Structured Revenue Integrity for Hospitals, Physicians, and Clinics. End-to-end billing management with precision and accountability.
At IntegraRCM, medical billing is approached as a discipline, not a transaction. We help hospitals, physician groups, and clinics establish reliable billing processes that protect cash flow, reduce administrative waste, and maintain compliance with payer and regulatory standards.
Our focus is on precision, documentation clarity, and timely reimbursement, achieved through a clear, methodical workflow managed by experienced billing professionals.
Over the past decade, billing operations across healthcare organizations have been strained by both external and internal pressures. Common challenges include:
Claims rejected due to missing data, coding inconsistencies, or eligibility errors.
Multiple systems and outdated processes slow revenue realization.
Different rules and timelines complicate reimbursement.
Skilled billing and AR staff shortages lead to inconsistent results.
Evolving CMS, AMA, and payer frameworks raise audit exposure.
IntegraRCM addresses these problems through a structured, end-to-end process. Our billing specialists manage the complete revenue cycle with accountability and accuracy, ensuring that no claim, adjustment, or denial goes unresolved.
Every stage is documented, measured, and reported to the client. Our objective is consistency, the steady, reliable movement of revenue through each stage of the billing cycle.
Verify coverage & demographics
Clean charges, correct modifiers
Submit to payers on schedule
Track ERA/EOB and postings
Analyze and resubmit fast
KPIs, trends, and insights
A structured, end-to-end billing process, from eligibility verification to revenue realization.
A 240-bed hospital faced 18% denial rates and poor AR control. Within six months of partnering with IntegraRCM:
A 50-physician group struggled with billing backlogs and inconsistent charge capture. After IntegraRCM standardization:
IntegraRCM offers pricing structures suited to your organization's size and billing volume.
| Model | Description | Typical Range |
|---|---|---|
| Percentage of Collections | Fee based on actual collections received; performance-aligned. | 4–9% of collections |
| Flat Fee per Claim | Fixed amount per claim submitted, regardless of payer. | $4–$10 per claim |
| Hybrid Model | Flat rate + small % for complex specialties. | Custom |
| Monthly Subscription / FTE | Dedicated billing staff on fixed monthly retainer. | $800–$1,200 per FTE/month |
All models include SLAs specifying accuracy, turnaround, and reporting cadence.
Setup typically takes 30–45 days depending on data access, clearinghouse configuration, and payer credentialing.
Yes. We can supplement existing teams or fully manage billing based on your preference.
We support hospitals, clinics, and multi-specialty practices including cardiology, orthopedics, imaging, and surgery.
All data management complies with HIPAA standards. Encryption and audit logs ensure data integrity.
Engagements scale dynamically with claim volume for cost efficiency.
We'll review claim accuracy, denial patterns, AR aging, and documentation consistency, then deliver a concise report with actionable recommendations.
Audit results are delivered within 10 business days of data submission.