Outsourcing the billing is the most reasonable idea on this list, and it is the one most voc-rehab practices price out at least once. Here is what it costs on a real book, what it genuinely takes off your desk, and the specific part of your week it cannot touch — because that part is documentation, not billing.
Our first customer’s Ohio voc-rehab practice bills about $13,600 a month. That is a real book, not an illustration. Run the standard percentages against it and the range is not subtle.
| Rate | Per month | Per year |
|---|---|---|
| 3% — daisyBill’s own service, starting | $408 | $4,896 |
| 5% — low end of typical | $680 | $8,160 |
| 6% — the common quote | $816 | $9,792 |
| 8% — high end of typical | $1,088 | $13,056 |
| Flat-fee firms | $500–$2,500 | $6,000–$30,000 |
Workers’-comp revenue-cycle pricing runs 4–10% of collections, with 5–8% typical; the cloud practice-management firms that bundle RCM quote 4–8%. Some smaller firms take a flat monthly retainer instead.
A percentage has one property worth naming out loud: it is indexed to your success. A good month costs more. A short-pay you chase down and recover costs you six percent of the recovery. Nothing about the service’s workload changed — only your revenue did.
Med Claims Pro is flat. $199, $299 or $499 a month whatever you bill, and no percentage of anything you recover.
Service percentages are the published/typical 2026 ranges for workers’-comp billing and RCM firms; daisyBill’s billing service starts around 3%. Current as of July 2026 — verify with each service. The $13,600 book is our founding customer’s actual monthly billing.
Think about what you have to hand over before a biller can do anything at all. For each injured worker, for each week: the activities, the dates, the codes, the units in tenths of an hour, the level suffix, the claim number, the MCO, and the narrative that travels with the bill.
That is the work. Producing coded, timed, documented activity is ninety percent of a voc-rehab billing week. Dropping it onto a CMS-1500 and faxing it is the last ten minutes.
So the honest description of a billing service is: you do the documentation, they do the submission and the chasing. That is a real service and for some practices it is worth every dollar. It is just not the thing that ends your Sunday evening.
And they will not write the log. A billing company does not open your Word template and write this week’s narrative for an injured worker they have never spoken to. In Ohio that tracking log travels behind the CMS-1500; without it the packet is incomplete. No percentage covers it, because it is not billing.
Set the two side by side on the same book. The service handles submission and collections and leaves your documentation exactly where it was. The software removes the retyping, writes the log and the claim form, tracks the receivable, and flags the $16.14 the MCO kept — and leaves the payer phone calls with you.
That is the real trade, stated plainly: a service takes the phone calls, software takes the typing. Only you know which one is eating your evenings. For most solo voc-rehab practices we have talked to, it is the typing, by a distance.
And you can have both. Some practices keep the service for collections and run the software for documentation, coding and their own receivables view — so they can check the service’s work instead of taking its word for it.
Professional is $299/mo, or $249/mo billed annually. Difference on this book: $6,804 a year. Extra users $79/mo; Practice at $499 ($415 annual) includes three. Full pricing →
If any of these describe you, a service is the better purchase and we would rather you found that out here than on a demo call.
Multi-state, multi-carrier, high volume, constant enrollment and credentialing work — that is a full job, and a firm that does it every day will beat a solo practitioner with any software. Our state packs are configured one at a time.
Billing $3,000 a month? A 6% service is $180 and is cheaper than we are. The percentage model is genuinely kind to small books, and we are not going to argue you out of arithmetic that favours you. Come back when the book grows.
If what is killing you is fighting bill review rather than producing paperwork, a service — or daisyBill, whose users report recovering $100 million-plus through its appeals tooling — addresses that head-on. We flag the gap and assemble the evidence; we do not file the dispute for you.
Some practices genuinely do not want a new screen in their week, at any price. That is a legitimate answer, and a service is how you buy your way out of it. Nothing here works if it does not get typed into.
They do — theirs, on their schedule, built from what they submitted. What it cannot tell you is whether the $73.71 you billed for Renata Salcido’s week came back as $57.57, because the service is reconciling against what it sent, not against the tracking log and the activity grid behind it. Your own receivables view is not duplicated work; it is the only place the two halves meet.
With us there is nothing to be safe from: every claim, note and document lives in a database on your computer. Our server holds your licence and nothing else. A billing service, by definition, receives and stores your claimants’ data on its own systems — which is normal and lawful under a business associate agreement, and is still one more place your injured workers’ records exist. How local-first works →
No. Flat monthly subscription. No percentage of collections, no per-claim fee, no success fee on a short-pay you get back. If the software flags $16.14 and you recover it, you keep $16.14. That is the whole structural difference between a subscription and a service.
You are not switching a payer relationship or moving a book — you are changing where you type. Onboarding reads your existing workbooks and client folders without altering them, and configures your templates and your state’s codes in the first week. Keep the service running while you trial it if you want to.
Sixty-day money-back guarantee: if it has not given you back five hours a week by week eight, we refund it and export your data. Fourteen-day trial before that, no card. Cancel whenever — no contract, and the software goes read-only rather than dark.
Bring one real month of billing to the demo and we will run your own percentage against it on the call. Fifteen minutes. Or ask us on the phone: 1-877-843-1717.
The other alternatives: Excel and Word by hand · daisyBill · CMS-1500 form-fillers · All four side by side
Percentage-of-collections pricing runs 4–10%, with 5–8% typical; the cloud practice-management firms that bundle revenue-cycle management quote 4–8%, and daisyBill's own billing service starts around 3%. Some smaller firms charge a flat $500–$2,500 a month instead. On a $13,600 month, 6% is $816. Current as of July 2026 — verify with each service.
No. A billing company submits claims and chases payers; it does not open your Word template and write this week's narrative for an injured worker it has never spoken to. In Ohio that tracking log travels behind the CMS-1500, so the documentation half of your week stays with you at any percentage.
Yes, and for busy multi-state practices it is often the right answer. The software produces the coded activity, the documentation and the claim forms your service needs, and keeps your own receivables and short-pay view so you can check their work rather than take their word for it.
Yes — on a small book. Billing $3,000 a month at 6% is $180, which is less than Solo at $199. The crossover on a 6% rate sits a little over $3,300 a month of billings, and above that the flat subscription pulls away fast because it does not rise when you have a good month.
No. Flat subscription, no success fee, no per-claim fee. What you recover is yours. How short-pay detection works →
Ask them three questions. Who writes the weekly narrative tracking log? Who assigns the W-code, the level suffix and the units in tenths of an hour? And when one MCO check covers fourteen claimants, who checks each line against what that specific form billed? The answers are usually you, you, and nobody.
Fifteen minutes, your state’s codes on screen — or start the trial and poke around on your own.