Transparent Medical Billing & RCM Pricing for Healthcare Practices

Doc Flow RCM offers flexible, performance-driven pricing models with zero hidden fees. Whether you need full-cycle Revenue Cycle Management on a percentage-of-collections basis or dedicated full-time (FTE) billing and scheduling specialists, our pricing scales with your practice.

  • ✓ $0 Setup Fees, $0 EHR Integration Costs & No Hidden Charges
  • ✓ Performance-Aligned Model — We Only Get Paid When You Get Paid
  • ✓ Flexible Month-to-Month & Custom Enterprise Agreements
  • ✓ Up to 40%–55% Lower Cost Compared to In-House Billing Payroll
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Transparent medical billing and revenue cycle management pricing in USA

Simple, Scalable Pricing Models Built Around Your Practice Workflow

Choose between our performance-based Percentage of Collections model, Dedicated Full-Time Equivalent (FTE) staffing, or standalone project-based RCM support.

Dedicated Staffing (FTE)

Dedicated RCM Specialist

Ideal for practices that want a full-time, dedicated remote specialist working 40 hours/week exclusively inside their EHR.

$1,200 – $1,800 Per Dedicated FTE / Month (40 Hrs/Wk)
  • ✓100% Dedicated to Your Practice (160 Hrs/Month)
  • ✓Choose Roles: Eligibility, Prior Auth, Surgery Scheduling, Payment Poster, or A/R Caller
  • ✓Works Your Exact US Clinic Time Zone (EST/CST/MST/PST)
  • ✓Zero Payroll Taxes, Health Insurance, or Overhead
  • ✓Daily Productivity Logs & Team Lead Supervision
  • ✓Trained Backup Coverage During Sick/Leave Days
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Full-Service RCM

End-to-End Medical Billing

Complete revenue cycle management from pre-visit eligibility verification through aggressive A/R recovery and patient billing.

2.99% – 6.99% Of Net Monthly Collections (Volume-Based)
  • ✓48–72 Hr Insurance Eligibility & Benefits Verification
  • ✓24-Hr Charge Entry, Coding Review & NCCI Scrubbing
  • ✓Electronic Claim Submission (837P/837I) & Rejection Fixes
  • ✓Daily ERA/EOB Payment Posting & Bank Reconciliation
  • ✓48-Hr Denial Management, Clinical Appeals & Rework
  • ✓Aggressive 30, 60, 90 & 120+ Day Aging A/R Recovery
  • ✓Free Legacy A/R Audit & Dedicated Account Manager
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Project & Enrollment

Credentialing & A/R Cleanup

Designed for new clinic launches, provider payer enrollments, independent CPMA billing audits, or one-time old A/R recovery.

Custom / Flat Fee Per Provider Application or Backlog Project
  • ✓Provider Credentialing & Payer Contracting ($199/Payer or Flat Bundle)
  • ✓CAQH ProView, PECOS, NPI Type 1 & Type 2 Setup
  • ✓EDI, ERA (835) & EFT Enrollment Across All Payers
  • ✓Standalone 60–120+ Day Legacy A/R Cleanup Projects
  • ✓Forensic CPMA Medical Billing & Chart Coding Audits
  • ✓Annual Recredentialing & License Expiration Tracking
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Modular RCM Services Pricing for Targeted Operational Support

Already have an internal billing team? Plug in individual Doc Flow RCM modules to eliminate specific bottlenecks without outsourcing your entire billing department.

Per-Check or FTE

Eligibility & Prior Authorization

48–72 hour advance benefit verification, copay/deductible calculation, and clinical prior authorization submission & follow-up.

View Verification Details →
Per-Chart or FTE

Certified Medical Coding

AAPC/AHIMA-certified ICD-10-CM, CPT, HCPCS, E/M leveling, and complex surgical operative note coding with 24-hour turnaround.

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Flat Monthly or FTE

ERA & EOB Payment Posting

Daily electronic (835) and manual EOB line-item posting, patient copay reconciliation, denial flagging, and bank deposit balancing.

