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PRICING & RATES
Transparent, growth-focused pricing designed around long-term partnerships. A one-time onboarding fee covers customized software and workflow configuration, while our full-service behavioral health revenue cycle model includes claims management, A/R, appeals, and patient collections, with no surprise fees or per-claim billing.
FULL-SERVICE RCM
Service Rates & Pricing
We offer 3 contract types:
. Billing & RCM Contract (A-Z RCM Contract)
. Contracting & Credentialing Contracts
. Ancillary Service Contract(s)
For more questions about contracting, credentialing, and ancillary service contracts, please contact us at
info@accessrevenuehi.com or visit our Contact Us page and fill out our form.
| RETAIL RATES | |||
|---|---|---|---|
| All practice sizes and rates are customizable and negotiable | |||
| Psychiatric Hospital, Treatment Facility, Solo Practice, SM-LG Group Practices | |||
| Contract Type | Rate / Percentage | Monthly Collections (Low) | Monthly Collections (High) |
| Full Service BH Billing & Revenue Cycle Services | Commission Rate | Sliding Scale Collection Tiers | |
| Start-up (No Patients) | Facilities $400 - $900 | Groups $300 - $800 | Solo $250 - $400 |
| Low Volume | 8.0% - 9.0% | $2,000.00 | $24,999.00 |
| Average Volume | 6.5% - 7.0% | $25,001.00 | $200,001.00 |
| Moderate-High Volume | 6.5% - 6.0% | $200,001.00 | $750,000.00 |
| High Volume | 6.0% - Open Negotiations | $500,000.00 | Over $500K |
Service Rates & Pricing
| ANCILLARY & CONSULTING SERVICES | ||
|---|---|---|
|
Additional VOBs (telephonic pull) AFTER INITIAL VERIFICATION |
Benefits verification is conducted telephonically by our in-house VOB specialist for currently enrolled, active, or admitted patients who are not covered under your selected contractual agreement. | 10.00 per VOB |
|
Additional VOBs (electronic pull) AFTER INITIAL VERIFICATION BY REQUEST (WE WILL RE-VERIFY FROM TIME TO TIME) |
Benefits verification is conducted electronically via a clearinghouse for currently enrolled, active, or admitted patients, outside of which is offered in your selected contractual agreement. | $0.50 per e-VOB |
| Medical Necessity Trainings | Training on clinical documentation to meet insurance medical-necessity criteria for UR/UM and to comply with CMS regulations in psychotherapy and other behavioral health services. | BY ASSESSMENT ONLY |
|
Accreditation Consult Level - 1 (CARF, TJC, OCHA, OSHA, AMHD, ADAD) |
Initial consultation on Accreditation Services, which includes a readiness evaluation of on-hand documents | $120.00/ HOUR |
|
Accreditation Consult Level - 2 (CARF, TJC, OCHA, OSHA, AMHD, ADAD) |
Initial consultation on Accreditation Services, which includes a readiness evaluation and working assessment | $150.00/ HOUR |
|
Accreditation Prep (CARF, TJC, OCHA, OSHA, AMHD, ADAD) |
Preparation work on the audit for the listed agency |
BY ASSESSMENT ONLY PROJECT PRICED |
|
Accreditation Mock Audit (CARF, TJC, OCHA, OSHA, AMHD, ADAD) |
On-site facilitation of mock audit, scoring, feedback, and prep for live audit |
BY ASSESSMENT ONLY PROJECT PRICED |
|
Accreditation Audit Presence (CARF, TJC, OCHA, OSHA, AMHD, ADAD) |
On-site presence during the accrediting body audit |
BY ASSESSMENT ONLY PROJECT PRICED |
|
Accreditation Prep-Audit (CARF, TJC, OCHA, OSHA, AMHD, ADAD) |
Walking the Facility/ Practice/ Provider through the accreditation A-Z |
BY ASSESSMENT ONLY PROJECT PRICED |
| PDMS portfolio, Records, & Attestation Management | Regular maintenance of practice documents specific to credentialing, licensure, etc., upkeep and management of PDMS, and attestation of insurance panels | $600/Year or $55/ Month |
HOW WE COMPARE
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FAQs
Yes. We charge a one-time onboarding fee to configure your billing software, revenue cycle workflows, payer settings, reporting structure, and operational processes to match your practice or facility. Unlike many billing companies, we do not charge per-claim submission fees or ongoing technology fees for core revenue cycle services.
Gross collections refer to the total payments successfully collected from insurance companies and patients before expenses. Our billing fee is calculated as a percentage of the money we collect on your behalf. We only get paid when you get paid, providing a significant incentive to ensure your practice thrives.
Yes. Revenue cycle management requires time to build payer relationships, optimize workflows, and improve collections. Contract terms vary based on practice size and service needs. Contact us to discuss the best arrangement for your organization.
No. Appeals, denial management, accounts receivable follow-up, and related revenue cycle services are included in our full-service Billing & Revenue Cycle Management package. Standalone credentialing and contracting services are available separately for organizations that do not require full RCM support.
We support a wide variety of EHR and practice management systems. Our preferred behavioral health integrations include Kipu, Alleva, Practice Fusion, Medical Mime, Ritten, The Tree, Praxis, and many others. We also offer alternative billing census workflows when direct integration is unavailable.
Yes. We support organizations ranging from solo practitioners to large multi-site behavioral health facilities, including outpatient clinics, treatment centers, hospitals, and specialty programs.