Transparent Pricing. We Only Win When You Do.
A simple percentage of collections. No surprises on your invoice, no minimum monthly fees, no contracts you can't exit. If we don't perform, you don't pay more.
| Cost Category | In-House Billing | RCMAXIS |
|---|---|---|
| Staff salary (2 billers, $55K avg) | $110,000/yr | $0 |
| Benefits & payroll taxes (25%) | $27,500/yr | $0 |
| Billing software (PM system) | $3,000–$6,000/yr | Included |
| Clearinghouse fees | $600–$1,800/yr | Included |
| Training & recruitment | $3,000–$8,000/yr | $0 |
| Denial rate losses (industry avg 8–12%) | $48,000–$72,000/yr* | 2.1% denial rate |
| Service fee | $0 | 3.5–7% of collections |
| Typical Net Savings with RCMAXIS | $30,000–$90,000/yr |
*Assumes $600K annual collections at 8–12% denial rate. Actual savings vary by practice size and current denial rate.
Claims Submission & Scrubbing
Every claim is scrubbed against payer-specific rules before submission. Our 98.4% first-pass clean claim rate means faster payment with fewer rejections — included at every tier.
Denial Management & Appeals
We chase every denial. Refile, appeal, and escalate — from initial denial through peer-to-peer review if needed. Your denial rate drops to 2.1% on average within 90 days.
Patient Balance Processing
We manage patient-responsibility balances, post EOBs, and handle balance inquiries — so your front desk can focus on scheduling, not billing calls.
Reporting & Analytics
Monthly (or weekly on Growth+) A/R aging reports, collection rate tracking, payer performance breakdowns, and denial trend analysis. You always know exactly where your money is.
HIPAA Compliance & Auditing
Full HIPAA-compliant data handling, signed BAA on day one, and annual internal compliance reviews. We keep you audit-ready so you never have to think about it.
EHR Integration
We work with 40+ EHR and PM systems. Your team keeps their existing workflows — we integrate directly into your system with no disruption to day-to-day operations.
Always on net collections — money actually deposited into your bank account. We never charge on charges billed, claims submitted, or adjustments. If a payer denies a claim and you collect $0, we earn $0 on that claim. Our incentives are perfectly aligned with yours.
None. Zero. We absorb the cost of integration, EHR setup, payer enrollment, and staff training as part of the relationship. Our 2-week onboarding is fully covered by the ongoing service agreement — not charged separately.
30-day written notice to terminate, any time, for any reason. No early termination penalties. We believe if we're doing our job well, you won't want to leave — so we don't need a long-term contract to keep you.
Complex specialties — orthopedics, neurology, pain management, cardiology — typically fall in the higher end of the applicable tier's range. This is disclosed transparently during your free assessment, before you sign anything. No surprise rate changes mid-contract.
We take it on. Aged A/R cleanup — including accounts 90–180+ days outstanding — is included in our standard service at no additional charge. We've recovered millions in previously written-off balances. Your existing claims don't get abandoned at the transition date.
We integrate directly into your EHR/PM system and pull charges directly — no emailing superbills. Your clinical team enters charges as normal; our billing team picks them up in real time and processes them. The workflow for your staff changes very little.
See Your Exact Numbers
Enter your practice's monthly collections, staff count, and current denial rate to see how much you'd save with RCMAXIS — to the dollar.
Open the Billing Cost Calculator