A complete side-by-side comparison across cost, performance, risk, and scalability.
Category
RCMAXIS
In-House Billing
Winner
Total Cost (% of collections)3–6%7–11% (fully loaded)✓ RCMAXIS
Specialty-Credentialed Coders✅ All CPC/CCS-P certified⚠️ Varies — often uncertified✓ RCMAXIS
Average Denial Rate<4%12–18% (industry in-house avg.)✓ RCMAXIS
Days in A/R<18 days35–55 days average✓ RCMAXIS
Net Collection Rate96–98%91–94%✓ RCMAXIS
Staff Turnover RiskNone — your practice unaffected30–40% annual billing staff turnover✓ RCMAXIS
Compliance InfrastructureHIPAA + SOC 2 + quarterly auditsVaries — often no formal audit program✓ RCMAXIS
Reporting & KPI VisibilityMonthly KPI dashboard + denial trendsDepends on billing staff capability✓ RCMAXIS
ScalabilityImmediate — no hiring lagRequires hiring + training (3–6 months)✓ RCMAXIS
Technology CostIncluded in fee$500–$2,500/month additional✓ RCMAXIS
Prior Auth ManagementIncludedSeparate staff time or outsourced✓ RCMAXIS
Setup/Transition Time2 weeksN/A (already in-house)—