The ledger
Notes from the claim queue
Practical answers for billers and practice managers, with real numbers and no filler. The pieces we wish had existed when we were the ones fighting the software.
Latest articles
Medical Billing Software Pricing in 2026: Real Numbers, No Contact Sales Button
What fifteen vendors actually charge, from RXNT to Tebra, and the line items the quotes leave out. With the prices six of them will not print.
Read the survey →What Percentage Do Medical Billing Companies Charge? 2026 Benchmarks
The 4 to 10 percent market, the 6 to 7 percent mode, and, if you run the billing company, how to set a rate that survives a slow month.
Read the benchmarks →How to Start a Medical Billing Company From Home in 2026
The real startup budget, HIPAA compliance at the kitchen table, the pricing-model decision, and the honest path to your first three clients.
Read the guide →Rejected vs Denied Claims: The Difference, and How to Fix Each
Where each one happens, why the fix is different, the ten rejections billers see most, and the denial codes worth memorizing.
Read the breakdown →Reference tools
Keep these two open in a tab
Timely Filing Limits by Payer
The payer-by-payer deadline table, with clock-start rules and what to do when you miss one. Verified July 2026.
Open the cheat sheet →The Break-Even Calculator
Outsourcing at a percentage of collections against in-house software, plus what your denial rate costs. Answers on the page.
Run the numbers →The best guide is a free trial
Read all you like, then run your own claims through it for thirty days. No credit card, no sales call.
30-day free trial · No credit card · No sales call