Revenue Cycle Management (RCM) Services

Q: What is revenue cycle management (RCM)?

Revenue cycle management takes care of the financial health of a medical practice. This is an end-to-end process that involves billing, coding, collecting payments, and making sure everything is properly reconciled between patients and insurance companies.

Q: Why do I need RCM services?

Outsourcing revenue cycle management services can be a good decision for your medical practice. Integrity RCM specializes in handling your payments from the insurance company and all the processes involved in it. RCM services can improve your cash inflow while cutting on the associated administrative costs. It can leave you with ample time on focus on serving your patients well.

Q: How do you charge for your RCM services?

Prior to each appointment, ensure the verification of the patient’s insurance and associated details, especially if changes in the coverage have occurred or if the last visit was done over a long-term period. Periodic verification is necessary to determine whether the patient’s insurance remains current and accordingly qualified to service the required healthcare procedures.

Q: How do you ensure the security and privacy of my data?

We take your data security and privacy very seriously. We comply with all necessary regulations, including HIPAA and GDPR, and use strong measures like encryption, firewalls, and backups to ensure your data stays safe from unauthorized access or loss.

Q: Do you provide a dedicated account manager for our account?

Every client gets the highest level of attention from us. We appoint a dedicated point of contact for you. He will be responsible for managing all activities related to your account. Customer satisfaction is our utmost priority, and we are committed to providing your office with the attention and devotion it deserves.

Plug Revenue Leaks with Full-Spectrum Revenue Cycle Management Services

Healthcare facilities need a healthy revenue cycle management (RCM) structure to ensure claims are processed correctly and reimbursed promptly, maintaining stability and increasing cash flow. Integrity RCM uses advanced analytics to strengthen your healthcare revenue cycle and drive financial success.

Certified Billing Experts

We are a team of experienced medical billing professionals committed to providing accurate and efficient medical billing services while strictly adhering to HIPAA laws and fulfilling other states’ compliances.

Why Choose Integrity RCM
for Your Medical Billing Audit Services?

Expertise in Medical Billing Compliance

Integrity RCM specializes in medical billing audits, ensuring compliance with all regulatory standards such as HIPAA and CMS guidelines. Our team of certified professionals thoroughly examines your billing processes to minimize errors and prevent costly penalties.

Customized Audit Solutions

We understand that every healthcare provider has unique billing needs. Integrity RCM offers tailored audit services designed to identify specific pain points in your billing cycle, optimizing your revenue while reducing claim denials.

Comprehensive Insights and Reporting

Our audits provide detailed reports with actionable insights, highlighting trends, inefficiencies, and areas for improvement. This empowers your practice to implement targeted strategies for financial growth and operational efficiency.

Commitment to Confidentiality and Accuracy

At Integrity RCM, we prioritize the accuracy of your audits while maintaining the highest level of confidentiality. Our secure processes and advanced technology ensure your sensitive data remains protected throughout the audit process.

Maximize Your Revenue Cycle with Integrity RCM's Expert Coding

Integrity RCM is a leading medical billing company offering complete revenue
cycle management (RCM) solutions. Our approach combines advanced technology with human expertise to transform your healthcare billing processes. This unique man-machine symbiosis allows Integrity RCM to deliver superior RCM healthcare services, promising increased revenue for your healthcare facility.

Key features of our service:

1. Experienced coders: CPC-certified professionals accurately review medical charts.
2. High-value code identification: We uncover revenue opportunities often missed by standard processes.
3. Man-machine collaboration: Our unique approach surpasses purely algorithmic methods.
4. Tailored solutions: We customize our RCM services to fit your organization's specific needs.

Precision Coding, Maximum Revenue

Integrity RCM provides unique benefits to practices that are focused on improving your whole revenue cycle

Revenue Cycle Management

Optimize reimbursement rates and collection efficiency, resulting in an average 20% increase in collections. Top-tier practices achieve 35%+ improvement.

Performance Analytics

Utilize comprehensive financial reporting and forecasting, offering real-time access to customized performance dashboards and predictive analytics.

Claims Processing Accuracy

Implement advanced claim scrubbing and submission protocols, achieving a 98.5% first-pass claims acceptance rate (industry average: 75-80%).

Regulatory Compliance

Ensure adherence to all applicable healthcare regulations, maintaining 100% HIPAA compliance with zero security breaches over 10+ years of operation.

Expert Financial Consultation

Provide access seasoned healthcare finance professionals, including a dedicated account strategist with years of industry experience.

Dedicated Account Managers

Enjoy personalized support and attention from experienced account managers who understand your unique needs.

Accelerated Reimbursement

Streamline billing cycles and follow-up procedures, reducing average Days in A/R from 40 to below 25.

Bad Debt Reduction

Significantly reduce bad debt through efficient collection strategies and proactive measures.

Risk-Free Pricing

Benefit from transparent pricing with no hidden charges or unexpected fees.

Customized Solutions

Choose the services that best align with your practice's goals and requirements.

End-to-End Revenue Cycle Management Services

Our Revenue Cycle Management Services are designed to provide a comprehensive solution to the complex challenges faced by healthcare organizations. We offer services to optimize every stage of the revenue cycle, ensuring efficiency, accuracy, and compliance.

Appointment Scheduling: Efficiently manage patient appointments.
Patient Eligibility: Verify insurance coverage and patient demographics.
Medical Coding: Accurately assign medical codes to services rendered.
Claims Creation: Generate clean and accurate insurance claims.
Claims Scrubbing: Check claims for errors before submission.
Claims Submission: Send claims to insurance payers.
Payment Posting: Record and reconcile payments from insurance payers.
Denial Management: Address and resolve claim denials.
AR Calling: Follow up on unpaid claims to ensure timely payment.
Reporting: Provide valuable insights into financial performance through reconciliation of claims.

Partner with RCM Experts Who Know Your Practice

We work closely with our clients. Feel free to interact with expert billers and a dedicated account management team. Each healthcare center partners with seasoned professionals who understand your unique challenges and goals. Your dedicated team delivers hands-on support, proactive problem-solving, and industry-leading expertise to optimize your revenue cycle.

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

Outsourcing Revenue Management Cycle Processes

We expertly manage RCM outsourcing across the healthcare spectrum – from independent physicians to major health systems. Our tailored solutions ensure optimal revenue performance regardless of your practice size.

Private Practices

We deliver proven solutions tailored to individual specialties, maximizing revenue potential for solo practitioners. we optimize your revenue cycle while you focus on improving your patient care. Don't let inefficient billing processes drain your practice's potential. We know how to streamline processes for a growing practice.

Small Practices

Billing costs take a major part of your revenue. This is especially true if you are a small practice. Outsourcing your medical billing to Integrity RCM is not only cost-effective but also convenient and efficient. If your operational costs consume your revenue gains, it's time to reevaluate your billing strategy.

Large Practice

We also provide comprehensive billing management for large healthcare organizations. Our services can reduce your payroll and operational costs by 10-15%. With years of complex billing and denial management expertise, we've helped large practices achieve a 98% clean claim rate and significantly reduce revenue leakage. We are serving healthcare providers nationwide.

EMRs & EHRs We Work With

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.

Nationwide RCM Healthcare Services

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.

Take Control of Your Revenue Cycle

Don’t let coding errors and billing inefficiencies hold your practice back. Get data-driven medical coding solutions from Integrity-RCM.

FAQs

What is revenue cycle management (RCM)?