Pricing

💼 All-in-One Medical Billing & RCM — at Just 3.5% of Collections

At Max Healthcare Billing, we go beyond basic billing. Our goal is to maximize your reimbursements, eliminate revenue leakage, and streamline your operations — all at a fraction of the industry cost.

🧾 Core Billing & Coding Excellence

1. End-to-End Revenue Cycle Management (RCM) from patient registration to zero balance.
2. Accurate Charge Entry & Specialty Coding handled by certified coders.
3. Claim Scrubbing & Error Prevention, ensuring a 98–99% clean claim rate
4. Coverage Discovery & Eligibility Verification to reduce self-pay write-offs.
5. Electronic & Paper Claim Submission to all payers.
6. Timely Payment Posting & Reconciliation with full audit trails.
7. Denial Management & Appeals with root-cause analytics and recovery strategy.
8. Aged AR Recovery Projects to clean up old receivables.

📊 Analytics, Reporting & Performance

1. Daily, Weekly & Monthly Financial Dashboards for full transparency.
2. Payer Trend Analysis to spot and prevent recurring denials.
3. Underpayment Tracking to recover every eligible dollar.
4. Revenue Forecasting & KPI Benchmarking to guide financial planning.
5. Customized Practice Reports — tailored to each provider or specialty.

👩‍⚕ Patient & Provider Experience

1. Patient Helpdesk & Statement Management to reduce collection delays.
2. Pre-Authorization & Referral Management to secure payments upfront.
3. Provider Credentialing & Enrollment with major payers and networks.
4. Dedicated Account Manager for real-time communication and issue resolution.
5. Transparent Reporting Portal — your data, your access, anytime.

⚙ Compliance, Automation & Value-Adds

1. 100% HIPAA-Compliant Processes for data protection.
2. Internal Compliance Audits to minimize risk exposure.
3.  EHR/EMR Integration Support with most major systems
4. Automation & AI-Driven Workflows for faster, error-free processing.
5. Charge Capture Optimization using advanced tools to prevent revenue loss.
6. Plan Management for patients to improve collection rates.
7. No Hidden Fees — Transparent Flat 3.5% Rate across all services

💡In short- we handle everything from claims to collections and analytics to automation so you can focus on patient care while we take care of your revenue.

💰 Recover What’s Rightfully Yours — A/R Recovery at Just 10–15% on Collectable Amount

Unpaid claims shouldn’t drain your revenue or your time. At Max Healthcare Billing, our specialized Accounts Receivable (A/R) Recovery Team* focuses on bringing old and unresolved claims back to life — helping you recover lost income efficiently and compliantly.
You only pay 10–15% of the collected amount, making it a zero-risk, performance-based solution.

💡 What We Do

✅ Comprehensive A/R Audit – Identify aging claims, payment gaps, and missed follow-ups.
✅ Targeted Recovery Strategy – Prioritize high-value and high-potential claims first.
✅ Denial Management & Resubmission – Correct and refile rejected or underpaid claims.
✅ Payer Communication & Escalation – Direct interaction with insurance representatives for faster resolution.
✅ Patient Balance Recovery – Professional outreach for self-pay and partial balances.
✅ Detailed Aging Reports – Transparent updates on recovered revenue and pending items.
✅ Root Cause Analysis – Prevent future A/R build-up through process improvements.
✅ Specialized Team for Aged Claims (120+ Days) – Dedicated recovery experts to maximize yield.

💼 Your Dedicated Virtual Assistant — Full-Time Support at $2,500/Month

At Max Healthcare Billing, we provide skilled, trained, and reliable Virtual Assistants who seamlessly integrate with your daily operations. Our virtual staff are healthcare-focused professionals who help your practice save time, reduce administrative burden, and cut costs — all at a fixed $2,500 per month.

💡 What Your Virtual Assistant Can Handle

✅ Scheduling & Appointment Management – Keep your calendar organized and your front desk stress-free.
✅ Insurance Verification & Pre-Authorization Assistance – Ensure patient eligibility and approvals are handled on time.
✅ Billing & Claims Follow-Up Support – Streamline submissions and follow-ups.
✅ Patient Communication – Handle calls, messages, reminders, and payment inquiries with professionalism.
✅ Data Entry & Documentation – Maintain accuracy and compliance in every task.
✅ Reporting & KPI Tracking – Generate daily, weekly, and monthly operational reports.
✅ EHR/EMR Updates – Seamless coordination with your existing systems.

