Revenue cycle management (RCM)
Insurance billing, off your plate. Our RCM team handles eligibility, coding review, claim submission, denials, appeals, and patient billing for you. Freeing up the hours your practice usually loses to admin. Your team stays focused on care. Your billing lives in one connected workspace.
Of net collections. More affordable than most outsourced billing alternatives.
Star rating across 900+ reviews on Capterra and G2.
Saved per week on average by removing manual scheduling from your workflow.
See what your practice actually takes home
Compare Carepatron's direct-contract managed billing against brokerage platforms like Headway, Alma, and Rula — for the same caseload.
Take-home advantage with Carepatron
EHR time-savings pay the difference
The cash gap is $1,839/mo — paid back in admin hours saved on billing, eligibility checks, and claim follow-up.
Practice setup
Inputs1Who & where
2Volume
Sessions and fees scale across providers.
Carepatron's RCM fee is 0% on private-pay. Brokerages route it through the same take-rate.
Auto-set to Carepatron's historical average for this state, credential & CPT. Drag to override.
3Today's cost baseline
$/mo per provider — what they pay today.
% of billed insurance actually collected.
4Carepatron pricing
Software plan
RCM subscription
+ 3.9% RCM fee on collected insurance revenue. 0% on private-pay.
Monthly net take-home, ranked
Across the whole practice · After fees
3.9% on insurance · 0% on cash · + plan fees
$125/mo membership · per provider
Group model · ~5% on private pay
No software fee · keeps the spread
Brokerage matrix rates are what they pay you (the spread is baked in). Tap any rate to adjust, or .
How we calculate this
Insurance revenue = sessions × your reimbursement rate × a 95% collection rate. Cash (private-pay) revenue is valued at the same rate and carries no RCM fee.
- Carepatron — direct payer contracts: you keep the full reimbursement, minus a 3.9% RCM fee on collected insurance (0% on private-pay), plus the flat software + RCM subscription per provider.
- Headway, Alma, Rula / Grow Therapy — brokerage / group platforms. Their published “matrix rate” is what they pay you, not what they bill, so the spread they keep is already baked in. Alma adds a flat monthly membership; Rula keeps a ~5% spread on private-pay.
Any EHR + billing spend you have today is subtracted from the non-Carepatron options as a cost the practice keeps paying. All competitor figures are estimates — tap any rate to adjust it to your situation. Your actual numbers depend on payer mix, contracts, and collections.
Protect
RCM without the admin
Most billing delays aren't payer problems. They're slow submissions and missed follow-ups. Carepatron submits RCM claims daily, reviews them for errors before they go out, and chases what comes back.
- Claims submitted daily, not batched at month-end
- Coding review before every submission
- Primary and secondary claims handled
Report
Stop leaving money on the table
Every unpursued denial is revenue your practice earned and didn't collect. Our team manages the full lifecycle — denials, appeals, and backlog recovery, so the money you've already worked for actually lands.
- Denial management and appeals included
- Preventable errors caught before submission
- Backlog recovery for old unpaid claims
Credentialing
Get credentialed faster
Carepatron handles credentialing end to end, from initial applications through renewals, so nothing slips through the cracks.
- Get hands-on support from credentialing and enrollment specialists who do this every day
- Submit payer applications in minutes, not weeks
- Track licenses, CAQH, and expirations from one place.
Control
Billing in your workspace
Billing runs inside the same workspace your team uses for scheduling, sessions, and notes. Eligibility, claims, and payments are connected to the record they belong to — no copy-paste, no duplicate systems.
- Eligibility checks linked to the appointment
- Full visibility into claim status at every stage
- Payments, invoices, and insurance in one place
