Outsourced medical billing services
Outsourced medical billing services at 3% of collections
Your practice doesn’t have a volume problem. It has a collections problem. Claims get denied for fixable reasons, payments sit in AR for months, and whoever handles your billing spends more time on hold with payers than getting you paid.
House of RCM takes the whole billing operation. We work inside your existing EHR, our team is based in the United States, and our fee is 3% of what we actually collect.
3% of collectionsNo setup feeNo long-term contract
Free billing review
We’ll show you where claims are leaking and what it costs per month.
HIPAA compliant. Your information is never shared.
- 5+ years in business
- 25+ specialties
- All 50 states
- 24/7 US-based support
- HIPAA compliant, BAA signed first
What practices get with House of RCM
The numbers behind our billing service, from claim submission to support.
Clean claims on submission
Increase in claims
Billing submitted
Fastest electronic claim turnaround
US-based support
HIPAA compliant
Where practices lose revenue without noticing it
Billing problems don’t announce themselves. Claims go out, payments come in, and from the front desk the operation looks fine. What you can’t see is the share of denials nobody appealed before the payer’s filing window closed.
Most practices carry this for years. A biller leaves, coverage gets thin, and older claims stop getting worked because new ones keep arriving. Nothing breaks. Collections settle a few points lower and stay there.
Denials nobody appeals
Every reworked claim costs money to touch twice, and some never get touched at all.
AR aging past 90 days
Collection probability drops with every month a claim ages. Revenue earned, never collected.
Knowledge that walks out
When a biller leaves, the payer-specific knowledge goes too. Hiring and training restart.
Undercoded visits
A visit documented at one level and billed lower is revenue you already earned.
Reports without causes
Can you pull your denial rate by category right now? If not, you’re deciding without data.
What do outsourced medical billing services include?
Outsourced medical billing services means an external team manages the financial side of your practice, from verifying a patient’s coverage before the visit to collecting the final dollar on the claim. That covers eligibility verification, coding review, charge entry, claim submission, payment posting, denial appeals, AR follow-up, patient statements, and performance reporting.
The distinction that matters is scope. Some companies submit claims and stop there, which leaves denial work and AR follow-up back on your staff. House of RCM handles all nine functions under one fee, so there’s no gap between where our work ends and yours begins.
Revenue cycle services
Every stage of your revenue cycle, handled by one team
Each stage feeds the next. Eligibility problems caught before the visit never become denials. Clean charge entry speeds up submission. Worked denials recover revenue that otherwise disappears.
Patient registration
Demographics, insurance details, and referral information captured accurately at intake.
Eligibility verification
Coverage, copay, deductible, and authorization requirements confirmed before the patient arrives.
Prior authorization
Approvals secured before the date of service, with expiration tracked against the scheduled procedure.
Coding and charge entry
ICD-10, CPT, and HCPCS assignment checked against provider documentation, including modifiers and bundling.
Claim submission
Claims scrubbed against payer-specific edits and submitted within 24 hours.
Payment posting
ERA and EOB payments posted at line level and reconciled daily. Underpayments flagged, not absorbed.
Denials and appeals
Every denial categorized by reason code, routed to the right action, and corrected upstream.
AR follow-up and reporting
Aging claims worked daily across the 30, 60, 90, and 120-day buckets, with monthly reporting.
Denial management
Most billing companies rework denials. We stop them repeating.
Reworking a denial gets you paid once. Fixing what caused it keeps you from paying to touch that claim again next month. That second part is the work most billing companies skip, because it takes longer and nobody’s measuring it.
Some denials get corrected and resubmitted. Some get appealed with clinical documentation. Some point at a front-desk workflow producing the same error every week, and that’s the one we bring back to you.
| Denial type | The right action |
|---|---|
| Missing or incomplete information | Corrected and resubmitted, not appealed |
| Bundled or included service | Reviewed for a supportable modifier |
| Medical necessity | Appealed with clinical documentation |
| Duplicate claim | Traced to whatever submitted it twice |
Reporting
You see the same numbers we do
Most practices get a monthly report showing what was collected and nothing about why. If your denial rate moved three points last month, you should see which payer, which category, and which provider drove it.
- Collections by payer
- Denial rate by reason category
- First-pass clean claim rate
- Days in AR by aging bucket
- Charge capture against scheduled encounters
- Underpayments against contracted rates
Pricing
Medical billing pricing: 3% of collections, everything included
Most medical billing companies charge between 4% and 7% of collections. Plenty of them add fees on top for setup, software access, clearinghouse charges, patient statements, or the monthly reporting that should have been included from the start.
