Most practices are not underpaid. They are under-billed.
Doctor, the gap between what you earned this month and what you collected is rarely one big problem. It is charges entered late, claims scrubbed against last year’s payer rules, and payments posted without anybody checking the allowed amount.
Billing support from encounter to payment
A complete billing workflow keeps the clinical record, the submitted claim and the payment connected. We work inside your existing system, track the handoffs and make unresolved balances visible.
Capture the encounter
Review the claim
Track the payment
Charges sit for days before entry
Every day a charge waits is a day taken off the far end of the filing window, and it moves the whole aging curve to the right for no clinical reason.
The scrubber checks generic rules
A generic edit set catches format errors. It does not know that one of your commercial payers changed its bundling policy in the last quarter, so those claims go out and come back.
Payments are posted, not checked
Posting a payment is not the same as verifying it. An underpayment against your contracted rate looks exactly like a payment until somebody compares the two.
Charge to deposit, and somebody owns each step
Here is what the work looks like, from the first review to the next action.
A defined task.
A documented action.
A visible next step.
Charges in within one business day
Superbills and encounters are entered the day they reach us. Nothing waits for a batch, because a batch is just a queue with a nicer name.
Scrub against your payers, not a generic list
Claims are checked against the edits that apply to the payers you actually bill, including the local coverage rules that vary by state.
Submit and confirm acceptance
Submission is not the milestone. We track the clearinghouse and payer acknowledgement and chase anything that never acknowledged.
Post payments against the contract
Remittances are posted and compared to your contracted rate. An underpayment is flagged as a variance rather than filed as a payment.
Work the balance to zero
Remaining balances are reviewed for secondary coverage, adjustments and valid patient responsibility. Statements and follow-up reflect that review, rather than treating every unpaid amount as patient debt.
Included in medical billing
Agree the scope with your practice, then keep the day-to-day work organized around it.
- Charge entry within one business day
- Payer specific claim scrubbing
- Electronic submission and acceptance tracking
- