In-depth RCM review
A comprehensive two-day analysis of your claims history, payer mix, denial reasons, A/R aging and coding patterns, so we pinpoint exactly where revenue is being lost before we touch anything.
Nothing moves through your claims without us watching it.
Real-time visibility into every claim's status, submitted, accepted, denied or paid, so problems get caught before they cost you money.
15+ years in revenue cycle 100+ providers served live in 4 days
Claim activity
Live
CLM-4471
Internal medicine, office visit
Paid
CLM-4472
Cardiology, echo, facility
Accepted
CLM-4473
Pediatrics, vaccine admin
Paid
CLM-4474
Pain management, injection
In review
Illustrative view of claim statuses we track. Not live patient data.
The industry loses claims to denials. We built Verified RCM to close that gap.
These are not our numbers. They are what independent industry research says is happening across US medical billing right now. The gap between them and what a well-run revenue cycle should look like is exactly the work we do.
41%
of providers now report a claim denial rate of 10% or higher, up from 30% in 2022.
Experian Health, State of Claims 202515%
of medical claims are denied or delayed, but nearly two-thirds of those are recoverable with the right workflow.
MGMA, 2024$57
is the average cost just to rework a single denied claim, before it is even resubmitted.
AHIMA, 2023What that looks like once we take over.
Verified RCM's own published performance figuresEverything a full-service partner covers, spelled out.
No vague bullet points. Below is exactly what each service includes, why it matters and the numbers behind it, so you know what you are buying before the first call. Take one line or all three: most practices start with whichever segment is backing up, then add the rest once they can see the difference in their own reports.
% of collections
How we are paid. We earn when you do
Your systems
No migration, no new EHR to learn
Month to month
No long-term contract or lock-in
Named manager
One lead who knows your payers
4 daysTo go live
96%Client retention
15+Years operating
Practice Management
Running a successful healthcare practice requires more than delivering excellent patient care. It requires efficient operations, streamlined workflows and strong financial performance.
What this covers
Practice registration & licensing
Hiring, staffing & marketing
Accounting & bookkeeping
Reporting & analytics
99%Clean claim ratio
97.35%First-pass rate
+30%Revenue increase
Revenue Cycle Management
Revenue is the foundation of a successful healthcare practice. Our end-to-end Revenue Cycle Management streamlines billing operations, improves claim accuracy and accelerates reimbursements.
What this covers
Virtual assistance
Prior authorization & eligibility
Medical coding (CPT, ICD-10, HCPCS)
Medical billing & claim submission
Denial management & appeals
Patient balance & collections
500K+Applications
100%CAQH attestation
15+Years in credentialing
Credentialing & Enrollment
Delays, incomplete applications or inaccurate provider information can prevent physicians from seeing patients and create unnecessary revenue disruptions. We manage the entire credentialing process end to end.
What this covers
Payer enrollment
Provider data & maintenance
Group & compliance support
Billing built around how your specialty actually works.
A pediatric vaccine schedule and a cardiology cath lab do not bill the same way. Pick your specialty to see the coding and payer issues we already know how to solve.
Primary & urgent care4
Medical specialties7
- CardiologyModifier discipline across facility & office
- Pulmonary diseasesBridges critical care & office follow-up
- NephrologyMonthly capitation & dialysis MCP tiers
- NeurologyEEG/EMG technical & professional splits
- RheumatologyInfusion J-codes & buy-and-bill margins
- OphthalmologyEye codes vs E/M and global periods
- Pain managementInjection bundling & medical-necessity proof
Therapy, behavioral & allied6
- Mental & behavioral healthTime-based therapy codes & parity rules
- Physical therapy8-minute rule & therapy threshold tracking
- Occupational therapyModifier GO and plan-of-care compliance
- ChiropracticAT modifier & active-treatment documentation
- Dental careCDT coding and medical cross-over claims
- Food & nutritionMNT coverage limits and preventive benefits
Getting paid is half of it. Getting found is the other half.
Revenue cycle work collects on the patients you already see. These services bring new ones through the door and build the systems that keep your front desk from drowning, run by the same team, under the same HIPAA controls.
Why it sits with your biller
- We already know your payer mix and service lines, so campaigns target the visits that actually reimburse.
- Patient data stays under the same signed BAA as your billing work.
- New-patient volume is measured to collected revenue, not clicks.
Digital marketing
Patient acquisition campaigns built around the service lines with real margin, not vanity impressions.
- Google & Meta ads for high-intent local search
- Landing pages tied to bookable appointment types
- Cost per acquired patient, reported monthly
Healthcare SEO
Rank for the conditions you treat in the towns you serve, with content that satisfies medical E-E-A-T review.
- Condition and procedure page architecture
- Local pack and multi-location optimisation
- Schema markup so AI search can cite you
Google Business Profile
The listing most patients judge you on before they ever reach your website, managed, posted to and defended.
