Buying billing software? Don’t overlook these 7 cost factors

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From integration fees to ongoing maintenance, here’s how practices can budget more realistically — and avoid surprises.

Make sure you know what to budget for medical billing software

Medical billing software is a cornerstone of practice operations, ensuring claims go out correctly and payments come in on time. But when it comes to costs, what vendors advertise isn’t always what practices actually pay.

Pricing structures vary widely. Some platforms require a large upfront license fee, while others rely on monthly subscriptions. Even “free” open-source systems can be expensive once you factor in customization and support. On top of that, many practices underestimate expenses like data migration, integration with existing systems and staff training.

Understanding the true cost of ownership is especially critical for independent practices and small groups, where margins are thin and every dollar matters. Looking beyond the sticker price helps practice leaders avoid unwelcome surprises — and make smarter, more sustainable choices.

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