Pricing
We only get paid when you do.
RCM is priced as a percentage of net collections. Fees are calculated on what your agency actually receives, never on gross charges.
Starter
Monthly net collections: Up to $25,000
5.50%
of net collections · $295 monthly minimum
Book an assessmentGrowth
Monthly net collections: $25,001 – $100,000
4.75%
of net collections · No minimum
Book an assessmentEnterprise
Monthly net collections: Over $100,000
3.95%
of net collections · No minimum
Book an assessmentFlat-fee alternative: $5.25 per clean claim (monthly minimum $295).
Included in every tier
Full-service billing, no extras.
- Client and payer profile setup in your scheduling and billing platform, including CMS-1500, authorization and bill-to-payer fields
- Eligibility verification and authorization tracking, with alerts before units or dates run out
- EVV reconciliation and pre-billing review of shifts, hours and service codes
- Claim submission to state Medicaid programs, Medicaid MCOs, Medicare, the VA's Community Care Network, long-term care insurers and private pay
- Payment posting, denial management, resubmissions and A/R follow-up
- A monthly performance report and a dedicated RCM contact
Calculator
Estimate your savings and cash flow.
Estimated BSHP monthly fee · Growth at 4.75%
$2,850
Monthly savings
$1,350
Annual savings
$16,200
Faster cash
Illustrative — actual results vary
Estimates for illustration only. Your actual fees and results depend on your payer mix and claim volume.
Add-on services
Only when you need them.
| Service | Fee |
|---|---|
| Billing Health Assessment (credited toward first month) | $395 |
| Onboarding for agencies switching billers | $0 (waived) |
| Aged A/R recovery (claims over 90 days) | 12% of amounts recovered |
| Payer enrollment / credentialing | $225 per payer application |
| Appeals beyond first level | $75 per appeal |
| Private-pay patient statements (mailed) | $1.25 per statement |
| Rush turnaround (under 48 hours) | +25% of standard fee |
Terms
- Month-to-month; cancel with 30 days' written notice
- Invoiced monthly on the prior month's net collections, due within 15 days
- Consulting billed in 15-minute increments
- Rates valid through September 30, 2027
Compare
How BSHP compares.
| Item | Typical market | BSHP |
|---|---|---|
| Full-service billing (% of collections) | 5% – 8% (small agencies 10%+) | 3.95% – 5.50% |
| Per-claim pricing | $4 – $12 per claim | $5.25 per claim |
| Setup / onboarding fees | Often added on top | $0 |
| Independent consulting | $150 – $200 per hour | $110 – $125 per hour |
| Contract term | Often 12+ months | Month-to-month |
Market ranges reflect published 2026 industry pricing benchmarks for outsourced medical and home care billing and independent consulting.
FAQ
Pricing questions.
See where your revenue is leaking.
Book a $395 Billing Health Assessment, credited to your first month if you sign on.