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Medical and Dental RCM

Prior authorization

Authorizations requested, tracked and documented.

Medical and Dental RCM from · US dollars

$2,000

Medical practice RCM: 4-7% of net collections

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We identify which services need authorization, submit the request with the clinical documentation the payer requires, track it to a decision and record the authorization number against the visit.

What you get

  • Authorization requirement checks
  • Request submission
  • Status tracking and follow-up
  • Authorization log
  • Peer-to-peer scheduling support

How it fits the rest

Prior authorization is one part of medical and dental billing (RCM). Most clients combine two or three of these, and the packages on the main service page price them together.

Back to Medical and Dental RCM

Questions

About medical and dental RCM

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.