Transparent Medical Billing Pricing Built For All Practices

Flexible medical billing pricing tailored to your specialty, volume, and operational complexity.

  • No fixed plans or hidden fees, pricing adapts to your workflows
  • Specialty-aware medical billing services cost by claim volume and complexity
  • Aligned incentives designed to improve collections and cash flow
BillingParadise pricing is influenced by claim volume, specialty complexity, payer mix, and the specific revenue cycle services required. Factors such as coding depth, denial risk, A/R workload, and technology integration needs also impact pricing. This approach ensures costs reflect actual operational effort while supporting improved reimbursement and financial performance.
Yes. BillingParadise pricing is designed to scale as your claim volume, service mix, or operational needs change. Pricing structures can be adjusted to accommodate growth, seasonal fluctuations, or expanded services, ensuring ongoing alignment between cost, workload, and revenue outcomes without long-term rigidity.

Ready to choose the right RCM model?

Here are your options:

  • FTE RCM
  • Co-Managed RCM
  • Full Cycle RCM

Medical Billing Pricing Structure

Medical Billing Service Highlights
X Billing Company
Recommended BillingParadise's
24-hour RCM
EMR's RCM
In-house Billing Team
Operation Hoursi
8-10 hours & 5 days a week
24 hours & 7 days a week
8-10 hours & 5 days a week
8 hours & 5 days a week
Eligibility & Benefit Verificationi
$800–$1200/FTE/Month
No cost
$2500–$3500/FTE/Month
Medical Coding Analysisi
Certified & No cost
Creating Clean Claimsi
80–87%
97%
70–75%
80–85%
Claims Scrubbingi
Claims Transmissioni
After 2 days from DOS
Within 12 hours
After 2 days from DOS
After 3-4 days from DOS
Clearing House Managementi
After 2 days from Rejection
Within 6 hours
After 2 days from Rejection
After 3-4 days from Rejection
Firstpass Claim Paymenti
Below 70%
95% Guaranteed
Below 67%
Below 65%
Reimbursement Velocityi
Above 45 days
25 Days
Above 49 days
Above 40 days
Denial Managementi
After 30 days
Within 24 hours
After 45 days
After 2 weeks
Insurance Follow-upi
After 60 days
Right after Claim Processing Time
After 60 days
After 90 days
AR Recoveryi
$2000/FTE/MONTH
YES at no cost
Patient AR Managementi
Outside US
YES within US
YES
YES
Patient Calli
YES within US – Toll-free Phone
YES
YES
Real-time Revenue Tracking Appi
Yes via BillingBridge (iPhone/Android)

We are leaving it to your choice


Select customized Billing/RCM plan for your Revenue needs

FTE

fte-rcm-service

Hire the right revenue cycle champions to accelerate your revenue cycle.

Co-Managed

Co-managed-rcm-service

Stay in control of your revenue cycle operations. Let us help you whiz past RCM hurdles.

Full Cycle RCM

Full_Cycle_RCM_process

Focus on patient care. Get comprehensive support across the revenue cycle continuum.



Our AR rates include:

  • $7 an hour
  • 5% collected aging A/R 61 to 90 days
  • 7% collected aging A/R 91 to 120 days
  • Experienced and certified professionals

Know more about the cost effective AR calling rates

What we Offer!!

  • Paid EMR subscription fees
  • Free credentialing services
  • Free payer negotiation services
  • Free PMS integration

Get free practice analysis with RCM support

Why aren't your claims getting paid?

We find your lost revenue and with our low cost AR package your practice will finally bet ahead of the game.

Know more about our 24/7 RCM solutions

Ever wonder where your revenue has gone?

It is time for change. BillingParadise offers to bring back lost revenue to your practice.

Contact us today

4 Scalable RCM Pricing Models that Fit Perfectly For your Practice!

Choose from 4 scalable RCM pricing models to boost profitability, efficiency & get 4 free tailored quotes. Grow your practice by choosing the right revenue cycle management services that are profitable and efficient.

Professional doctor smiling
End to End RCM
Partial RCM
Co-Managed System
FTE Model

Frequently Asked Questions

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BillingParadise has been working with major EHRs since 2006. The assigned team to your organisation will have a minimum of 5 years of experience in your EHR.

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BillingParadise had done end-to-end Billing & RCM service for specialty practices and all have appreciated our service. BillingParadise's team has more than 15 years experience in almost all the specialty. BillingParadise's Certified Coders and several Project Managers as high as 19 years of experience in managing specialty clients.

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Since 2001.

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BillingParadise d/b/a MedicalBillingStar. BillingParadise has its own transcription unit under the name of iSource Solutions Inc.

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Please see our compliance document.

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No, BillingParadise never underwent any such investigation.

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BillingParadise has a compliance document known and shared with clients.

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BillingParadise can email the HIPAA BAA.

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We can e-mail you our compliance document.

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BillingParadise has several internal independent team who work on different accounts. The team cross-audits each other's progress on a quarterly basis.

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To setup your EMR it takes just a few hours for BillingParadise. To enroll your practice with the associated Clearing House, BillingParadise completes the enrollment paperwork and submits it to the supported Clearing House within a day. Some Clearing Houses, for example Trizetto, take up to 15 days to get your practice enrolled for Electronic Data Interchange (Electronic Claim Transfer, Electronic Fund Transfer and Electronic Remittance Advice).

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BillingParadise has certified coders and the total count is 25.

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BillingParadise's Certified Coders undergo training once a month. The agenda for the monthly training is to audit & study the reimbursement of top 25 procedures.

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BillingParadise runs a credit check, fraud & abuse check, criminal check and refers with the previous employer.

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BillingParadise has Errors & Omission insurance for a coverage up to $1 million.

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Medical billing services typically charge 8-10% of monthly collections. BillingParadise rates range from 2.99% depending on your specialty, claim volume, and payer mix. We provide a custom quote within 24 hours of your request.

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Percentage-based billing means you pay a share of what we actually collect. Flat-fee billing gives you a predictable per FTE monthly cost. BillingParadise primarily uses percentage-based pricing because it aligns our incentives with yours: we only get paid when you do.

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Per-claim rates typically range from $15–$25 per claim based on the MGMA benchmark, depending on claim complexity. BillingParadise uses a percentage-of-collections model, which is more transparent than per-claim pricing because it reflects the actual work involved in collecting each dollar.

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No. BillingParadise does not charge setup fees, onboarding fees, or require long-term contracts. You pay only for the billing service itself, at the agreed-upon rate, on a month-to-month basis.

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Practices that switch to outsourced billing typically reduce total billing overhead by 30–45%. In-house billing costs include salary (avg. $45,000–$55,000/yr per biller), benefits, software licenses, and lost revenue from billing errors. Outsourced billing replaces all of these with a single performance-based fee.

Ans

Yes — in your favor. Higher claim volume typically qualifies for a lower percentage rate. We re-evaluate rates with practices that experience significant volume growth, usually at the 6-month mark.

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Yes. Specialty billing complexity varies significantly — mental health billing, ABA therapy, and surgical specialties involve different CPT codes, prior authorization requirements, and payer rules than primary care. Your rate is determined by your specific specialty and claim mix.

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