House of RCM charges 3% of what we collect for you. That’s the complete fee. If a claim doesn’t get paid, we don’t earn on it.
Medical billing
of monthly collections
- Eligibility verification and prior authorization
- Coding review and charge entry
- Claim scrubbing and submission
- Payment posting and reconciliation
- Denial management and appeals
- AR follow-up and patient statements
- Monthly performance reporting
- Dedicated US-based account team
- EHR integration and payer rule monitoring
No setup fee. No software fee. No per-claim charge. No long-term contract.
Provider credentialing is billed separately at $100 per enrollment, so practices that only need credentialing aren’t paying for billing they don’t use. Credentialing services
See what you'd save at 3%
Enter your numbers. Our rate stays at 3%.
Estimate only. Your actual fee is 3% of what we collect.
In-house billing versus outsourced
The question isn’t whether outsourcing costs money. It’s whether your current setup costs more once you count the parts that never appear on a payroll line.
| Metric | In-house | House of RCM |
|---|---|---|
| Annual cost per biller | Salary, benefits, and training | 3% of collections, all inclusive |
| Billing software and clearinghouse | Monthly fees on top of payroll | Included |
| Clean claims on submission | Depends on one person’s workload | 98% |
| Billing submitted | When the biller gets to it | Within 24 hours |
| Coverage during leave or turnover | Claims stop being worked | Team coverage, no gap |
| Compliance liability | Entirely yours | Shared, BAA signed |
| Scaling with patient volume | Hire and train | Immediate |
The cost most practices miss isn’t salary. It’s coverage. When your biller takes two weeks off, claims keep arriving and stop getting worked. Denials age past filing deadlines during vacations and resignations, and that revenue doesn’t come back.
Onboarding
How switching works, step by step
Switching billing companies sounds disruptive, which is exactly why practices stay with one that’s underperforming. Here’s what the transition involves, and what your staff has to do during it, which is close to nothing.
Step 1 · week 1
Free billing review
We pull your denial rate, AR aging, clean claim rate, and payer mix, and show you where revenue is leaking.
Step 2 · setup
Access and setup
Role-based HIPAA-compliant access inside your EHR, fee schedules loaded, provider enrollment verified.
Step 3 · transition
Parallel billing
We run alongside your current process. No claim gaps, no missed filing deadlines, no blackout in cash flow.
Step 4 · ongoing
Full operation
Eligibility through AR under your assigned team, with one account manager who knows your payer mix.
Step 5 · monthly
Performance review
Collections, denial trends, AR aging, and clean claim rate, plus what we changed and why.
Once your account is live, billing is submitted within 24 hours and electronic claims can turn around in as little as two weeks.
Specialty billing
Specialty billing that knows your denial triggers
Cardiology billing has almost nothing in common with mental health billing. Different code sets, different modifier rules, different documentation standards, and completely different denial patterns. We assign billers trained in your specialty’s rules.
OB/GYN billing
Global obstetric packages need accurate antepartum visit documentation.
Physical therapy billing
Timed code rules decide reimbursement per 15-minute unit.
Behavioral health billing
Time-based session codes and add-on units need encounter-level review.
Speech therapy billing
Payer limits on session frequency and duration drive most denials.
General surgery billing
Multiple procedure discounting varies by payer, and sequencing decides what pays at full rate.
Pain management billing
Prior authorization variance across payers makes this administratively heavy.
Internal medicine billing
Chronic care management and annual wellness visit codes are consistently underbilled.
Family practice billing
Preventive versus problem-oriented miscoding costs revenue on routine visits.
Don’t see your specialty? We cover more than 25 specialties.
Practice size
Built for your practice size
Solo providers
One provider and no margin for a claim that sits unworked. Percentage pricing means you never pay for capacity you don’t use.
Group practices
Payments posted against the correct provider NPI rather than aggregated at practice level, so compensation data stays accurate.
Multi-specialty clinics
Different specialties under one tax ID means different code sets. We assign specialty-matched billers, not one generalist.
Telehealth and multi-state
Place-of-service rules, state telehealth policies, and payer enrollment tracked per provider per state.
EHR integration
We work inside your system. Your staff never learns new software.
House of RCM operates inside your existing EHR and practice management system from day one. We configure role-based, HIPAA-compliant access during onboarding. Your team doesn’t migrate data, export records, or change a single workflow.
National and local
US-based billing team, serving practices in all 50 states
Every claim on your account is worked by someone in the United States. When you call with a question, you reach a person who knows your payer mix and your account history, not a general queue.
Payer rules change at the state line. Medicaid managed care behaves differently in every state, Medicare Advantage plans vary by region, and commercial payer density shifts what your denial mix looks like. State-specific knowledge matters more than physical proximity for billing work.
