Your full revenue cycle,
running like it should.
Complete medical billing outsourcing and revenue cycle management for physician practices nationwide. From patient eligibility check to final payment posting — ImmediCare manages every step so your practice collects more, faster, with fewer denials and zero cash flow gaps.
RCM is every step between a patient visit and a collected payment.
Revenue cycle management (RCM) is the complete financial process that runs from the moment a patient books an appointment to the moment their final balance is collected. It covers twelve distinct steps — and a failure at any one of them translates directly into lost or delayed revenue.
Done well, RCM is invisible. Revenue arrives on schedule, cash flow is predictable, and denial rates stay below 5%. Done poorly — or managed by an under-resourced in-house team — RCM is a constant source of cash flow gaps, rising A/R, and administrative stress that bleeds into patient care.
Pre-visit
Patient scheduling, insurance eligibility verification, prior authorization for procedures and medications, benefit verification.
At the visit
Charge capture, medical coding (ICD-10-CM, CPT, HCPCS), charge entry, superbill review, modifier application.
Claim submission
Claim scrubbing against payer-specific rules, electronic submission, clearinghouse processing, real-time status monitoring.
Post-submission
Denial management and appeals, payment posting (ERA and manual EOB), contractual adjustment reconciliation.
Patient billing
Patient statement generation, balance notification, payment plan management, patient collections.
Reporting
Monthly analytics on denial rate, clean claim rate, net collection ratio, A/R aging, payer performance, and revenue trends.
Everything included. Nothing left for you to manage.
Eligibility & benefits verification
Insurance coverage confirmed before every appointment. Co-pays, deductibles, and authorisation requirements identified before the patient arrives — preventing the most common source of denials.
Prior authorisation management
Pre-approval obtained from payers before procedures, imaging, and specialty medications are delivered. Auth status tracked and documented end-to-end so claims are never denied for missing or expired authorisations.
Medical coding (ICD-10 & CPT)
AAPC-certified coders apply accurate ICD-10-CM diagnoses and CPT/HCPCS procedure codes on every claim. Modifier selection reviewed for payer-specific bundling rules and modifier 25, 59, and global period requirements.
Claim scrubbing & submission
Every claim scrubbed against payer-specific edits before submission. EDI transmission daily to Medicare, Medicaid, and all commercial payers. Real-time status updates from clearinghouse.
Denial management & appeals
Every denial reviewed within 24 hours. Categorised by root cause — coding, eligibility, timely filing, medical necessity, prior auth. Appealed with correct documentation and resubmitted. Nothing written off without a review.
A/R recovery & follow-up
Proactive follow-up on all outstanding claims. Aged A/R from previous billers audited and systematically recovered. Timely-filing windows tracked and protected.
Payment posting
ERAs and manual EOBs posted daily. Contractual adjustments verified against payer contracts. Underpayments identified and challenged. Patient balances updated accurately.
Patient billing & collections
Patient statements generated and sent. Balance inquiries fielded by our team. Payment plan options offered. Collections escalation managed professionally.
Analytics & reporting
Monthly performance report covering net collection ratio, denial rate by payer and reason code, clean claim rate, A/R aging buckets (30/60/90/120+ days), and year-over-year revenue trends.
Why 13.7% in-house versus 4–6% outsourced is not a small difference.
For a practice collecting $1,000,000 a year, the difference between 13.7% and 5% is $87,000. Every year. That is not a rounding error — it is a salary, a piece of equipment, or direct profit.
And the MGMA figure understates the true cost of in-house billing, because it does not capture the revenue impact of the errors that in-house teams miss. A prior authorization that was not obtained. A denial that aged past timely filing without an appeal. A modifier applied incorrectly on 200 claims across an entire quarter. These losses never appear on a billing cost report — they just show up as lower collections.
Outsourcing medical billing to a specialist company eliminates all of these. Our billers handle nothing but revenue cycle management — it is their only job, every day. The institutional knowledge does not walk out the door when a staff member resigns. Payer rule changes are tracked automatically. Denial patterns are identified and fixed at the root cause, not managed claim by claim.
Hidden costs of in-house billing
ImmediCare RCM
No salaries. No benefits. No software licences. No training costs. No sick-day coverage gaps. Pay only on what we collect for you.
Get a custom quoteSwitching billers? We recover what your previous biller left behind.
The average practice has 5–12% of annual revenue sitting in aged A/R — claims that were submitted but never followed up, denied without appeal, or simply missed. When practices switch to ImmediCare, recovering that backlog is the first thing we do.
A/R audit
We download your full aging report and categorise every balance — collectible, uncollectable, in dispute, pending appeal, within timely filing, or outside it.
Priority ranking
Balances are sorted by recovery probability and dollar value. High-value, recently-denied claims are worked first. Timely-filing deadlines are flagged and acted on immediately.
Systematic follow-up
Each open balance is worked through the correct channel — payer portal, phone call, appeal submission, or patient statement — with documented activity at every step.
Parallel new billing
While we are recovering aged A/R, new claims are being submitted clean and on time. You do not choose between recovering the past and protecting the future.
Revenue cycle management FAQs
Ready to see what your practice is losing?
Free billing audit — no commitment, no cost. We'll show you your denial rate, A/R age, clean claim rate, and recovery opportunity.
