Short answerIn contingency medical billing, the billing company is paid a percentage of what it actually collects for the practice, rather than a flat monthly fee. RAS charges 6–7% of net collections for full-cycle RCM and 10% only on successful No Surprises Act IDR recoveries, with no setup fees or retainers.
Pricing shapes behavior. A flat fee pays the same whether claims are collected or not. A contingency fee only pays when cash reaches the practice.
Common pricing models
| Model | How it works | Watch for |
|---|---|---|
| Percentage of collections | A share of money collected | What counts as "collections" |
| Flat monthly fee | Fixed regardless of results | Little incentive to work hard claims |
| Per claim | Fee per claim submitted | Pays for volume, not payment |
| Hybrid | Base fee plus a percentage | Setup fees and minimums |
What "net collections" means
Net collections are the payments actually received, after refunds and recoupments. A fee on net collections means the billing company isn't paid on money that later goes back to the payer.
Questions to ask any billing company
- Is the percentage on net or gross collections?
- Are there setup, software or minimum fees?
- Is there a lock-in term or termination fee?
- Are aged AR and IDR priced differently?
- Who owns the data and claims history if you leave?
How RAS prices
- 6–7% of net collections for full-cycle RCM
- 10% only on successful No Surprises Act IDR recoveries
- no setup fees, retainers, software fees or lock-in
See pricing.
This article is general billing information, not legal or coding-compliance advice. Payer rules, CPT descriptors and federal guidance change; check the current versions for your claims.