Practices need claims submitted, denials worked and revenue collected. It is unglamorous, recurring and priced as a percentage of collections or per claim.
Go-Live, $4,500. Every price is on this page. Two builds a month, waitlist beyond.
Medical billing and coding, by the numbers
Typical startup cost
$2,000 to $10,000
Typical pricing
4 to 9 percent of collections, or $4 to $8 a claim
Realistic time to first client
Two to four months
Typical market ranges, not a promise of earnings. Your state, your market and your pricing decide the real numbers.
Before you can open
HIPAA and a business associate agreement.
You are handling protected health information for someone else. That defines the entire compliance picture.
Business entity
You do this
An LLC and an EIN.
Coding certification
You do this
CPC or equivalent. Practices hire on it.
HIPAA compliance and BAA
We do this
Business associate agreements, risk analysis and documented safeguards.
Clearinghouse and billing software
Yours to choose, ours to configure
Selection depends on your client mix; we wire it in.
Client contracts and pricing model
We do this
Percentage or per claim, scope, exclusions and termination.
Errors and omissions cover
You do this
Standard for anyone handling revenue on behalf of a practice.
Can you own a medical billing and coding business in your state?
Not clinical practice, so no professional entity and no medical director. The requirements here are about data: HIPAA compliance, business associate agreements and secure systems.
Before you commit to a build: one session that walks your whole intended operation and tells you plainly whether a medical billing and coding business is the right thing to open.
Licensure and model: whether you can own it, and as what
Offer and pricing, walked properly rather than guessed
The client journey, end to end
The tech stack you actually need, and what to skip
Your launch sequence, in order
One page summary and the recording within 48 hours
Fifty percent to book, fifty before launch, or six monthly payments at the same total. Interest free, never a discount. Every Go-Live includes ninety days of Rounds, then $179 a month if you keep it. All services and add-ons.
Questions nurses ask about a medical billing and coding business.
There are plenty of billers and very few good ones. Practices switch constantly because denials are being left unworked.
No, and being one is an advantage: you understand the documentation behind the codes, which is where denials are actually won.
Percentage aligns incentives and scales with the practice. Per claim is simpler and safer with unpredictable payers. Worth a Report.
Real, and it is the part we build rather than describe. A missing BAA is the fastest way to lose a client and worse.
Ready to take your first practice?
Fifteen minutes with a fellow nurse who has built nurse-led businesses, not a coach. The prices are already on this page, so the call is not a pitch.
