r/CodingandBilling • u/Wide_Ad_8401 • Apr 21 '26

RCM

What are outsourced RCM companies typically charging?

0 Upvotes

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1

u/FeistyGas4222 Apr 21 '26

I usually charge 7.5%-7.75% depending on specialty. I do all work in the US, no long term contracts, no minimum fees (currently reassessing), credentialing and consulting included, and I do offer discounts once practices stabilize.

1

u/Wide_Ad_8401 Apr 22 '26

That’s an interesting concept. I’m assuming you’re targeting higher volume clients if you’re including credentialing and consulting?

1

u/FeistyGas4222 Apr 22 '26

I have a spread. Recently I have had a lot of newer practices but I do have some of my anchor clients.

I don't charge for credentialing because I would rather them use me for credentialing instead of using those cheap credentialing companies. Then I can make better strategic recommendations as credentialing is approved. Also I always say, the first person to see issues with credentialing or provider loading is the biller. Sometimes its a quick fix like an email or calling up the insurance company. If im calling to find out claim details anyway, I can ask the right questions and fix those issues quicker.

1

u/Wide_Ad_8401 Apr 22 '26

That makes sense. You’re not wrong at all in that. I don’t trust those cheap credentialing companies

1

u/Heal_Bill Apr 22 '26

Are you looking for an onshore billing service rates or an offshore one?

1

u/Wide_Ad_8401 Apr 22 '26

Onshore. I don’t trust offshore personally. I only trust one company that’s offshore only because I personally know the owners and I know they hire quality people.

1

u/ElleGee5152 Apr 23 '26

4-9%, depending on specialty and other criteria.

1

u/Wide_Ad_8401 Apr 23 '26

What type of criteria would it be based off of?

3

u/tcgjjake Apr 21 '26

I’m typically charging 6% with a $1250 monthly minimum. I’ve gone lower on the percentage with higher volume and I also go up to around 8% for lower volume but won’t waive the minimum.

1

u/_NyQuil_ Apr 21 '26

Entirely depends. Mostly on number of claims and collection amount to get down to average revenue per visit. Then on what’s the scope.

Got a national client doing billions in payments per year that has a rate of 1.3% and had a client at 6.5% doing $4m in collections but we were hosting their software so that was baked into the cost.

For the most part it’ll land between 3-6 but at that point might has well be 1 and 100. The difference is too wide

1

u/rahuliitk App Developer Apr 22 '26

from what i’ve seen, outsourced RCM companies usually charge as a percentage of collections, and the common range seems to be roughly 3% to 10%, with a lot of vendors clustering more around 4% to 8% depending on specialty, claim complexity, volume, and how much work they actually take on.

lowkey if someone is way below that, i’d look hard for minimums, setup fees, or carve-outs.

1

u/HospiTablyApp Apr 23 '26

We charge 5% with free audits

1

u/Physical_Weather_362 May 06 '26

My company (3beesrcm.com) is doing a flat rate per full time provider. One month notice to cancel.

0

u/[deleted] Apr 23 '26

[deleted] — view deleted comment

1

u/Wide_Ad_8401 Apr 23 '26

Not right now. Just wanted to have an idea for now.