Pricing
There is no single right way to price billing work. A practice outsourcing everything should pay differently than one that only needs payment posting, and a group with heavy predictable volume should not be paying the same structure as a two-provider office. We offer four models and will tell you which one fits your situation, including when that answer is none of them.
0
Years in revenue cycle
48h
Claim filing window
30d
Target days to payment
HIPAA
Compliant by design
The full revenue cycle, priced as a percentage of your monthly collections. This covers billing and coding, charge entry, payment posting, eligibility verification, pre-service and post-service authorization, and A/R follow-up with denial management. Because the fee moves with what we actually collect, our incentive and yours point in the same direction — we are paid on money that arrives, not on claims submitted. Most practices handing off the entire cycle end up here, and it is the simplest structure to administer.
Pay per claim for defined, high-volume tasks: patient demographic entry, charge entry, and payment or cash posting. This suits practices that already have coders and A/R staff but need production capacity on the data-entry end of the cycle, and groups whose volume swings seasonally. You know your unit cost, so the expense scales predictably with encounter count instead of arriving as a surprise. Rates are quoted per service line once we understand your volume and file formats.
Dedicated full-time resources working defined hours on your account only. You assign the daily work, set the priorities, and track productivity directly, the same as you would with in-house staff — without the recruiting, benefits, turnover, and coverage problems that come with hiring. This works best for long-term engagements with sustained volume, or where the work requires deep familiarity with a specific EHR configuration, payer set, or specialty that a rotating pool would not build.
Some practices do not map onto a standard structure. A specialty with unusual authorization requirements, a multi-entity group with separate tax IDs, a one-time A/R cleanup with no ongoing component, a hybrid where we cover coding while you keep billing in-house. In those cases we build the pricing around the actual scope. Send us your requirements and we come back with a structure — normally within one business day — rather than forcing a fit that neither side is happy with later.
Quote a number before understanding your volume, payer mix, and current state. Pricing that arrives before the questions is pricing that gets revised after you sign. We also do not bill separately for the things that should be included — reporting, account management, appeals on claims we submitted. If something falls outside scope, you hear it during scoping, in writing. Call (805) 979-7829 or email info@wnlrcm.com to start that conversation.
Models
A minimum percentage of your total monthly collection
We take responsibility for all the billing work you hand over, at a single predictable rate.
Suits: Practices handing over the whole revenue cycle
Scope covered4/4
$0.75 per claim · $0.50 payment posting
Pay per claim for defined tasks. Patient demographic entry and charge entry are 75 cents per claim; payment and cash posting entry is 50 cents.
Suits: Practices that need specific tasks covered, not everything
Scope covered1/4
Dedicated staff, pre-defined hours
Full-time equivalent resources working set hours for you. Suited to long-term engagements with large, steady volume.
Suits: Long-term engagements with large, steady volume
Scope covered3/4
Quoted within 1 business day
Pricing built around the service type and the complexity of the work, after we have looked at your actual billing requirements.
Suits: Mixed or complex requirements that do not fit a standard model
Scope covered2/4
Rates as published by WNL RCM. Final pricing depends on specialty, claim volume and scope.
FAQ
It depends entirely on your volume and what you are handing off. Percentage-of-collections is usually simplest for full outsourcing. Per-transaction tends to cost less when you only need specific tasks at high volume. FTE often wins for sustained heavy workloads. We will run the comparison against your actual numbers rather than steer you to one.
Terms are set during scoping and stated in writing before you commit — including any onboarding work, the notice period, and what happens to in-flight claims if the engagement ends. We would rather have that conversation up front than have you discover a term later. Ask directly and you will get a direct answer.
Billing and coding, charge entry, payment posting, eligibility verification, pre-service and post-service authorization, and A/R follow-up with denial management — the full cycle, priced as a percentage of monthly collections. Credentialing is scoped separately because it is project work with its own timeline rather than ongoing per-claim volume.
Yes, and many practices do. Starting with A/R cleanup or eligibility verification is common because both produce measurable results quickly and neither disturbs your existing billing workflow. If it works, expanding is a scoping conversation, not a new implementation project.
Call (805) 979-7829 or email info@wnlrcm.com with your specialty, provider count, monthly encounter volume, payer mix, and which services you want covered. For custom scopes we normally respond within one business day. If your situation is not a fit for what we do well, we will say so.
Next step
Send us your specialty, claim volume and current billing setup. We will come back with a proposal you can act on.
