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B2C Service

Revenue Cycle Management
That Maximises Collections

End-to-end RCM services that reduce claim denials, accelerate reimbursements, and recover lost revenue — so healthcare providers can focus on patient care, not paperwork.

0%

Clean Claim Rate

0%

Average Revenue Recovery

USA & UK

Primary Markets Served

What's Included

Eligibility verification & pre-authorisation
Medical coding (ICD-10, CPT, HCPCS)
Claims submission & tracking
Denial management & appeals
Payment posting & reconciliation
Patient billing & collections support
Compliance & audit readiness
Weekly revenue cycle reports

Ready to recover lost revenue and reduce denials?

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Overview

Stop Leaving Revenue
On the Table

The average healthcare provider loses 15–20% of collectible revenue to claim denials, coding errors, and billing inefficiencies. Our end-to-end RCM service plugs every leak in your revenue cycle — from eligibility checks before the appointment to final payment posting — so you collect every dollar you've earned.

98% Clean Claim Rate

Accurate coding and pre-submission audits eliminate errors before claims reach the payer — reducing denials at the source.

Faster Reimbursement Cycles

Streamlined submission workflows and real-time tracking cut days in accounts receivable — getting cash in your account faster.

Aggressive Denial Management

Every denied claim is reviewed, appealed, and resubmitted — recovering revenue that most practices simply write off as lost.

Full Compliance Assurance

HIPAA-compliant processes, ICD-10/CPT coding accuracy, and audit-ready documentation at every stage of the revenue cycle.

Eligibility & Pre-Authorisation

We verify patient coverage and obtain pre-authorisation before every appointment — eliminating claim rejections caused by eligibility issues.

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Medical Coding & Claim Submission

Certified coders ensure every procedure is coded accurately with ICD-10, CPT, and HCPCS — maximising reimbursement on every claim submitted.

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Denial Management & Appeals

A dedicated team reviews every denial, identifies the root cause, and submits detailed appeals — recovering revenue most providers never see.

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Revenue Reporting & Analytics

Weekly dashboards tracking collection rates, denial trends, days in AR, and payer performance — full visibility into your revenue cycle health.

What We Deliver

Full-Cycle RCM — Every Stage Covered

From the moment a patient books an appointment to the final payment posted — every step of your revenue cycle managed with precision.

01
Eligibility Verification
02
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Medical Coding
03
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Claims Submission & Tracking
04
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Denial Management & Appeals
05
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Payment Posting & Reconciliation
06
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Patient Billing & Collections
01 / 06

Eligibility Verification

We verify every patient's insurance coverage and obtain pre-authorisations before the appointment — eliminating the most common cause of claim rejections before they happen.

Real-time eligibility checks
Pre-authorisation management
Benefits breakdown & communication
Coverage verification reports
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02 / 06

Medical Coding

Our certified coders assign the most accurate ICD-10, CPT, and HCPCS codes for every procedure and diagnosis — maximising reimbursement while maintaining full compliance with payer guidelines.

ICD-10 & CPT coding
HCPCS & modifier application
Pre-submission coding audits
Compliance documentation
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📤
03 / 06

Claims Submission & Tracking

We submit clean claims electronically to all major payers and track every submission in real time — following up proactively on pending claims before they age into write-offs.

Electronic claim submission
Real-time claim status tracking
Proactive payer follow-up
AR ageing management
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04 / 06

Denial Management & Appeals

Every denied claim is reviewed within 24 hours, root causes are identified, and detailed appeals are submitted with supporting documentation — recovering revenue most providers write off as uncollectable.

Same-day denial review
Root cause analysis
Detailed appeals submission
Denial trend reporting
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05 / 06

Payment Posting & Reconciliation

We post all payer and patient payments accurately, reconcile EOBs and ERAs, and identify underpayments for immediate follow-up — keeping your books clean and your cash flow healthy.

ERA & EOB payment posting
Underpayment identification
Contractual adjustment review
Daily reconciliation reports
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06 / 06

Patient Billing & Collections

Clear, compliant patient statements and a structured collections process that recovers patient-responsibility balances — without damaging the provider-patient relationship.

Patient statement generation
Payment plan management
Friendly collections follow-up
Bad debt minimisation
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Our Process

How We Take Over Your Revenue Cycle
From Day One

A structured onboarding and execution process that integrates seamlessly with your practice — minimising disruption while maximising collections from week one.