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% of Recovered Cash

Aging A/R & Denial Recovery

Contingency-based recovery of stalled 60, 90, and 120+ day unpaid insurance claims, clinical appeals, and underpayment disputes.

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Dedicated Coordinator

Surgery & Front-Desk Scheduling

Complete surgical case coordination, hospital/ASC OR booking, medical clearance tracking, and preoperative patient instructions.

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Per-Provider / Flat Audit

Independent Billing & Chart Audit

Forensic CPMA review of clinical charts, E/M leveling, modifier usage, write-offs, and aging A/R to uncover hidden revenue leakage.

View Billing Audit →

How We Calculate Your Exact Medical Billing Percentage Rate

We never quote arbitrary numbers. Your exact percentage rate (between 2.99% and 6.99%) is tailored to four objective practice metrics:

FACTOR 01

Monthly Claim & Collection Volume

Higher monthly collections and encounter volumes qualify for lower tiered percentage rates across multi-provider groups and facilities.

FACTOR 02

Medical Specialty Complexity

High-ticket surgical or interventional claims require different coding and prior auth intensity than high-volume routine E/M visits.

FACTOR 03

Average Reimbursement Per Claim

Practices with higher average allowed amounts per encounter receive lower percentage rates because fewer claims generate higher revenue.

FACTOR 04

Scope of Services Selected

Customize whether you need standard billing + A/R follow-up, or full-service front-desk eligibility, prior auths, and certified chart coding.

True Cost Comparison: In-House Billing Department vs. Doc Flow RCM

Maintaining an internal billing team costs the average medical practice 10% to 14% of collections once salaries, benefits, turnover, and uncollected denials are calculated.

In-House Billing Expenses

Fixed monthly overhead regardless of how much you collect

  • ✕$45,000 – $65,000+ annual base salary per experienced medical biller/coder
  • ✕20%–28% additional cost for payroll taxes, health insurance, PTO & 401(k)
  • ✕Workstation hardware, office space, AAPC CEU training & recruiting fees
  • ✕Revenue halts whenever key billing staff take sick leave or quit
  • ✕Effective total cost: 10% – 14% of monthly collections

Doc Flow RCM All-Inclusive Pricing

One predictable, performance-based fee tied to collected cash

  • ✓Full team of Certified Coders, Billers, Payment Posters & A/R Specialists
  • ✓$0 employee benefits, $0 payroll taxes, and $0 software/setup fees
  • ✓365-day uninterrupted billing continuity with trained backup coverage
  • ✓15%–25% net revenue increase from higher clean claims & denial appeals
  • ✓Effective total cost: 2.99% – 6.99% of net collections

Frequently Asked Questions About Our Pricing & Contracts

Straightforward answers on setup fees, contract terms, and how our billing fees are calculated.

Q1. Are there any onboarding, setup, or EHR integration fees?

No. Doc Flow RCM charges $0 setup fees and $0 onboarding fees. We connect directly to your existing EHR and clearinghouse at no extra cost.

Q2. Do we pay a percentage on billed charges or only on actual money collected?

You only pay a percentage on actual net collections (money that is deposited into your practice bank account). We never charge based on billed/submitted charges.

Q3. Do you require restrictive multi-year lock-in contracts?

No. We earn your business every month through measurable collection performance. Our agreements feature transparent, flexible terms with a standard 30-to-60 day notice clause.

Q4. Which is better for our practice: the Percentage Model or the Dedicated FTE Model?

Full-service percentage billing (2.99%–6.99%) is ideal if you want us to manage your entire revenue cycle end-to-end. The flat-rate Dedicated FTE model ($1,200–$1,800/month) is best if you need dedicated full-time staff for specific roles like Surgery Scheduling, Prior Authorizations, or Front-Desk Verification.

Q5. Is old A/R follow-up included in your standard percentage rate?

Yes. For full-service medical billing clients, working your existing 30, 60, 90, and 120+ day aging A/R backlog is included at your standard collection percentage.

Get a Customized Pricing Proposal for Your Medical Practice in 24 Hours

Share your specialty, EHR software, and approximate monthly claim volume with our team—we’ll deliver a transparent rate quote and a free baseline A/R audit.

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