- Schedule a free 30-minute appointment with a billing advisor today!
- Schedule a free 30-minute appointment with a billing advisor today!
Integrity-RCM believes that handling denials well is crucial for a practice’s profits. We challenge insurance claims for you and make sure you get the payments you’re owed. Getting follow-ups right will save you time and effort. So, we don’t just submit claims; we also take steps to prevent denials before they happen. Our team keeps an eye on every unpaid insurance claim that’s over 30 days old, so you don’t need to worry about missing out on money.
Our highly qualified denial management specialists work hard to effectively clear claims denials and ensure your smooth revenue cycle. Our denial management service ensures accuracy and compliance with HIPAA rules and state laws for maximizing healthcare providers’ reimbursement.
Choosing Integrity RCM means partnering with a team committed to improving your revenue cycle, while you focus on what truly matters most- providing exceptional patient care. Let us help you convert claim denials into a growing and successful opportunity.
Are insurance rejections blocking your path to maximize your healthcare practice’s earnings? Is your team wasting too much time handling denials and trying to uncover their source? Do you feel trapped in an endless loop of high expenses and low payments? Are you looking for a good medical denial management system for your practices?
Insurance rejections can frustrate and eat up time causing costly hold-ups that
hurt your practice’s bottom line. A lot of healthcare practices don’t have good claim denial management systems. This has grown into a big worry for the healthcare field and providers because wrong denials can slow down payments and reduce
the cash flow.
Integrity RCM offers proactive denial management services that can save your time and resources. Our approach involves fixing wrong or invalid medical codes supplying clinical records to back up claims challenging denials of prior authorizations, grasping legitimate denial cases to shift responsibility to patients, and following up.
We examine the reasons for denials, draft appeal letters, and resubmit claims. We attach clinical records and send the claims via fax appeals in a format specific to each payer.
We provide an extensive denial management process to support the improvement of medical practices’ ability to collect revenues and facilitate smooth revenue cycle functions. We take a clear-cut, efficient approach with measurable outcomes.
We find the underlying source of denial through pinpointing error sources within the medical billing process. Through such corrective action, we eliminate repetitive denials and build a good ground for successful appeal.
We address claim denials with a sense of urgency and accuracy. Our team works hard to resolve denials, ensuring that your revenue is not disrupted and your practice remains financially secure.
We track denial trends and assess the effectiveness of our interventions. Real-time tracking and analysis enable us to take swift action if further steps are required to protect your revenue.
We have proactive measures to prevent future denials. We help you identify patterns and improve processes that will safeguard your practice from revenue loss and achieve consistent cash flows.
Integrity RCM provides comprehensive medical billing and coding services to practices of more than 30 specialties. Our expert team ensures accurate ICD-10 CM implementation while customizing your EHR workflows for maximum efficiency and reimbursement. We work to maximize your revenue while minimizing your administrative burdens.
We work closely with your team to tackle claim denials effectively. Our expert billers and dedicated account managers understand your practice’s unique challenges and goals. They provide hands-on support, proactive solutions, and industry-leading expertise to reduce denials and optimize your revenue cycle.
RCM Services Comparison: Integrity RCM vs. Industry Standards
| Performance Metrics | Integrity RCM | Industry Average | Benefits of Integrity RCM |
|---|---|---|---|
| Clean Claims Rate | 98-99% | 75-85% | Higher first-pass acceptance, faster reimbursement |
| Days in A/R | 14-30 days | 45-55 days | Improved cash flow and revenue cycle |
| Collection Rate | 96-98% | 85-90% | Maximum revenue capture |
| Denial Rate | <3% | 5-10% | Fewer rejected claims, reduced administrative burden |
| Coding Accuracy | 99% | 90-95% | Minimized compliance risks, optimal reimbursement |
| Patient Satisfaction | 95% | 80% | Better patient experience, fewer billing complaints |
| Customer Support | 24/7 dedicated support team | Limited business hours | Faster issue resolution |
We simplify denial management for practices of all sizes, from independent
physicians to major health systems. Our tailored solutions ensure fewer denials, faster reimbursements, and a healthier bottom line.
We are a medical billing company that knows the features and workaround of your EHR system. At Integrity RCM, we work with your existing EHR to remove the hassle of shifting to a new one.
As a leading medical company in the USA, we deliver exceptional medical billing services across all 50 states. Integrity RCM combines cutting-edge technology with
expert knowledge to make your collection process smooth and efficient. Our certified specialists ensure compliance, optimize reimbursements and maintain the highest clean claims rates in the industry.
Don’t let coding errors and billing inefficiencies hold your practice back. Get data-driven medical coding
solutions from Integrity-RCM.
Denial management services in healthcare encompass the systematic process of handling, appealing, and resolving medical billing denials and insurance claim denials that occur throughout the revenue cycle management (RCM) process.
Medical billing and coding denials can occur for various reasons within the RCM denial management process. Common causes include:
In medical billing denial management, whether for private practice or family practice, the top 5 claim denials and their prevention strategies include:
While RCM denial management specifically focuses on managing healthcare claim denials within the revenue cycle, accounts receivable encompasses a broader scope. It includes both denied claims and outstanding payments from patients and insurance networks that haven’t been processed through the medical billing denial management system.
The resolution timeline through a denial management healthcare process varies based on:
Simple medical billing denials may resolve within days, while complex healthcare denials and appeals might require several weeks of focused denial management process implementation. Healthcare denial management best practices emphasize swift resolution to maintain optimal revenue cycle management.
