Full Service RCM for ongoing partnerships. Audit + Playbook for a one-time diagnosis. Plus add-ons for specific projects. Pricing transparent and published below.
Primary product
Cohort 1 onboarding
Full Service RCM
Ongoing partnership · end-to-end billing operations + Power BI dashboards.
Pricing
5% of net collections
Flat. No tiering by size. Power BI dashboards included.
We only get paid when you get paid. No floor during your first year. ($500/month operational minimum starts Year 2.)
Available to Full Service clients as add-ons, or as standalone engagements. Click any to expand the details, including what we DON'T do and when it's NOT a fit.
FL Medicaid Impact Assessment
$1,500–$3,500 · 14 days
For FL ABA agencies feeling the SMMC 2025 transition. We quantify revenue impact per MCO per code and map your mitigation options.
Who it's for
· FL ABA agencies with >40% Medicaid mix
· Practices that have felt SMMC transition impact but haven't quantified it
· Owners deciding between commercial diversification, volume, or renegotiation
What you get
· Per-MCO revenue impact analysis
· Per-CPT-code rate change quantification
· 12-month projected revenue scenarios
· Mitigation roadmap with ranked tactics
· Power BI snapshot dashboard
· 60-min presentation call with founder
What we DON'T do
· Negotiate with MCOs on your behalf
· Predict future rate changes
· Execute the mitigation tactics (separate engagement)
Not a fit if
· You have <20% Medicaid revenue
· You want operational fixes, not financial analysis → consider Audit + Playbook
Payer Mix Strategy + Roadmap
$2,500–$4,500 · 30–45 days
For Medicaid-heavy practices (>70%) wanting commercial diversification post-SMMC. Strategy + roadmap only. You or your credentialing specialist handles execution.
Who it's for
· Heavy Medicaid practices wanting commercial diversification
· Owners planning rate-negotiation conversations with existing payers
· Practices considering Single Case Agreement (SCA) strategy
A non-standard dashboard beyond the 4 included with Full Service. Patient retention, kanban pipeline, BCBA scorecards. Whatever you need to see.
Who it's for
· Full Service clients wanting a 5th+ dashboard beyond the standard 4
· Non-clients with their own data pipeline who want a Power BI specialist
What you get
· Scoping session
· Built dashboard with Row-Level Security
· Daily refresh scheduled
· Walkthrough + handoff documentation
Not a fit if
· You need standalone Power BI without billing relationship + data pipeline already exists → we can; pricing reflects extra setup overhead
· You want predictive ML → current product is descriptive analytics, not predictive
Hourly Out-of-Scope Work
Discussed during discovery
One-off tasks that don't fit any add-on or fall outside your Full Service scope. Tracked in small increments. No surprises.
Typical use cases
· Custom reports for board or partner meetings
· One-off appeals beyond standard scope
· Payer follow-ups beyond AR limits
· Ad-hoc dashboard tweaks
How it works
· Tracked in small increments
· Pre-work scoping email + written OK before we start
· Billed monthly on your standard cycle
Not a fit if
· Recurring needs → put it in your Full Service scope or use a dedicated add-on
· Large multi-week projects → scope as separate engagement
Pricing philosophy
Transparent. Aligned with your collections.
Our promise
You don't pay unless you get paid.
Full Service is 5% of net collections, flat. No tiering by size. Power BI included. Audit + Playbook is a flat one-time fee. We publish prices. Most boutique competitors don't.
5% flat. No tiering by size.
Same percentage whether you're a 4-BCBA practice or a 10-BCBA practice. Power BI dashboards included. No floor during your first year. ($500/month operational minimum starts Year 2.)
Free Initial Review. No contract first.
60-minute discovery call (plus a short written follow-up within 48 hours). We walk through your AR aging, denials, payer mix, and auth workflow patterns. Output: a short written diagnosis with the 3 most-likely patterns we'd address first. No obligation to continue.
FAQ
Honest answers to the questions that come up first.
Do you handle Medicaid?
Yes. Florida Medicaid (post-SMMC 3.0, effective Feb 1, 2025) is our primary focus. Sunshine, Aetna BH, Humana, Molina, Simply, UHC Community Plan. We also handle commercial (BCBS FL, Aetna, Cigna). We know the auth quirks and the modifier matrix per MCO.
What software do you support?
PMS-agnostic. We work in the common ABA PM/EMR platforms: CentralReach, Office Puzzle, ABA Matrix, Raven Health, Catalyst, Therapy Brands. We work in your system, not ours. If you're on something else, ask. The answer is usually yes.
Do you work outside Florida?
FL is our primary market. Texas is accepted with a discovery call. We want to confirm fit before committing. Other states: reach out, we'll be honest about whether we're the right partner at launch.
How fast can we start?
Audit can begin within a week of a signed BAA and read-only access to your billing system. Full Service typically onboards in 2–4 weeks, depending on payer credentialing status and data hand-off.
What's included in the Free Initial Review?
A 60-minute call walking through your AR aging, recent denials (30–90 days), payer mix, and authorization workflows. We walk through a Power BI methodology preview against industry benchmarks. Output (delivered within 48 hours): a short written diagnosis (PDF, 2–3 pages) with the 3 most-likely patterns we'd address first. No obligation to continue. The Free Initial Review is conversation + methodology. For claim-level analysis dollarized against your data, that's the paid Audit + Playbook.
How do you price?
Full Service is 5% of net collections (flat, no tiering by size). Power BI dashboards included. No floor during your first year. $500/month operational minimum starts Year 2. Audit + Playbook is a flat one-time fee based on agency size ($2,500–$10,000). Add-ons are project-based or hourly. Pricing transparently published above. No quote-after-discovery games.
Are you HIPAA-compliant?
Yes. We operate as a HIPAA Business Associate and execute a BAA with every client before any PHI changes hands. Encrypted infrastructure (BitLocker, TLS 1.2+, AES-256), MFA mandatory, signed WISP and Incident Response Plan. See our HIPAA page.
Not sure which product fits?
Book a Free Initial Review. We'll walk through your situation and tell you what fits. Not a sales script.