What it costs
What AR follow-up and denial management cost to outsource
AR follow-up is sold four ways: a contingency share of what is recovered from old AR (OmniMD’s page puts such projects at 15 to 25 percent of what is collected from the aged balance), a percentage of all collections for full-service billing (4% to 10% of collections, per Neolytix), an hourly or monthly full-time person, or a flat seat. Ours is $1,700 a month for one full-time AR caller working denials in your own system.
The ways this work is priced
Two of these models charge on money collected, two on time. Which is cheaper depends on how much is recoverable, and that is the number to establish first.
| Pricing model | What vendors publish | Suits | Watch for |
|---|---|---|---|
| Contingency on recovered aged AR |
| A one-off cleanup of old balances. | Which balances are in scope, whether the fee applies to payments that would have arrived anyway, and when the project ends. |
| A percentage of all collections | Handing over the whole revenue cycle, not just the AR. | You pay on every dollar, including clean claims that paid the first time. | |
| Hourly or per full-time equivalent | Teams that want to direct the work themselves. | Who supervises the hours, and what you see of them each day. | |
| A flat monthly seat | Steady AR and denial volume that fills a working week. | Whether the person is yours alone, and how the work is reported to you. |
Each figure is quoted from the vendor’s own page and dated by what that page says. We do not rate other vendors’ work; a price here is what they publish, nothing more.
Contingency or a seat: the arithmetic
A contingency fee is a share of recovered money, so the comparison runs the other way. At a 25 percent fee, the top of the range OmniMD describes, a $1,700 seat costs the same as the fee on $6,800 of recovered payments a month; at 15 percent, on $11,333. If more than that comes back each month, the seat is cheaper.
Before either, find out how much of the old AR is still collectable. A free AR audit answers that from two exports with no patient identifiers.
The deadlines that decide what is still recoverable
For Medicare, a claim must be filed within 1 calendar year after the date of service (42 CFR 424.44, with listed exceptions). A redetermination must be requested within 120 calendar days from receipt of the notice of the initial determination, and receipt is presumed five calendar days after the notice date (42 CFR 405.942).
Commercial payers set their own limits in their contracts and manuals. Our timely filing page lists them by payer with a deadline calculator.
Source: eCFR, 42 CFR 424.44 · eCFR, 42 CFR 405.942
What our seat includes, and what it does not
One full-time AR caller, $1,700 a month, working your worklist in your own system on US business hours.
- Worklist worked from the difficult end, not the easy end
- Every call logged with the payer reference and the outcome
- Denials categorised so the same reason stops recurring
- Appeals written and submitted, not just re-bills
- A weekly written summary of what moved and what did not
- A recovery percentage promise: what is collectable depends on the claims, not on us
- Writing off a balance without your sign-off
- Patient balance calls, which is a separate patient billing seat
When outsourcing AR follow-up is the wrong call
- A backlog small enough for your own biller to clear in a week
- Claims already past every filing and appeal limit: nobody can recover those
- A payer or Medicaid contract that restricts offshore access: our seats work from Rawalpindi, Pakistan, so check first
Questions
What do AR recovery companies charge?
For aged-AR cleanup projects, OmniMD’s page describes 15 to 25 percent of what is collected from the aged balance. Full-service billing companies that include AR follow-up publish 4% to 10% of collections (Neolytix) or 4% to 8% of collections (AdvancedMD), charged on all collections.
Is a flat seat cheaper than contingency?
It depends on how much comes back. Divide the seat’s monthly price ($1,700 for ours) by the contingency rate: if more than that is recovered each month, the seat costs less.
How far back can Medicare claims still be worked?
A Medicare claim has to be filed within 1 calendar year after the date of service under 42 CFR 424.44, subject to its exceptions, and an appeal of a denial within 120 calendar days from receipt of the notice under 42 CFR 405.942.
Does the AR seat work denials or only unpaid claims?
Both. The seat calls payers on unpaid claims and reads, appeals and tracks denials, so the same denial reason stops coming back.
Sources
- OmniMD — OmniMD’s page describes what aged-AR cleanup projects typically charge: a share of what is actually collected (described as typical, not as OmniMD’s own contract rate).
- Neolytix, 27 July 2026 — The benchmark percentage-of-collections range for outsourced medical billing.
- AdvancedMD published pricing page — AdvancedMD publishes its full RCM service fee as a percentage of collections.
- Revenue Synergy — Revenue Synergy prints a percentage-of-collections price for full-service billing, AR and denial management included.
- Revenue Synergy — Revenue Synergy prints a per-FTE hourly price for AR-only or denial-only staffing.
- Revenue Synergy — Revenue Synergy’s article gives a per-FTE monthly range for the model in general (not stated as its own rate).
- Hello Rache published pricing page — Hello Rache publishes a flat hourly rate for HIPAA-trained healthcare virtual assistants.
- Outsource2india published pricing page (states prices are indicative) — Outsource2india publishes a dedicated offshore healthcare FTE price band.
- Ataraxis published pricing page — Ataraxis publishes $11/hour billed as a flat monthly rate for a full-time offshore VA.
- eCFR, 42 CFR 424.44, eCFR text as of 1 October 2026 — Medicare’s claim filing limit (42 CFR 424.44(a)(1)), subject to the exceptions in the section.
- eCFR, 42 CFR 405.942, eCFR text as of 1 October 2026 — The Medicare redetermination deadline (42 CFR 405.942(a)); receipt is presumed 5 calendar days after the notice date.
Sources checked 9 October 2026.
Three ways to check us before you commit to anything.
Next step
One AR seat, $1,700 a month
Twenty minutes is enough to tell whether a seat fits your volume. If a per-request vendor would cost you less, we will say so.
Or write to ops@softhomeglobal.com