My Mountain Mover Medical Billing: Pricing, Reviews, and What the Model Actually Is

India-based medical billing is the most common offshore option — and the most variable in quality. The compliance checklist, the specific questions to ask, and how dedicated Indian billing staff compares to shared offshore services.

EMS billing companies charge 5-9% of collections and handle everything — or 7-8% and handle most things poorly. The dedicated biller model at $1,120/month delivers better performance at a fraction of the cost for agencies billing under $300K/month.

The practices that have the worst experiences with outsourced billing didn’t choose bad companies. They made five specific mistakes in how they selected, onboarded, and managed the relationship. Here’s what those mistakes look like and how to avoid each one.