+1 (339) 365-2443 [email protected] Boston, MA, USA
Transparent RCM Pricing

Choose Your RCM Plan

Performance-based pricing means our incentives align perfectly with yours. Every plan includes HIPAA-compliant medical billing, real-time reporting, and dedicated support — no contracts, no setup fees.

Entry Level

Starter

Ideal for solo physicians, independent practitioners, and small private practices beginning professional RCM services across the USA.

% 4.5

of collected revenue · monthly

  • Medical Billing & Claims Submission
  • Basic Denial Management
  • Monthly Financial Reporting
  • Patient Billing & Statement Support
  • EHR / EMR Integration (Basic)
  • Email Support
  • Up to 2 Providers
Most Popular
Growth Plan

Professional

The preferred RCM solution for multi-provider group practices, urgent care clinics, and growing healthcare organizations across the United States.

% 6.5

of collected revenue · monthly

  • Everything in Starter, plus:
  • Advanced Denial Management & Appeals
  • Prior Authorization Management
  • Provider Credentialing (4 Payers / Provider)
  • Real-Time Analytics Dashboard
  • Phone & Email Priority Support
  • Up to 10 Providers
  • Dedicated Account Manager
Full Service

Premium

Comprehensive RCM for large specialty practices, surgery centers, and healthcare organizations demanding white-glove support and compliance management.

% 8.5

of collected revenue · monthly

  • Everything in Professional, plus:
  • Complex Specialty Coding Specialists
  • Custom Reporting & Executive Analytics
  • 24/7 Priority Dedicated Support
  • HIPAA Compliance Monitoring
  • Unlimited Providers
  • On-Site Staff Training Available
  • Full API & EHR Integration Support
Hospital & Health System RCM

Enterprise & Hospital Solutions

Custom revenue cycle management for hospitals, health systems, and large healthcare networks with complex billing environments, multi-location operations, and regulatory compliance requirements across the United States.

Custom Pricing Model
Dedicated RCM Team
Multi-Location Support
White-Label Available
SLA Guarantees
Executive Reporting
Regulatory Compliance
Why US Healthcare Providers Choose ClainetRCM

Built for American Healthcare

Our revenue cycle management team understands the unique complexity of US healthcare billing — from Medicare and Medicaid to commercial payers across all 50 states.

Performance-Based Pricing

Our fee applies only to successfully collected revenue — never on billed charges. We have a direct financial stake in maximizing your reimbursements and accelerating payment cycles.

HIPAA-Compliant Operations

All medical billing and RCM operations are fully HIPAA compliant. Our AAPC-certified coders maintain rigorous standards for PHI protection, audit readiness, and regulatory compliance.

Average 25% Revenue Increase

Healthcare providers switching to ClainetRCM see an average 25% increase in collected revenue within 90 days through cleaner claims, faster denial resolution, and improved AR management.

All Major EHR Integrations

Seamless integration with Epic, Cerner, Athenahealth, eClinicalWorks, Kareo, DrChrono, and 50+ EHR/PM systems. Your existing workflow stays intact — we enhance it.

24-Hour Claim Turnaround

Our medical billing team processes and submits clean claims within 24 hours of charge entry. Faster submission means faster reimbursement and improved Days in AR for your practice.

Nationwide — All 50 States

ClainetRCM serves healthcare providers from California to New York, Texas to Florida. Our team understands state-specific Medicaid rules, payer contracts, and regional billing requirements.

Medical Specialties

RCM for Every Specialty

Our certified medical billers and coders specialize in the unique coding, payer, and compliance requirements of every major healthcare specialty across the United States.

Cardiology
Orthopedics
Neurology
Pediatrics
Primary Care
Oncology
Ophthalmology
Pulmonology
OB / GYN
Psychiatry
Oral Surgery
Physical Therapy
Anesthesiology
Emergency Med
Nephrology
Gastroenterology
Plan Comparison

Compare RCM Plans

Every ClainetRCM plan runs on the same HIPAA-compliant infrastructure. Higher tiers unlock deeper support, advanced analytics, and expanded provider capacity.

Comparison of ClainetRCM medical billing and RCM service plans — Starter, Professional, Premium
Feature Starter Professional ★ Premium
Medical Billing & Claims
Denial ManagementBasicAdvancedFull + Appeals
Prior Authorization
Provider Credentialing4 Payers / ProviderUnlimited Payers
Real-Time Analytics
Support LevelEmailPhone & Email24/7 Dedicated Team
Number of ProvidersUp to 2Up to 10Unlimited
Dedicated Account Manager
Compliance Monitoring
Custom Reporting
On-Site Training
Common Questions

RCM Pricing FAQs

Everything US healthcare providers ask before partnering with ClainetRCM for revenue cycle management services.

Our percentage fee applies only to successfully collected revenue — never on billed or submitted charges. This performance-based model means we are financially motivated to reduce your denials, appeal claims, and accelerate your payment cycles. We only earn when you get paid.
Zero setup fees, zero onboarding costs, zero hidden charges. The only cost is the percentage of collected revenue outlined in your plan. Any optional add-on services are disclosed upfront — no surprises on your monthly statement.
Absolutely. ClainetRCM plans are built to scale with your practice. You can upgrade or downgrade at any time with 30 days' written notice — no long-term contracts, no early-termination penalties.
Annual billing clients receive a flat 15% reduction on their RCM rate. The Professional plan drops from 6.5% to 5.5%, and Premium from 8.5% to 7.2% of collected revenue — significant savings for high-volume practices.
Most US healthcare providers see measurable improvements in cash flow and denial rates within 30–60 days. Full revenue cycle optimization — including reduced Days in AR and increased net collections — typically occurs within 90 days of onboarding.
ClainetRCM provides RCM services to healthcare providers across all 50 US states. We integrate with Epic, Cerner, Athenahealth, eClinicalWorks, Kareo, DrChrono, NextGen, Practice Fusion, and 50+ additional EHR and practice management systems.
Start Maximizing Your Revenue Today

Ready to Increase Your
Healthcare Revenue?

Join 500+ US healthcare providers who have increased revenue by an average of 25% with ClainetRCM. Schedule a free, no-obligation consultation and discover exactly how much revenue your practice could be recovering.

Call +1 (617) 210-2216

No contracts · No setup fees · 90-day satisfaction guarantee · Serving all 50 US states

Get Started Today