01

Practice Audit & Onboarding

We review your current billing workflows, denial rates, payer mix, and AR ageing to identify the biggest revenue leaks — and build a tailored RCM plan before we touch a single claim.

Billing audit AR review Payer analysis
02

System Integration & Setup

We connect to your practice management system, EHR, and clearinghouse — setting up workflows, templates, and payer credentials without disrupting your day-to-day operations.

PMS integration EHR setup Payer enrollment
03

Eligibility & Pre-Auth

Before every appointment, we verify patient eligibility and obtain required pre-authorisations — eliminating the most preventable cause of claim denials at the source.

Eligibility checks Pre-auth requests Benefits review
04

Coding, Billing & Submission

Certified coders assign accurate ICD-10 and CPT codes. Clean claims are submitted electronically within 24 hours of service — with pre-submission audits catching errors before they reach the payer.

Medical coding Claim submission Pre-submission audit
05

Payment Posting & Denial Work

All payments are posted and reconciled daily. Denied claims are reviewed within 24 hours and appealed with full documentation — recovering revenue before it ages into a write-off.

Payment posting Denial appeals AR follow-up
06

Reporting & Optimisation

Weekly revenue cycle reports track collection rates, denial trends, days in AR, and payer performance — with regular strategy reviews to continuously improve your financial outcomes.

Weekly reports KPI tracking Continuous improvement

Typical onboarding timeline: Full integration and first clean claims submitted within 5–7 business days of engagement start.

Start the Process →
Results

Revenue Recovered. Denials Eliminated.
Collections Maximised.

Measurable financial outcomes delivered to healthcare providers across the USA and UK — from day one of our engagement.

0 %

Clean Claim Rate

First-pass claim acceptance rate across all major payers

0 %

Revenue Recovery

Average increase in collected revenue within 90 days

0 %

Denial Rate Reduction

Average reduction in claim denials after 60 days

0 –7

Days to First Claims

From onboarding to first clean claims submitted

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Faster Cash Flow

Streamlined claim submission and proactive AR follow-up cut average days in accounts receivable significantly — getting reimbursements posted faster and reducing the gap between service and payment.

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Denied Claims Recovered

Our aggressive denial management process recovers revenue that most providers write off. Every denied claim is reviewed, appealed, and resubmitted — recovering an average of 30% more collectible revenue.

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Dramatically Fewer Denials

Pre-submission coding audits, eligibility verification, and accurate documentation eliminate the root causes of denials — so fewer claims get rejected in the first place, reducing rework and lost time.

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Full Compliance Maintained

HIPAA-compliant processes, accurate ICD-10/CPT coding, and audit-ready documentation mean your practice stays protected from compliance risk while maximising every legitimate reimbursement.

Global Reach

RCM Services Across Key Healthcare Markets

Healthcare billing regulations, payer systems, and compliance requirements differ significantly between markets. Our RCM teams are trained specifically on the rules, codes, and payer behaviours of each region — so your claims are handled correctly the first time, every time.

US-specific payer knowledge — Medicare, Medicaid, commercial & managed care
UK NHS and private healthcare billing compliance & coding standards
HIPAA-compliant data handling across all markets and workflows
Dedicated teams per market — no shared generalist pools handling your claims
🇺🇸

United States

Full RCM for US providers — Medicare, Medicaid, commercial insurance & self-pay

ICD-10 · CPT · HCPCS
🇬🇧

United Kingdom

NHS & private healthcare billing, coding compliance, and claims management

NHS · Private Payers
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India

Medical billing support for Indian healthcare providers and insurance-linked claims

TPA · Insurance Billing
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MENA & Global

Cross-border RCM support for international healthcare groups and medical centres

Multi-Payer · Global
Why Choose Us

RCM That Recovers Revenue — Not Just Processes Claims

Most billing companies submit claims and hope for the best. We actively manage every stage of your revenue cycle — fighting for every dollar you've earned.

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98% Clean Claim Rate

Pre-submission coding audits and eligibility checks eliminate errors before claims reach the payer — dramatically reducing denials and rework from the very first submission.

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Aggressive Denial Recovery

Every denied claim is reviewed within 24 hours and appealed with full supporting documentation. We recover revenue most providers never pursue — turning write-offs into collections.

Live in 5–7 Days

Full system integration, payer enrollment, and first clean claims submitted within a week of engagement start — no lengthy setup that delays your cash flow further.

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Full HIPAA Compliance

Every process, workflow, and data transfer is HIPAA-compliant. Audit-ready documentation at every stage means your practice is always protected — never exposed to compliance risk.

