Pricing
Pricing that scales with your collections.
We don't publish a price list, because an honest number depends on your specialty, payer mix, and volume. Pricing is a percentage of collections, and most engagements fall within a single-digit % of collections range, quoted after a free assessment.
How pricing works
A percentage of collections, quoted up front.
Percentage-of-collections pricing keeps our incentive aligned with yours: we're paid when you're paid.
Free assessment
We review a sample of your claims and current performance to understand your specialty, payer mix, and volume. No cost, no commitment.
A custom quote
We quote a percentage of collections based on what we find. Most engagements fall within a single-digit % of collections range.
You get paid, then we do
Because pricing scales with collections, our incentive is aligned with yours: the better your claims perform, the better we both do.
We don't quote a flat dollar figure or promise a specific revenue increase sight unseen. Your rate depends on your practice; we'll put it in writing after the assessment, with no setup surprises.
What's included.
One accountable team for the whole revenue cycle. The scope below is part of every engagement, sized to your practice.
Full revenue cycle management
Claim submission, payment posting, and follow-up handled end to end, with reporting that shows where every dollar sits.
Coding and clean submission
Current-to-payer coding and prompt submission, coded to your specialty's rules rather than a one-size template.
Denial management and appeals
Every denial reviewed, corrected, and appealed, not written off by default. This is where practices quietly lose the most.
A dedicated account manager
A named point of contact who knows your practice, regardless of size. When you call, you reach the team doing the work.
Plain-language reporting
Monthly reporting you can actually read: what was billed, what paid, what's outstanding, and what we did about it.
Onboarding and payer setup
System access and payer setup handled up front so nothing stalls the moment we go live.
Illustrative scopes
Find the shape that fits your practice.
These are illustrative scopes, not fixed packages or prices. Every engagement is quoted to your specialty, payer mix, and volume.
A single provider or solo practice.
- Full revenue cycle management
- Coding and clean submission
- Denial management and appeals
- Dedicated account manager
- Monthly plain-language reporting
A small group of providers under one roof.
- Everything in Solo
- Coding tuned per provider and payer
- Eligibility and front-office support
- Credentialing and re-credentialing
- Regular performance check-ins
Larger or multi-location practices.
- Everything in Small group
- Coordination across locations
- Compliance and documentation reviews
- Tailored reporting cadence
- Scoped onboarding plan
Get a number built around your practice.
732-209-1487 · info@vertexmedicalbilling.com