Pricing
Transparent. Adaptive. Built Around You.
The medical billing industry has long relied on outdated, rigid pricing models. Most smaller providers are still billed based on flat rates that haven’t evolved in decades — often falling between 5% and 15% of total collections, regardless of specialty, EHR system, or monthly revenue fluctuations.
At MBM, we believe you deserve better.
The Problem with Flat-Rate Billing
Flat-rate billing assumes every practice operates the same way — but they don’t. Consider the variables:
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A specialty surgical practice running a high-complexity code mix shouldn't pay the same rate as a low-acuity family clinic.
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A provider on a legacy EHR may require significantly more backend labor than one on a streamlined platform — yet both are charged identically.
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Practices that scale up see no reward for success — they pay the same inflated rate, even when collections soar.
This “one-size-fits-none” model creates inefficiency and erodes trust.
The Overseas Temptation — and the Hidden Cost
Offshore billing firms often advertise extremely low rates — sometimes as low as 2% of collections. But those savings often come with significant trade-offs:
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Inconsistent performance
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High error rates
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Staff churn near 50% annually — meaning you’re the one often left retraining your billing company
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Lack of familiarity with U.S. payer systems, coding updates, and compliance standards
In short, you’re paying less — but doing more.
MBM’s Tiered, Dynamic Pricing Model
We’re proud to be pioneers in performance-aligned billing.
Our pricing adapts to your unique profile — including:
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Size of practice
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EHR system used
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Specialty
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Claim complexity
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Monthly collection volume
And because our rates adjust monthly, if you have an exceptional month — your effective rate goes down immediately. We don’t wait until the next quarter or renegotiation window. We reward performance in real time.
Why It Matters
Our goal is simple: to be a true partner in your growth.
With MBM, you get:
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A pricing model that scales with you
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Clear incentives aligned with your success
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No lock-in to outdated billing norms
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Full-service expertise — without the turnover
Example Rate Structures
Every practice is different — and that’s exactly why MBM doesn’t believe in static pricing. Instead, we tailor your rate based on your specialty, collections volume, and system, adjusting monthly in real-time to reflect your performance.
Here are two illustrative examples to show how our tiered, adaptive pricing might look:
🩺 General Practice / Family Medicine
System: eClinicalWorks
Example Rate Tiers:
• $0 – $249,999: 5.95%
• $250,000 – $499,999: 5.15%
• $500,000 – $749,999: 4.75%
• $750,000 – $999,999: 4.24%
• $1,000,000 – $1,500,000: 3.94%
🧠 ABA Therapy Practice
System: CentralReach
Example Rate Tiers:
• $0 – $249,999: 4.94%
• $250,000 – $499,999: 4.48%
• $500,000 – $749,999: 3.96%
• $750,000 – $999,999: 3.43%
• $1,000,000 – $2,000,000: 2.47%
⚠️ Important Note:
These examples are provided for illustration purposes only. Your actual rate may vary based on the specific details of your practice. As we get to know your billing patterns, payer mix, and system setup, a custom rate schedule will be presented — and will evolve dynamically alongside your growth.