💰 Simple, Transparent Pricing

1.    $2,500 per month — Full-Time Dedicated Resour
2.    No PTO, 401(k), Dental, Vision, or Other Benefit Cost
3.    No Hidden Fees or Long-Term Contracts

Why Choose a Max Healthcare Virtual Assistant

1.   Fully trained in healthcare workflows and billing processes.
2.  Supervised, performance-monitored professionals.
3.  HIPAA-compliant operations for complete data security.
4.  Flexible hours aligned with your time zone.
5.  Cost savings of over 60% compared to in-house staffing.

🎯 Provider Credentialing Made Simple—Starting at Just $150 per Payer!

At Max Healthcare Billing, we understand that proper provider credentialing is the foundation of faster reimbursements and payer compliance. That’s why we offer a streamlined, transparent, and cost-effective credentialing service designed for both new and existing practices.

💡 Credentialing Plans & Pricing

1. Standard Credentialing: $150 per payer / per provider / per NPI
2.  Bulk Credentialing Offer: Get 10 payer credentialings for only $1,200—and save $300!

🔍 What’s Included
✅ Comprehensive Payer Enrollment – We handle applications, follow-ups, and verification for all commercial and government payers.
✅ CAQH Profile Setup & Maintenance – Ensuring accuracy and ongoing updates to prevent delays.
✅ NPI & Taxonomy Management – Full support for individual and group NPI registrations.
✅ Recredentialing & Updates – Timely renewals and demographic changes for uninterrupted participation.
✅ Status Tracking & Communication – Transparent updates on each payer’s progress.
✅ Dedicated Credentialing Specialist – One point of contact to manage your entire process.
✅ Error-Free Submissions – 100% compliance with payer guidelines and documentation standards.

Why Choose Max Healthcare Billing

1. Fast Turnaround Times — We expedite approvals and minimize payer backlogs.
2. Complete Transparency — Real-time updates and detailed tracking.
3. No Hidden Fees — Simple, flat-rate pricing.
4. End-to-End Support — From initial setup to maintenance and renewals.

✅ Fast, Accurate, and Affordable — Pre-Authorization at Just $5 Per Claim

At Max Healthcare Billing, we take the stress out of the pre-authorization process so your team can focus on what matters most—delivering quality patient care.
Our dedicated authorization specialists ensure every procedure, test, and service is verified on time and approved without delays — all for just $5 per claim/request.

💡 Our Pre-Authorization Services Include

•     Eligibility & Benefit Verification – Confirm coverage details before service.
• Authorization Request Submission – Direct communication with payers for approvals.
•  Real-Time Follow-Ups – Persistent tracking until approval is received.
• Medical Necessity Documentation – Ensuring all supporting documents meet payer requirements.
• Status Updates & Reporting – Transparent tracking for every pending authorization.
• Denial Prevention – Avoid costly denials due to missing or expired authorizations.
• Dedicated Pre-Auth Team – Experienced specialists focused solely on prior authorization management.
• HIPAA-Compliant Process – Secure handling of all patient and payer data.

💰 Simple, Transparent Pricing

1. Flat Rate: $5 per claim/request
2. No Setup or Hidden Fees
3. Discounted Bundles Available  for high-volume facilities

🚀 Why Choose Max Healthcare Billing

1. 98% authorization approval rate
2. Faster turnaround and reduced claim delays
3. Experienced across multiple specialties
4. Seamless integration with your EHR and billing workflow

🔍 Fast, Accurate, and Affordable—Eligibility Verification at Just $1 Per Verification

At Max Healthcare Billing, we simplify the most critical step in your billing workflow—Eligibility and Benefits Verification. Our dedicated verification team ensures every patient’s insurance information is validated before the visit, preventing denials, delays, and self-pay surprises — all for just $1 per verification.

