Transparent Pricing for Every Practice
Choose the engagement model that fits your practice size, specialty, and revenue goals. No hidden fees, no surprises—just clear pricing and measurable results.
Flexible Engagement Models
We offer two proven pricing structures to align our success with yours. Select the model that best reflects your practice's revenue cycle and claim volume.
Percent of Collections
You pay only when we collect. Our fee is a percentage of net collections, aligning our incentives directly with your revenue performance.
- Full revenue cycle management
- Claim submission and tracking
- Payment posting and reconciliation
- Denial management and appeals
- Patient billing and statements
- Monthly performance dashboards
- Dedicated account manager
- No upfront costs or setup fees
Per-Claim Pricing
Predictable per-claim fee based on claim complexity and specialty. Ideal for high-volume practices seeking fixed-cost visibility.
- Transparent per-claim rate structure
- Claim scrubbing and validation
- Electronic submission (EDI)
- Primary and secondary billing
- Denial follow-up and correction
- Real-time claim status tracking
- Quarterly review and optimization
- Volume discounts for 500+ claims/month
Which Model Is Right for You?
Percent-of-Collections
Best for: Practices seeking full-service RCM with zero upfront risk. Our team acts as an extension of your office, managing every touchpoint from claim creation to final payment.
Typical rate: 4–7% depending on specialty, claim complexity, and current collection rate.
Per-Claim Pricing
Best for: High-volume practices that prefer cost predictability and budget control. Ideal for groups with consistent claim flow and existing internal AR staff.
Typical rate: $3–$8 per claim, tiered by CPT complexity and payer mix. Volume discounts available.
What's Included in Every Engagement
Regardless of pricing model, every NELSON LAZARO client receives comprehensive revenue cycle support and transparent reporting.
Onboarding & Setup
Complete practice audit, payer enrollment verification, EHR/PM integration, and staff training—typically completed within 14 days.
Technology Platform
Access to our secure client portal for real-time dashboards, claim status, aging reports, and performance metrics—no additional cost.
Dedicated Support
Named account manager, direct phone and email access, monthly strategy calls, and quarterly business reviews to optimize results.
Reporting & Analytics
Monthly KPI reports tracking clean claim rate, days in A/R, collection rate, denial rate, and payer performance—delivered by the 10th of each month.
Compliance & Security
HIPAA-compliant infrastructure, annual compliance audits, secure data encryption, and business associate agreement (BAA) included.
Continuous Optimization
Proactive payer policy monitoring, coding updates, workflow refinement, and quarterly performance benchmarking against specialty peers.
Estimate Your Revenue Impact
Use the data points below to understand how cleaner claim submission, faster payment posting, and proactive denial management can improve your net collections.
Revenue Opportunity Calculator
Typical Improvements
Collection Rate: 94–98% (industry-leading)
Denial Rate: Reduced to 2–4%
Days in A/R: 28–35 days
Clean Claim Rate: 98.6% first-pass acceptance
How We Drive Results
Our proprietary claim scrubbing technology catches eligibility, coding, and documentation errors before submission. Combined with proactive denial management and accelerated posting workflows, practices typically see 12–18% revenue lift within 90 days.
Onboarding, Minimums & Scaling
Implementation Timeline
Week 1: Kickoff call, data collection, payer enrollment audit, and EHR integration planning.
Week 2: System configuration, staff training (virtual or on-site), and test claim submission.
Week 3: Go-live with real claims, daily monitoring, and support check-ins.
Week 4: First performance review, workflow optimization, and transition to steady-state operations.
Total onboarding: 14–21 days depending on practice size and EHR complexity. No interruption to your current billing during transition.
Minimum Commitments
Percent-of-Collections: $50,000 minimum monthly collections (approximately 10–15 providers or 300+ claims/month).
Per-Claim: 200 claims/month minimum. Discounts available at 500+ and 1,000+ claim tiers.
Contract term: 12-month initial agreement with 60-day termination notice. Month-to-month available after first year.
Smaller practices: Contact us for custom pricing or our "Launch" package designed for solo practitioners and new practices.
Seasonal Surge Support
Healthcare billing doesn't follow a predictable calendar. Whether you're managing flu season volume, post-holiday claim backlogs, or locum coverage, our infrastructure scales instantly.
No surge fees. Your pricing model remains consistent regardless of monthly fluctuation. We staff proactively based on your specialty's seasonal trends.
Add-On Services
Credentialing: New payer enrollment and re-credentialing management—$150–$300 per payer application.
Coding audits: Quarterly E/M and procedure code review—$500 flat fee per audit.
Patient payment plans: Automated payment plan setup and monitoring—included in both pricing models.
"We switched to NELSON LAZARO's percent-of-collections model and saw a 16% increase in net revenue within 90 days—without changing our fee schedule or patient volume. The transparency in reporting and responsiveness of the team made the transition seamless."
Dr. Sarah Mitchell – Internal Medicine, 8-provider group, Pennsylvania
Ready to Optimize Your Revenue Cycle?
Schedule a 30-minute consultation to review your current metrics, discuss pricing options, and receive a customized proposal with projected revenue impact.