Comprehensive Solutions

Our Services

Comprehensive revenue cycle management solutions tailored to your practice needs with proven results and dedicated support

HIPAA Compliant
24/7 Support
Proven Results
End-to-End Solutions

Comprehensive RCM Services

At iRise RCM, we offer end-to-end Revenue Cycle Management solutions tailored for U.S. healthcare providers, designed to maximize reimbursements with minimal delays.

Our Core Services

  • Medical Billing & Coding
  • Claims Submission & Follow-up
  • Denial Management & Appeals
  • Anesthesia & ER Billing Expertise
  • Payment Posting & Reconciliation
  • Patient Billing & Collections
  • Eligibility Verification
  • AR Management & Recovery

Practice Types We Support

Anesthesiology
Emergency Medicine
Primary Care
Cardiology
Orthopedics
Neurology
Radiology
Mental Health
Pediatrics
OB/GYN
Surgery Centers
Multi-specialty Groups

We support multi-specialty practices and ensure maximum reimbursements with minimal delays.

Core Service

Medical Billing

Our comprehensive medical billing services are designed to maximize reimbursements, reduce denials, and improve your practice's financial performance with industry-leading accuracy.

Claim preparation and submission
Denial management and appeals
Payment posting and reconciliation
Patient billing and collections
Detailed reporting and analytics
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Why Choose Our Medical Billing?

Increased Revenue

Our clients typically see a 15-20% increase in collections within 3-6 months.

Reduced Denials

We maintain a 98% clean claim rate, significantly reducing denials.

Faster Payments

Efficient processes result in faster reimbursements and improved cash flow.

AR Follow-Up Process

1

Aging Analysis

We analyze your accounts receivable to identify aging claims and prioritize follow-up.

2

Payer Contact

We contact payers to determine claim status and resolve any issues.

3

Appeal & Resubmission

We prepare and submit appeals for denied claims and resubmit corrected claims.

4

Payment Posting

We post payments and adjustments accurately and promptly.

Core Service

AR Follow-Up & Posting

Our proactive accounts receivable management services help reduce aging, improve cash flow, and recover lost revenue with systematic follow-up processes.

Aging analysis and prioritization
Claim status verification
Denial management and appeals
Payment posting and reconciliation
Detailed AR reporting
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Core Service

Medical Coding

Our expert medical coding services ensure accurate code assignment, compliance with coding guidelines, and optimal reimbursement with certified professionals.

ICD-10, CPT, and HCPCS coding
Chart review and documentation analysis
Coding compliance and audit support
Specialty-specific coding expertise
Coding education and training
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Our Coding Expertise

Certified Coders

Our team includes certified medical coders with expertise in various specialties.

Specialty Focus

Experience in coding for various specialties, including cardiology, orthopedics, and more.

Quality Assurance

Rigorous quality assurance process ensures high accuracy and compliance.

Verification Process

1

Patient Information Collection

We collect and verify patient demographic and insurance information.

2

Insurance Verification

We verify coverage, benefits, and eligibility with insurance providers.

3

Benefit Analysis

We analyze coverage details, including deductibles, co-pays, and out-of-pocket maximums.

4

Documentation & Reporting

We provide detailed verification reports for your records.

Core Service

Eligibility & Benefits Verification

Our thorough eligibility and benefits verification services help reduce claim denials, improve patient satisfaction, and streamline your revenue cycle.

Insurance coverage verification
Benefit details confirmation
Pre-authorization and referral management
Patient responsibility estimation
Detailed verification reports
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Comprehensive Solution

Full Revenue Cycle Management

Our end-to-end revenue cycle management solution covers every aspect of the revenue cycle, from patient registration to payment posting and comprehensive reporting.

Patient registration and scheduling
Eligibility and benefits verification
Medical coding and charge capture
Claims preparation and submission
Payment posting and reconciliation
Denial management and appeals
Patient billing and collections
Financial reporting and analytics
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Benefits of Full RCM

Increased Revenue

Our comprehensive approach helps maximize reimbursements and reduce revenue leakage.

Reduced Administrative Burden

We handle complex administrative tasks, allowing you to focus on patient care.

Improved Cash Flow

Our efficient processes result in faster reimbursements and improved cash flow.

Comprehensive Reporting

We provide detailed reports and analytics to help you make informed decisions.

Consulting Areas

Revenue Cycle Optimization

We analyze your current revenue cycle processes and identify opportunities for improvement.

Compliance & Auditing

We help ensure your practice is compliant with healthcare regulations and coding guidelines.

Technology Implementation

We assist with selecting and implementing the right technology solutions for your practice.

Staff Training

We provide training and education for your staff on best practices in revenue cycle management.

Additional Service

Healthcare Consulting

Our healthcare consulting services help you optimize your practice operations, improve financial performance, and navigate the complex healthcare landscape.

Revenue cycle assessment and optimization
Compliance and audit support
Technology selection and implementation
Staff training and education
Strategic planning and growth initiatives
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Ready to Optimize Your Revenue Cycle?

Contact us today to learn how our services can help improve your practice's financial performance and streamline your operations.