BH Billing Outsource USA — 2026 Cost + Providers

When to Outsource vs In-House

Outsource when: over $1M annual revenue + owner is a clinician + payer complexity + need specialty expertise (MHPAEA, ABA supervision, SUD ASAM levels).

In-house when: under $500K + owner willing to learn billing + simple payer mix + high volume single-payer.

Cost Benchmarks

• Small ($500K-$1M rev): 6-8% of collections
• Mid ($1M-$10M rev): 5-7% of collections
• Large ($10M+ rev): 4-6% of collections
• Enterprise ($50M+ rev): Custom (typically $250K-$1M+ annual)

Top BH Billing Outsource Providers USA

1. Revenant Care — Specialty BH/ABA/SUD, 4-8%, $1.04M/90-day case study
2. Sirius Solutions Global — Multi-specialty
3. Elite Med Financials — General medical + BH
4. Medusa RCM — MH specialty
5. MediBillMD — US multi-specialty
6. CareRCM — Multi-state
7. AnnexMed — Multi-specialty

Revenant Care · Pricing

– KD, Revenant Care