Medical Billing Pricing, Fee Structures & Contracts FAQ
Straightforward answers on how outsourced RCM fees are calculated, what services are included, and how performance alignment works.
Detailed Questions & Answers
Request a Custom Pricing QuoteHow much do outsourced medical billing services cost?
Full-service RCM fees typically range from 4% to 8% of net monthly collections depending on monthly claim volume, average reimbursement per encounter, and specialty complexity (for example, high-ticket surgical procedures carry lower percentages than high-volume, low-dollar visits).
Are percentage fees calculated on gross charges or actual net collections?
Strictly on net paid collections actually deposited into your practice's bank account—never on gross billed charges or contractual write-offs. If a claim isn't paid, VOPSS earns $0.
Are there upfront setup, onboarding, or EHR integration fees?
No. Standard practice onboarding, clearinghouse configuration, and staff workflow setup carry $0 upfront onboarding fees when working within your existing EHR/PM platform.
What is included in VOPSS full-service percentage pricing?
Core RCM engagements include charge review and coding scrubbing, daily electronic 837 claim submission, 277CA rejection resolution, 835 ERA/EFT payment posting, aggressive A/R follow-up, clinical denial appeals, patient billing support, and monthly executive KPI reporting.
Can we purchase standalone services like credentialing or prior authorization separately?
Yes. Practices that keep billing in-house can engage VOPSS on transparent per-provider flat fees for initial credentialing/PECOS enrollment or dedicated FTE/modular pricing for prior authorizations, coding audits, or legacy A/R cleanup.
Who pays for paper patient statement postage if patients don't pay digitally?
Digital e-statements and portal notifications eliminate most paper mailings; if physical mailed paper statements are requested, third-party print-and-first-class-postage pass-through costs are itemized transparently at cost with zero hidden markups.
Do you lock practices into restrictive multi-year contracts?
No. Our agreements feature transparent service-level benchmarks and reasonable notice terms so we earn your partnership through measurable net collection performance every single month.
How can we compare VOPSS pricing against our current in-house payroll?
Use our interactive Medical Billing ROI Calculator or request a complimentary 90-day billing audit to model your exact loaded W-2 payroll, software costs, and recoverable denial leakage.
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Have a practice-specific billing question?
Speak directly with an AAPC-certified revenue cycle specialist or request a complimentary 90-day billing audit.