If you're evaluating outsourced medical billing, the first question is usually: what does it cost? The honest answer is that pricing varies by model. Here's how the three common models work and when each makes sense.
1. Percentage of collections
Under this model, the fee is calculated as a defined percentage of collections. The agreement should state which receipts are included, how refunds and take-backs are handled, whether minimums apply, and which workflows or pass-through costs sit outside the percentage.
Best for: practices that want a fully managed billing department with incentives aligned to collections.
2. Per-seat (dedicated staffing)
Instead of a percentage, you pay a fixed monthly fee for one or more defined roles. Compare role level, schedule, supervision, coverage, minimum term, out-of-scope work, and change terms before treating the cost as fixed.
Best for: practices that want predictable costs, or a specific role (e.g., a senior A/R specialist) rather than a full department.
3. Hourly / per-task
You pay for agreed hours or tasks, which can fit a defined project, temporary capacity need, or narrowly scoped workflow. Confirm minimums, role level, supervision, systems, deliverables, and any additional fees.
Best for: billing companies, MSOs, and project-based needs.
How do you choose a model?
- Want hands-off, results-aligned billing? Percentage of collections.
- Want predictable monthly cost or a specific role? Per-seat.
- Need surge capacity or a defined project? Hourly / per-task.
What to watch for in any contract
- Hidden fees (setup, clearinghouse, statements, per-claim add-ons).
- Long lock-in contracts with steep exit terms.
- Unclear reporting — you should always see your own data.
Revyn offers all three models. Visit the pricing page and enter your email to view the current Revyn rate card, or start with a free practice analysis before committing.