Revenue Cycle Management

At Integral Provider Solutions (IPS), we understand that effective Revenue Cycle Management (RCM) is critical to the financial health and operational success of your healthcare organization. Our comprehensive, technology-driven approach ensures every step of the revenue cycle is optimized for maximum efficiency and revenue generation.

• Eligibility Verification
  Confirm insurance coverage and benefits before services are rendered to reduce claim denials.
• Prior Authorizations
  Expedite approvals to ensure compliance and avoid delays in patient care.
• Appointment Scheduling
  Implement seamless scheduling workflows that enhance patient satisfaction and reduce no-show rates.

• Accurate Coding
  Ensure precise and compliant coding for all specialties, reducing errors and improving reimbursement rates.
• Charge Entry
  Timely and accurate charge capture to prevent revenue leakage.

• Submission
  Submit clean claims promptly to minimize processing delays.
• Follow-Up
  Track claims and resolve issues quickly to ensure timely payments.
• Denial Management
  Identify root causes of denials, appeal claims, and implement corrective measures to avoid future issues.

• Payment Posting
  Post payments accurately, including insurance payments, patient payments, and adjustments.
• Account Reconciliation
  Regularly reconcile accounts to ensure all revenue is accounted for and discrepancies are resolved.

• Patient Statements
  Provide clear and concise billing statements to enhance transparency and satisfaction.
• Collections Management
  Handle collections with professionalism and sensitivity to maintain positive patient relationships while recovering outstanding balances.

• Customized Reports
  Gain actionable insights into your financial performance with tailored reports.
• Key Performance Indicators (KPIs)
  Track metrics like denial rates, days in accounts receivable (AR), and collection rates to measure success and identify improvement opportunities.

• HIPAA Compliance
  Protect patient data and ensure adherence to privacy regulations.
• Regulatory Updates
  Stay ahead of changing healthcare laws and payer requirements.

• Proven Experience
  With over 20 years of expertise in healthcare RCM and out-of-state Medicaid accounts receivable, we deliver results you can trust.
• Technology-Driven Solutions
  We leverage advanced tools and software to streamline processes and improve accuracy.
• Tailored Approach
  Our RCM services are customized to meet the unique needs of your organization, regardless of size or specialty.
• Transparent Communication
  We keep you informed every step of the way, ensuring clarity and confidence in our partnership.
• Dedicated Support
  Our team of experts is always available to address your concerns and provide guidance.

Integral Provider Solutions takes the complexity out of revenue cycle management, so you can focus on delivering exceptional patient care. Trust us to improve your financial performance, streamline operations, and ensure long-term success.

Contact us today to learn how our RCM services can transform your practice!