💡 What’s Included

✅ Real-Time Insurance Verification – Confirm patient eligibility before scheduling or service.
✅ Detailed Benefit Breakdown – Capture co-pays, deductibles, coinsurance, and plan limitations.
✅ Primary & Secondary Coverage Validation – Eliminate claim rejections due to missing payer details.
✅ Prior Authorization Alerts – Identify procedures requiring pre-authorization upfront.
✅ Patient Responsibility Estimates – Provide accurate cost information to patients before treatment.
✅ Daily Verification Reports – Track verified and pending patients in real-time.
✅ EMR/EHR Integration Support – Compatible with most major healthcare platforms.
✅ HIPAA-Compliant Workflow – Secure handling of all patient and payer data.

💰 Simple, Transparent Pricing

1. $1 per verification—flat rate for all specialties and payers.
2. Volume discounts are available for high-volume practices.
3. No Setup Fees, No Hidden Costs.  

Why Providers Choose Max Healthcare Billing

1. 99% accuracy rate in insurance verification.
2. Faster patient check-ins and cleaner claims.
3. Reduced denials and improved first-pass resolution.
4. Dedicated verification specialists for each practice.

💡 Accurate. Compliant. Cost-Effective—Expert Coding at Just $3–$8 Per Claim

  At Max Healthcare Billing, we provide specialty-focused medical coding services that ensure accuracy, compliance, and higher reimbursements—all at a highly competitive rate of $3–$8 per claim, depending on complexity and specialty.

🎯 Why Choose Our Coding Services
✅ Certified Medical Coders (CPC, CCS, CPMA) – Experienced professionals specializing in multi-specialty coding.
✅ ICD-10, CPT, and HCPCS Accuracy – Every code reviewed and validated to ensure maximum reimbursement and compliance.
✅ Pre-Billing Error Check – Reduce claim rejections and denials by catching coding errors before submission.
✅ Specialty-Specific Expertise – Covering internal medicine, behavioral health, urgent care, sleep medicine, cardiology, surgery, and more.
✅ Audit-Ready Documentation – Full compliance with payer and CMS standards.
✅ Charge Capture Optimization – Identify missed revenue opportunities with accurate code mapping.
✅ Real-Time Coding Support – Quick turnaround to prevent billing delays.
✅ Custom Reporting & Analytics – Track accuracy, trends, and productivity with clear performance metrics.

💰 Pricing Made Simple

1. Standard Coding: $3–$8 per claim (based on specialty and case complexity).
2. Volume Discounts Available: for high-claim practices or multi-provider groups.
3. No Setup or Hidden Fees — pay only for completed, compliant-coded claims.

🚀 Why Max Healthcare Billing

1. 98%+ claim acceptance rate.
2. 100% HIPAA-compliant coding process.
3. Dedicated quality assurance team for every client.
4. Seamless integration with your EHR or billing software.

🤝 Stay Connected. Get Paid Faster — Patient Follow-Up Services at $800/Month

At Max Healthcare Billing, we understand that consistent patient follow-up is the key to improving collections, reducing outstanding balances, and enhancing patient satisfaction.
Our specialized team ensures timely, professional, and compassionate follow-ups with patients — helping your practice maintain healthy cash flow and stronger relationships for just $800 per month.

💡 What’s Included in Our Patient Follow-Up Package

✅ Dedicated Follow-Up Specialists – Trained to handle patient billing inquiries with empathy and professionalism.
✅ Payment Reminder Calls & Emails – Gentle, consistent communication to encourage timely payments.
✅ Statement Management – Clear, customized patient statements with all payment options.
✅ Balance Resolution Support – Assistance for patients needing clarification or payment plan options.
✅ Missed Payment Tracking– Identify and address delayed or missed patient payments quickly.
✅ Customizable Frequency – Weekly, biweekly, or monthly follow-up schedules to fit your workflow.
✅ Performance Reporting – Transparent reporting on calls made, payments collected, and balances reduced.
✅ HIPAA-Compliant Communication – Secure and privacy-focused contact management.

💰 Simple, Affordable Pricing

1. Flat Monthly Rate: $800 per provider or practice
2.  Unlimited Patient Follow-Ups (via phone, email, and statement mailers)
3.  No Setup Costs, No Hidden Fees

🚀 Why Choose Max Healthcare Billing

1. Boost patient collections and reduce bad debt
2.  Enhance patient satisfaction and retention
3. Free up staff time and reduce administrative workload
4.  End-to-end support integrated with your billing system