HIPAA
HIPAA compliant billing: your patient data, protected
We sign a Business Associate Agreement before anyone touches a record. Protected Health Information moves through encrypted channels, access is restricted to the specific records a team member’s function requires, and every action is logged.
BAA signed first
Executed before access is granted, not after onboarding starts.
Role-based access
Each team member reaches only the records their function requires. Access is logged and reviewed.
Secure safeguards
Physical, electronic, and procedural safeguards protect your data, and only authorized staff can reach it.
Ongoing monitoring
We regularly review and improve our security practices, and we never sell or rent your information.
Client results
What practices say after switching their billing
Reviews from practices that moved their billing to House of RCM. References are available on request.
★★★★★
“I am dual licensed as a chiropractor and physical therapist, so at times my billing can be confusing and difficult. The staff at House Of RCM are so on top of the current billing codes and laws that i never run into problems!! I have been using House Of RCM for 6 years and it has been the best 6 years when it comes to billing and collections!! I would highly recommend them!! you will feel like family!!”
Chiropractor and physical therapist, client for 6 years
★★★★★
“My company has used House Of RCM for over 5 years. We are pleased with their service and they are always very responsive to our concerns and requests. Very professional and obtains collections in a timely manner. Highly recommend!”
Client for 5+ years
★★★★★
“Danielle, Jane, and their staff are professional and efficient in all aspects of billing, medical claims, and all insurances. They offer superior customer service and always answer our questions promptly. We receive weekly updates that keep us informed of how our medical claims are processing. I would highly recommend House Of RCM!”
House of RCM client
How much do outsourced medical billing services cost?
House of RCM charges 3% of monthly collections. Most billing companies charge between 4% and 7%, and many add setup, software, or per-claim fees on top. A practice collecting $80,000 a month pays $2,400 with us. At 6%, that same practice pays $4,800, which is $28,800 more per year for the same work.
What's included in your medical billing services?
Nine functions: patient registration, eligibility verification, prior authorization, coding review and charge entry, claim submission, payment posting, denial management, AR follow-up, and patient billing. Monthly reporting and a dedicated account team are included. Credentialing is billed separately at $100 per enrollment.
How long does it take to switch billing companies?
We run parallel with your current process during the transition, so there’s no gap in claim submission and no missed timely filing deadlines. Once your account is live, billing is submitted within 24 hours.
Is outsourced medical billing HIPAA compliant?
Yes, when the billing company executes a Business Associate Agreement and restricts access properly. We sign a BAA before touching any patient data, limit each team member to the records their function requires, and transmit everything over encrypted channels with audit logging.
Do I have to change my EHR?
No. We work inside the system you already use. Your staff keeps its workflow and we configure our own access during onboarding.
What's the difference between medical billing and revenue cycle management?
Medical billing covers claim submission and payment collection. Revenue cycle management covers the whole financial process around it, starting at patient registration and eligibility and ending at reporting. Billing is a component of RCM, not a synonym for it.
How do you handle denied claims?
Each denial is categorized by reason code and routed to the right action. Some get corrected and resubmitted, some get appealed with clinical documentation, and some point to an upstream workflow producing the same error. We fix that third category so the denial stops repeating.
Is there a contract?
No. There is no time binding contract, so you are free to cancel at any time, and there is no initial setup fee. We’d rather keep your account by performing than by locking you in.
Does outsourced billing work for a solo practice?
Yes, and solo practices often benefit most. One unworked denial hits a solo practice proportionally harder than a group with multiple billers covering each other. Percentage pricing means you pay for what gets collected, nothing more.
Which specialties do you bill for?
More than 25 specialties, including OB/GYN, fertility, speech, physical and occupational therapy, general surgery, hormone replacement therapy, and pain management, each handled by billers who know that specialty’s codes, modifiers, and payer rules.
How quickly are claims submitted?
Billing is submitted within 24 hours, and turnaround on electronic claims can be as quick as two weeks. We reconcile against your schedule so no encounter goes unbilled.
What reporting will I get?
Collections by payer, denial rate by reason category, clean claim rate, days in AR by aging bucket, charge capture rate, and identified underpayments. Your account manager reviews it with you monthly.
Free billing review
Find out what your billing is missing
A free review of your current billing shows where claims are leaking and what it’s costing per month. You get the findings whether or not you work with us. No commitment and no pitch deck.
Bring your AR aging report and your last three months of denial data. That’s usually enough to identify the specific gaps in the first conversation.
3% of collectionsNo setup feeHIPAA compliant
Request your free billing review
HIPAA compliant. Your information is never shared.