Services and Pricing

Our services help your billing team get more done with the people and systems you already have.

  • We scope the work before we quote.
  • Your fee is fixed in writing.
  • Never a percentage of collections.

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How pricing works

Like a general contractor, we assess the work before we price it. The prices below are where quotes start, because every practice and lab is different.

After a short call about the work, you receive a fixed fee in writing. It changes only if the scope changes. Longer engagements can be a monthly retainer or hourly.

Every first engagement includes discovery, which is more than an audit. We review how the work gets done and deliver written recommendations your team can act on. Most clients start with the Revenue Cycle Productivity Audit; for a single project, discovery is built in.

Why no percentages: the federal Office of Inspector General (OIG) has long been concerned that percentage fees may raise upcoding risk (HBMA; HHS Office of Inspector General, compliance guidance for billing companies, 1998).

Who you’ll work with

CercaLabs is a boutique firm by design, so you work directly with experienced people. The consultant you speak with leads your engagement from the first call to the final recommendations.

Start free

  • Free 3-minute check

    Free

    Your numbers against published benchmarks, on screen, in three versions: denial cost, billing productivity, and in-house vs outsourcing

  • Free Productivity Report

    Free

    A personalized report built from your answers, with our white paper Get More From Your Billing Team

  • 30-minute review

    Free

    A consultant walks through your results and recommends a next step

Discovery

Where most clients start

Revenue Cycle Productivity Audit

From $1,500

A review of denials, accounts receivable (A/R), workflow and biller productivity from your standard reports; a review of your team’s AI tools, data use and policies, with recommendations; an in-house-or-outsource view; written recommendations, with the opportunities we find and what each project would take; and a 90-day plan. Not a coding audit.

Timing: 2–3 weeks after we have your reports and access

Projects

Platform Tune-Up

From $2,500 per system

We set up the automation already in your billing system and clearinghouse, so your billers work exceptions instead of every claim.

Timing: 2–4 weeks after scope and access are set; longer if your vendor is involved

AI Copilot Setup

From $1,500

AI tools covered by a business associate agreement, approved prompts for appeals and sorting denials, a staff policy, and training.

Timing: 2–4 weeks after tools, agreements and access are in place

A/R Rescue Sprint

From $2,000

A prioritized worklist of claims near their filing deadlines, sorted by dollars, with guidance. Your staff work the claims, most valuable first.

Timing: 1–2 weeks after we have your reports and the agreed backlog

Monthly programs

Productivity Scorecard

From $350 a month

A monthly web dashboard from a de-identified report you upload: denials, claims and collections per biller, and your top three actions. Updated automatically; a consultant reviews the figures and actions each month before you get them.

Payer Rule and Deadline Watch

From $149 a month

A monthly review of published payer policy changes and filing limits, and your own denial trends, for the payers, plans and states set in your quote.

How buying works

  1. Request a quote.A consultant will reach out soon.
  2. A short call about the work.About 30 minutes, at no cost.
  3. A fixed quote in writing,with the agreement and invoice. For larger projects, the agreement sets when the balance is due.
  4. Work starts once payment is in.Projects up to $2,500 are paid in full upfront; larger ones need 50% upfront. Pay by card or bank transfer (ACH).

Monthly programs bill each month by autopay; cancel anytime, and billing stops at the end of the current month. Work that touches patient information starts only after we both sign a business associate agreement. Monthly programs use de-identified summary data only.

Consulting

Automation Build

From $5,000 per workflow

fixed bid; care plan from $750 a month

Custom automation where your platform falls short, scoped in discovery. Optional care plan for maintenance and agreed minor adjustments; new workflows or larger changes are quoted separately.

Timeline set after discovery and confirmed in your quote

Embedded Revenue Cycle Partner

Monthly retainer or hourly rate, quoted after discovery

A senior revenue cycle expert works alongside your team on a longer engagement.

Ongoing; start date and schedule agreed after discovery