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✓ Three Models · No Lock-In · Written in 1 Business Day

Pricing built around your revenue outcomes.

No anchored numbers, no "request a quote" runaround. Below: the three structures we offer, what's included in each, and how we typically save mid-market practices 20–40% vs in-house. Your actual quote is modeled to your specialty, volume, and payer mix — in writing, within one business day.

Three pricing models

Pick the structure that fits your operation.

Most clients start on percentage-of-collections because incentives align — we earn when you collect. High-volume operations move to FTE or hybrid as budget predictability matters more than upside. We model all three for your specific volume, payer mix, and specialty before you sign a thing.

Model 1 · % of Collections
Pay onlywhen we collect
Aligned-incentive pricing: our fee is a percentage of net collections, so we only earn when your revenue lands. Best for growing practices and specialty clinics.
  • End-to-end RCM (eligibility → AR)
  • Denial management & appeals included
  • Patient billing & statements
  • Monthly CFO scorecard
  • Senior partner on every account
Best for: independent providers, multi-clinic groups, behavioral health, ABA, FQHCs.
Model 2 · Hybrid
Predictable base+ performance tier
Fixed monthly fee for budget certainty, plus a performance tier triggered when collections exceed your target. Aligns predictability with growth incentives.
  • Everything in Model 1
  • Fixed monthly base for budgeting
  • Performance bonus tier above SLA
  • Quarterly business reviews with leadership
  • Custom payer-mix optimization
Best for: hospitals, multi-specialty groups, growing practices that want budget certainty + upside.
Model 3 · Dedicated FTE
Fixed costper assigned operator
Per-FTE pricing for high-volume, predictable operations. A dedicated team that operates as an extension of yours — fully staffed, no coverage gaps.
  • Dedicated team in Manila/Chennai
  • Fully staffed across functions
  • Volume tier benefits at scale
  • Customizable shift coverage
  • Direct integration with internal team
Best for: hospitals, large physician groups, MSOs with internal RCM leadership but no offshore arm.
WHY WE DON'T POST RATES ONLINE

A real RCM quote depends on your specialty, monthly volume, payer mix, EHR complexity, and what you actually need scoped. Posting a single rate would either oversell smaller groups or underprice complex hospital books. We quote in writing within one business day — faster and more accurate than a website estimator.

What we scope by specialty

Every quote is specialty-modeled.

Specialty drives complexity, which drives the actual scope of work. Auth-heavy specialties (ABA, behavioral health, sleep medicine) need more touches per claim. High-volume, lower-touch specialties get scale benefits. We size the team, the workflow, and the price to your exact specialty profile.

Specialty
Typical Volume
Recommended Model
What Drives Complexity
ABA Therapy
5K–30K claims/mo
% of collections
Authorization-intensive, BCBA supervision rules, CASP-aligned workflows
Behavioral / Mental Health
3K–25K claims/mo
% of collections
Parity navigation, payer carve-outs, telehealth complexity, IOP/PHP coding
Physician Group (single specialty)
10K–80K claims/mo
% or Hybrid
Standard E/M coding, predictable payer mix, denial pattern depth
Multi-Specialty Group
25K–150K claims/mo
Hybrid
Cross-specialty coding expertise, volume tier benefits, scorecard cadence
Hospital / Health System
100K+ claims/mo
Hybrid or FTE
Volume scale, EHR integration depth (Epic, Cerner, Meditech)
FQHC / Community Health
5K–40K claims/mo
% of collections
Sliding-scale billing, grant reporting, encounter rate complexity, 340B
SNF / LTC
3K–25K claims/mo
% or Hybrid
PDPM coding, MDS coordination, Medicare Part A/B split, triple-check

The recommended model is a starting point — we'll show you the cost-and-recovery math under all three structures so you pick the one that maps to how you run your business. Every quote is locked in writing for the contract term.

In-house vs outsourced

When does outsourcing actually save you money?

In-house RCM team

Typical fully-loaded cost
  • 1 RCM Director ($110K–$160K + benefits)
  • 3–6 billers/coders ($55K–$80K each)
  • 1 denials specialist ($65K–$85K)
  • 1 credentialing specialist ($55K–$70K)
  • Software: $15K–$60K/year
  • Training, turnover, PTO coverage: ~25% loaded cost
  • Total: $450K–$900K/year for a mid-market group

ASP-RCM outsourced

Same scope, full-cycle
  • Senior partner + dedicated team: included
  • Coding, billing, AR, denials, credentialing: included
  • Technology platform & reporting: included
  • Coverage gaps (vacation, turnover): zero risk
  • Onboarding 30–60 days vs 6–12 months hire cycle
  • SLA-backed, written into contract
  • Total: typically 20–40% less than in-house — modeled to your specifics

Rule of thumb: practices collecting under $25M/year almost always save money outsourcing. Above $50M, the math depends on your in-house tenure and EHR maturity — we'll model it both ways for you in writing, with the actual numbers tied to your operation.

Common questions

Pricing FAQ.

How is outsourced RCM priced?
Three structures: (1) percentage of net collections — you pay only on what we collect; (2) dedicated FTE — fixed monthly cost per assigned operator; (3) hybrid — predictable base plus a performance tier above target. The right model depends on your claim volume, specialty mix, and how much budget predictability you need. We model all three for your specifics before you sign.
What's included in your RCM pricing?
Eligibility verification, prior authorization, charge capture, coding (CPT/ICD-10/HCPCS), claim submission and scrubbing, payment posting, denial management and appeals, AR follow-up, patient billing and statements, monthly CFO reporting, and a dedicated senior partner. Credentialing and consulting are priced separately.
Are there setup fees or long-term contracts?
Typical setup fee depends on EHR complexity and is often waived for multi-year commitments. Standard contract is 12 months with a 60-day termination clause. We don't lock clients in — if we're not delivering, you should be able to leave.
How do I get an actual quote?
Send us your specialty, monthly claim volume, EHR/PM system, and current pain points. A senior partner returns a written quote modeled across all three pricing structures within one business day. The audit also surfaces denial patterns and AR-aging recovery you can act on whether you hire us or not.
How much do outsourced clients typically save versus in-house RCM?
For mid-market practices, ASP-RCM is typically 20–40% less than fully-loaded in-house cost (RCM director + billers/coders + denials + credentialing + software + turnover risk). Exact savings depend on your current burn rate and EHR maturity — we model it both ways in writing.
Do you charge extra for denial management or AR cleanup?
For full-cycle clients — no. Denial management and AR follow-up are included. For denial-only or AR-recovery-only engagements (where we're not running full-cycle billing), pricing is contingency-based on recovered revenue — you don't pay until the dollars land.
Can I see a sample invoice or contract?
Yes. Schedule a 30-minute consultation and we'll send anonymized sample SOWs and invoices for your specialty. We publish our standard contract terms on request — procurement teams should see the paper before they ever talk to sales.

Your number, in writing. Within one business day.

Send us your specialty, monthly claim volume, EHR/PM system, and current pain points. A senior partner returns a written quote modeled across all three pricing structures — with the cost-and-recovery math attached. No deck, no SDR, no theater. The audit alone is worth the call.

Get my written quote → Try the free denial audit first