- Profile claim, verification and NAP consistency
- Review generation and compliant responses
- Per-location management for group practices
Social media management
A steady, HIPAA-safe presence that builds trust locally without ever putting patient information at risk.
- Content calendars written for your specialty
- Consent workflow for any patient-facing content
- Comment and message triage with escalation rules
Healthcare web development
Automated scheduling, patient reminders, clinic management integrations, custom software and mobile apps for iOS and Android.
- Online booking wired into your existing calendar
- Automated SMS and email appointment reminders
- EHR, clearinghouse and payment integrations
Virtual assistants
Trained healthcare VAs covering the front desk, admin and remote billing support, without another payroll line.
- Inbound calls, scheduling and appointment reminders
- Eligibility checks and prior-auth follow-up
- Records requests and patient balance calls
Why practices switch to Verified RCM.
A billing hire brings salary, benefits, software licenses and turnover risk. We replace all of it with a specialist team, priced against your collections.
Hiring in-houseWith Verified RCM
✕Salary, payroll taxes and benefits for every biller you hire.
✓A full specialist team for less than one full-time salary.
✕Turnover risk: knowledge walks out the door with the employee.
✓Named account manager, so knowledge never walks out the door.
✕Ongoing training on payer rules, CPT and ICD-10 updates.
✓Coders stay current on payer and coding changes for you.
✕Billing software and clearinghouse licenses to buy and maintain.
✓Billing software and clearinghouse access included.
✕One person covering intake, coding, submission and appeals.
✓Dedicated eligibility, coding, submission and denial specialists.
Feedback & stories from our clients.
Every review comes from a practice we actively bill for, and each one names the number it moved.
4.9Overall rating
100+Providers served
These are genuine reviews from practices we bill for. Client names have been changed and figures rounded at their request to protect practice confidentiality. Individual results vary with payer mix, specialty and claim volume.
Onboarding process: live in four days.
Each step hands off to the next on a fixed schedule, so you always know what happens tomorrow.
-
01Days 1–2
-
02Day 3
Strategy & solutions
On day three we deliver a targeted plan: which denials get worked first, which payer rules need new workflows, what documentation your providers should change, and the reporting cadence you can expect.
-
03Day 4 onward
Full RCM takeover
From day four we run the revenue cycle: eligibility, coding, submission, denial work and patient balances, inside your existing EHR and practice management system. You keep visibility; we carry the workload.
Questions we get on the first call.
Still unanswered? Ask us directly on the free consultation call, no obligation, no long-term contract.
Still have questions?
Talk to a revenue cycle specialist directly, no forms, no waiting on hold.
Book a free consultationDo we have to replace our in-house biller?
No. Most practices keep their front-desk and intake staff and hand us coding, submission, denials and follow-up. We can also work alongside an existing biller and take only the segments that are backing up, commonly denials and aged A/R.
How quickly can you start?
The review takes two days, the strategy is delivered on day three, and we take over live claim work on day four. Credentialing timelines depend on the payer, but we begin submitting applications in the first week.
Which EHR and practice management systems do you work in?
We work inside whatever you already use; we do not ask you to migrate. Our team is credentialed across the major ambulatory EHRs and clearinghouses, and we adopt your templates rather than imposing ours.
How do you handle denials and appeals?
Every denial is categorized by root cause, worked within 48 hours, and fed back into the front-end rules so the same denial does not recur. You get a monthly denial report showing volume, cause and recovered dollars.
What does it cost?
Billing is a percentage of collections, so our incentive matches yours: we are paid when you are paid. Credentialing and practice-management projects are quoted flat per provider or per application. No long-term lock-in.
Are you HIPAA compliant?
Yes. All PHI is handled under signed BAAs on encrypted, access-controlled systems, with annual HIPAA training and audit logging for every user who touches a chart or a claim.
What happens to our existing aged A/R?
We work it alongside new claims rather than writing it off. Aged balances are triaged by recoverability and root cause, not by date, so the claims most likely to pay get worked first. You get a starting baseline and a monthly figure showing what has come in.
Do you speak to our patients about their bills?
Yes, if you want us to. We handle statements, balance questions and payment plans under your practice's name, with scripts you approve. If you would rather keep patient contact in-house, we stop at the statement and hand the rest back.
What reporting do we get, and how often?
A monthly report covering collections, A/R aging, denial volume by root cause and clean claim rate, written in plain language rather than exported raw. You also keep live visibility in your own system throughout, so nothing is only visible to us.
What happens if we want to leave?
You give notice and we hand back cleanly: open claims worked to completion or transferred with notes, credentialing files returned, and no data held hostage. There is no long-term contract, which means we have to keep earning the work each month.
Free practice health check.
No obligation. No long-term commitment. Just actionable insight into your practice's financial performance.
Business Entity Registration (LLC, Corporation, PLLC, PC)
State Practice Registration
NPI Registration (Type 1 & Type 2)
Regulatory Compliance Guidance
Book a free consultation
