FAQ
Medical Billing and RCM FAQ
Here are straight answers to the questions practices ask most about outsourcing billing, services, pricing and security.
Outsourcing medical billing
Why do practices outsource medical billing?
Common reasons include rising denials, growing A/R, staff turnover, time spent on billing instead of patients, and a lack of clear reporting. Outsourcing gives the practice a dedicated team and a defined process. Our in-house vs. outsourced billing guide compares the two.
Will we lose control of our billing?
You should not. Work is done in your systems with access you control, and regular reporting shows what has been billed, paid, denied and outstanding.
Can we outsource only part of our billing?
Yes. Some practices start with a specific problem, such as denial management or aged A/R recovery, and keep other tasks in-house.
How long does the transition take?
It depends on system access, backlog size and payer enrollment status. We share a start-up plan after reviewing your setup.
Services
What is the difference between medical billing and revenue cycle management?
Medical billing focuses on claims and payments. Revenue cycle management covers the full cycle, including eligibility, coding, credentialing, denial prevention and reporting.
Do you handle credentialing?
Yes. Our provider credentialing services cover CAQH updates and payer enrollment.
Do you work with our EHR?
In most cases, yes. We work in the practice’s existing EHR or practice management system; see EHR-integrated medical billing. We will confirm compatibility with your specific system during the review.
Which specialties do you work with?
Our specialty billing guides cover the considerations we review in each area. For your own specialty, contact us and we can talk through the details.
Pricing & contracts
How much does medical billing cost?
Most US billing companies charge about 4% to 10% of collections. Published 2026 pricing guides also list per-claim fees of about $3 to $12 and flat fees of about $500 to $2,500 a month. Where a practice lands depends on specialty, claim volume, payer mix and scope. Our medical billing pricing guide explains each model.
Do you publish fixed prices?
No. Pricing is customized after we understand your practice, so the proposal reflects the actual work involved.
What contract terms should we expect?
Contract terms, notice periods and data return arrangements are set out in the proposal. Ask about them before you sign with any billing company.
Security & privacy
Is there such a thing as “HIPAA certified”?
No. The U.S. Department of Health and Human Services does not certify organizations as HIPAA compliant. Billing companies that handle protected health information act as business associates and should sign a Business Associate Agreement with the practice.
Will you sign a Business Associate Agreement?
Please ask us about Business Associate Agreements during your review. Our security and HIPAA page explains how we handle information.
Can we send patient information through the website form?
No. The website form is for business inquiries only. Patient information should only be shared through secure channels agreed with us in advance.
Let’s take a closer look at your revenue cycle
Tell us what’s getting stuck. Denials, old A/R, credentialing, reports nobody reads? We’ll look at how you work now and tell you straight what we’d change, and why.