDTERA and EOB

Illustrative example — not a client result

Example engagement

Sample profile: three-provider family practice

Claims were submitted late by front-desk staff between patients, denials were rarely appealed and a large share of AR was older than 90 days.

What we would do

  • Moved eligibility checks to the day before each appointment
  • Scrubbed and submitted claims within two business days of the visit
  • Worked every denial by reason code and appealed where justified
  • Worked aged AR oldest first with a weekly payer follow-up list

Example target: Claims submitted within 2 days

InconsistentEvery visit

Target

Example target: Denials worked

FewAll

Target

Example target: AR over 90 days

HighReduced

Target

Example target: Monthly reporting

NoneMonthly

New

This is an illustrative example of how we would approach this kind of work and the outcome we would aim for. It is not a client result, and the figures are targets, not achieved numbers.

Medical and dental billing outsourcing: what RCM covers and what it costs

What is revenue cycle management?

Revenue cycle management (RCM) is everything between booking a patient and the practice being paid: checking insurance, coding the visit, submitting the claim, posting the payment, working denials and following up on unpaid balances. Medical billing is the core of it; outsourced RCM hands the whole cycle to a specialist team.

  • Front end: scheduling data, eligibility and benefits checks, prior authorizations.
  • Middle: coding (ICD-10-CM, CPT, HCPCS, CDT), charge entry and claim scrubbing.
  • Back end: claim submission, payment posting, denials and appeals, AR and patient balances.

How much do medical billing services cost?

Most outsourced billing companies charge a percentage of collections. Published industry guides put the common range at about 4% to 10% of collections, with most practices paying in the middle of that band; complex specialties sit higher. Our rates are 4-7% of net monthly collections for medical practices and 5-8% for dental practices, with no setup fee.

Always check what the percentage is taken from. A percentage of net collections (money actually received) costs far less than the same percentage of gross charges.

Medical billing vs dental billing

Dental claims use CDT codes and the ADA claim form, and depend on benefit breakdowns, frequency limits and attachments such as X-rays and narratives. Medical claims use ICD-10-CM, CPT and HCPCS on the CMS-1500 or UB-04, with more prior authorization and modifier rules. The workflows overlap, but the rules differ enough that each needs people who work that side every day.

Outsourced billing or an in-house biller?

An in-house biller costs a salary, benefits, software and cover for leave, and the work stops when they are away. Outsourcing turns that into a percentage of collections, adds a team behind the billing lead and ties the fee to what is collected. In-house can still suit large practices with steady volume and a strong billing manager.

What we need to start

A free billing review uses summary reports, such as an AR aging report and a denial summary, never patient records. After the agreement is signed, we work through user accounts you create in your own system and payer portals. Please do not send patient information through this website.

Related searches

  • medical billing services
  • dental billing services
  • revenue cycle management services
  • medical billing company
  • outsourced medical billing
  • dental billing company
  • dental insurance billing
  • RCM services
  • medical coding services
  • denial management services
  • insurance eligibility verification services
  • prior authorization services
  • provider credentialing services
  • medical AR recovery
  • medical billing for small practices
  • dental billing outsourcing

Frequently asked questions

Medical and Dental RCM: your questions answered

We charge a percentage of net monthly collections: 4-7% for medical practices and 5-8% for dental practices, depending on specialty, claim volume and payer mix. On USD 50,000 of monthly collections at 4-7%, that is about USD 2,000-3,500 a month. The final percentage is confirmed in writing after a free billing review.

Put a number on it

The calculator opens on medical and dental RCM already selected. A few questions and you have a range in US dollars.

Estimate Medical and Dental RCMSee all pricing

Rough estimate only. Final pricing is confirmed after a consultation.