Transparent Pricing
Accessible Expertise. No Surprises.
Every MedMuse service is clearly scoped and priced upfront. No percentage-of-collections. No vague retainers. No hidden fees.
Monthly Engagements
Billing Companion
Annual contracts. 30-day written notice to cancel. Tier 1 includes execution; Tier 2 includes analysis and guidance. Both include a monthly written report, slide deck, and 1-hour video call.
Tier 1
Billing Companion — Tier 1
$550/month
Up to 50 combined items · Annual contract · 30-day cancel notice
What’s included
Weekly rejection & denial resolution in your PM/EHR
All first-round appeals drafted and filed
Monthly written report + slide deck
Monthly 1-hour video call + post-call PDF
Async support on worked items (1-business-day response)
Overage above 50 items: $15/rejection · $30/appeal, billed at the end of the month. You’ll be notified before overage applies — no surprises.
Tier 2
Billing Companion — Tier 2
$450/month
Analysis & reporting · Annual contract · 30-day cancel notice
What’s included
Monthly denial/rejection logging via read-only PM access
Denial trend analysis and payer-specific strategy guidance
A/R status review with prioritized next steps
Monthly written report + slide deck
Monthly 1-hour video call + post-call PDF
Data required: Client supplies denial log, rejection log, and aging A/R report one week before the monthly call. MedMuse has read-only PM/EHR access for logging.
Not sure which tier fits? The difference is execution: Tier 1 works your claims; Tier 2 tells you how to work them yourself.
Ready to get started? We’ll figure out the right fit together.
One-Time Engagements
One-Time Audits
Fixed price. Fixed scope. No ongoing obligation. Every module includes a written findings report and a live 1:1 debrief call. Turnaround confirmed at booking.
Claim Review Audit
$800
High rejection rates · corrected claim volume · inconsistent clean claim rates
A focused review of how claims are being built, submitted, and corrected over the last 90 days. We identify the patterns behind your rejections so you can fix the source, not just the individual claim.
We review:
Claim creation and submission workflows · Rejection patterns by payer, code, and provider · Modifier application (including 25, 59, GT) · Documentation-to-coding alignment · Resubmission and correction workflows
You receive:
Written report with coded findings and correction priorities · Pattern analysis showing your top rejection drivers · Specific workflow adjustments to improve your clean claim rate · Live debrief call to walk through every recommendation
Payment & Denial Analysis
$850 · $650 denial-only
Slow payments · unexpected write-offs · payer-specific denial patterns
We dig into your remittance history and denial data to surface what’s actually happening between submission and payment — payer behavior, underpayment patterns, denial reason code trends, and missed revenue.
The $650 denial-only rate applies when a fee schedule cannot be located. The underpayment analysis workstream is removed from scope and the rate reduces accordingly.
We review:
ERA/EOB remittance data over the last 90 days · Denial reason code patterns by payer and service type · Underpayment indicators and contractual adjustment trends · Timely filing and appeal opportunity windows
You receive:
Report identifying your top denial drivers and revenue recovery opportunities · Payer-specific findings with appeal and resubmission strategies · Workflow recommendations to prevent recurring denials · Live debrief call to prioritize next steps
A/R Assessment & Workflow Plan
$900
Aging A/R you can’t work down · recurring follow-up gaps · staff needing clear direction
We assess your accounts receivable and build a prioritized workflow plan with staff-ready follow-up guidance. Not just a diagnosis — an actual roadmap so your team knows what to work and in what order.
We review:
Aging A/R segmented by payer, age bucket, and balance · Stalled claims and missing payer response patterns · Current follow-up and escalation workflows · Write-off practices and adjustment patterns
You receive:
Written A/R assessment with prioritized recovery recommendations · Workflow plan with follow-up sequencing and escalation guidance · Training notes your team can use immediately · Live debrief call to walk through the plan and answer implementation questions
Save $550 — Bundle
Comprehensive Audit — All Three Modules
One intake process. One data collection. One combined report synthesizing all three analyses with cross-module insights. One debrief call covering the full picture — and a single, unified action plan to move forward.
⏱ Turnaround: 3 weeks (15 business days) from data receipt — longer than individual modules.
$2,000
vs. $2,550 separately
Not sure which audit is right for your practice? We’ll help you figure it out.
Project-Based & Hourly
Support Projects & Hourly
Every Support Project begins with a discovery call and a written quote. No work begins without your approval of scope and price. All hourly work billed at $50/hr with a 30-minute minimum.
A/R Clean-Up Projects
Custom Quote · $50/hr basis
For practices with aging, unworked, or disorganized accounts receivable. Scope defined by your aging report at the discovery call. Includes payment posting, claim resubmission, denial follow-up, and appeal filing as needed.
Also includes: mass claim corrections · charge entry backlogs · duplicate billing resolution · post-EHR migration clean-up · ERA and payment posting backlogs
Additional Denial Work & Appeals
$50/hr · 30-min minimum
For Tier 1 overflow above the 50-item cap, Tier 2 clients needing execution on a specific denial, or any client with an appeal requiring hands-on work.
Appeal type averages:
First-round overage (Tier 1) — ~30 min · ~$25
Rounds 2 & 3 — ~45 min · ~$37.50
Prior authorization appeal — 45 min–1 hr · $37.50–$50
Medical necessity appeal — 45 min–1 hr · $37.50–$50
External appeal — ~2 hrs · ~$100
Averages are planning benchmarks. Actual time is billed. External appeals are not available for all claim or plan types — eligibility confirmed before work begins.
Hourly Consulting
$50/hr · 30-min minimum
Teaching and guidance. The right option when you need to understand something — how a payer works, what a denial means, how to implement a recommendation from a MedMuse report — rather than having MedMuse execute the work.
Good examples:
Walking through a denial you don’t understand
Getting clarity on a payer policy or LCD/NCD requirement
Implementing workflow changes from a MedMuse report
Answering billing questions between Tier 2 monthly calls
General billing education for a provider learning their RCM
At a Glance
Complete Pricing Reference
Every MedMuse service and its current rate — all in one place.
Billing Companion — Monthly
Billing Companion — Tier 1
Billing Companion — Tier 2
Billing Companion — Custom
$550/month
$450/month
Custom quote
50-item cap · Annual contract · 30-day cancel notice
Annual contract · 30-day cancel notice
Scoped at discovery
One-Time Audits
Claim Review Audit
Payment & Denial Analysis
Payment & Denial — Denial Only
A/R Assessment & Workflow Plan
Comprehensive Audit (all three)
Custom Audit Work
$800
$850
$650
$900
$2,000
$50/hr
Turnaround confirmed at booking
Requires fee schedule
When fee schedule cannot be located
Top 5 payers · Turnaround confirmed at booking
Saves $550 vs. separate · 3-week turnaround
Scope agreed in advance
Support Projects & Hourly
A/R Clean-Up Projects
Other Clean-Up Projects
Additional Denial Work & Appeals
Prior Authorization Appeals
Medical Necessity Appeals
External Appeals
Hourly Consulting
Custom quote
Custom quote
$50/hr
$50/hr
$50/hr
$50/hr
$50/hr
$50/hr basis · Discovery call required
$50/hr basis · Written scope required
30-min minimum · ~30 min avg
30-min minimum · 45 min–1 hr avg
30-min minimum · 45 min–1 hr avg
30-min minimum · ~2 hr avg
30-min minimum
Not sure where to start?
Tell us what you’re seeing — rejections, denials, slow payments, confusing A/R — and we’ll point you to the right next step. No hard sell, no commitment required.
Know your billing. Own your practice.