Home / Blog / Billing

10 questions to ask before you hire a medical billing company

NY
Nauman Yaqub
October 22, 2026 · 7 min read
10 questions to ask before you hire a medical billing company

Most billing companies quote a percentage of collections. Two quotes with the same percentage can still cost very different amounts. These questions help you compare like with like.

About the price

  • Is the fee on net collections or gross charges? A percentage of gross charges costs far more.
  • Is there a monthly minimum? Ask what it is and when it applies.
  • What costs extra? Credentialing, patient statements, old A/R clean-up and setup fees are often priced separately.
  • How long is the contract, and what does it cost to leave?

About the work

  • Who checks eligibility, and when? Problems caught before the visit are the cheapest to fix.
  • How are denials handled? Ask whether every denial is worked and appealed, or only the large ones.
  • How often is A/R followed up? Unpaid claims get harder to collect the older they get.

About what you can see

  • Can I see claims and collections live, or only in a monthly report?
  • Will I have one point of contact who knows my practice?
  • Will you sign a BAA before you see any patient data?

How we answer them

Our fee is 5% of collections with a $750 monthly floor, month to month, with no setup fees. Every claim, denial and dollar shows up in MDClaim360, free with our billing service, and we sign a BAA before any work begins.

Want a second pair of eyes? In a free 15-minute review we look at your calls and claims and show you where revenue slips away. Book a free review
Free · 15 minutes · no obligation

See where your practice is losing time and revenue.

Book a free 15-minute practice review. You get your missed calls, stuck claims and a clear monthly price.

(833) 4-CARE-98