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Complete Transparency

Weekly revenue cycle reports covering collection rates, denial trends, days in AR, and payer performance — so you always know exactly how your revenue cycle is performing.

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Healthcare-Specialist Team

Certified medical coders and billing specialists with deep expertise in ICD-10, CPT, HCPCS, Medicare, Medicaid, and commercial payers — not generalist admin staff handling billing as a side task.

Feature
Typical Billing Company
Implause RCM
Clean claim rate
80–85% average
98% guaranteed
Denial management
Write-offs common
Every denial appealed
Go-live timeline
3–4 weeks setup
5–7 business days
Performance reporting
Monthly summaries
Weekly KPI dashboards
HIPAA compliance
Basic only
Full audit-ready compliance
Client Testimonials

What Healthcare Providers Say
About Our RCM Service

Practices across the USA and UK trust Implause to manage their revenue cycle — here's what they have to say about the results.

Our denial rate dropped from 22% to under 6% within 60 days. The team identified three systematic coding errors we'd been making for years that were costing us thousands every month. The ROI was visible within the first billing cycle.

DR

Dr. Robert M.

Owner, Multi-Specialty Clinic

🇺🇸 United States

We recovered over £40,000 in previously denied claims in the first three months. What impressed me most was how quickly they got up and running — we were live within a week and the disruption to our existing workflow was minimal.

NP

Dr. Natalie P.

Director, Private Healthcare Group

🇬🇧 United Kingdom

Days in AR came down from 52 to 28 in four months. The weekly reports are genuinely useful — not just numbers, but explanations of what's driving the trends and what they're doing about it. I finally feel in control of our revenue cycle.

KS

Karen S.

Practice Manager, Orthopaedic Group

🇺🇸 United States

Ready to recover lost revenue and reduce denials?

Book a free RCM audit and get a custom revenue improvement plan within 48 hours.

Get Your Free RCM Audit →
FAQ

Common Questions About Our RCM Service

Everything you need to know before getting started — from how we integrate with your systems to what our clean claim guarantee covers.

How quickly can you take over our billing?
Most practices are fully onboarded and submitting clean claims within 5–7 business days. This includes a billing audit, system integration with your PMS and EHR, payer credential setup, and team training on your specific workflows. We handle the technical side — your staff don't need to do anything except grant us access.
Which practice management systems do you work with?
We work with all major PMS and EHR platforms including Epic, Athenahealth, eClinicalWorks, Kareo, DrChrono, NextGen, Meditech, and more. If you use a system not on that list, our team will assess compatibility during the onboarding call — we've yet to encounter a platform we couldn't integrate with.
What does your 98% clean claim rate actually mean?
It means 98% of claims we submit are accepted by the payer on the first pass — without rejection or denial due to coding errors, missing information, or eligibility issues. This is achieved through pre-submission coding audits, real-time eligibility verification, and structured QA checks on every claim before it leaves our team. The industry average is 80–85%.
How do you handle denied claims?
Every denied claim is reviewed within 24 hours of receipt. We identify the denial reason, gather any additional documentation required, and submit a detailed appeal to the payer. We track every appeal to resolution — not just submission. Denial trend data is included in your weekly reports so systemic issues get fixed at the root, not just case by case.
Is our patient data safe and HIPAA compliant?
Absolutely. All data handling follows strict HIPAA compliance standards. We operate under a signed Business Associate Agreement (BAA), use encrypted data transfers, restrict access on a need-to-know basis, and maintain audit-ready documentation at every stage. Your patient data is never stored beyond operational requirements or shared with any third party.
Do you handle both insurance and patient billing?
Yes — we manage the complete revenue cycle including payer claim submission, ERA/EOB posting, denial management, and patient statement generation and collections. Patient billing is handled with clear, compliant statements and a structured follow-up process that recovers patient-responsibility balances without damaging the provider-patient relationship.
How will I know how my revenue cycle is performing?
You receive a detailed weekly report covering collection rate, clean claim rate, denial rate and reasons, days in AR, payment posting status, and payer-level performance breakdown. Reports are designed to be actionable — not just data dumps. You also have a dedicated account manager available for questions between reports.
Get Started Today

Stop Losing Revenue to Denials & Billing Errors

Book a free RCM audit and get a detailed revenue improvement plan within 48 hours — showing exactly how much you're leaving on the table and how we'll recover it.

Live in 5–7 days
98% clean claim rate
Every denial appealed
Full HIPAA compliance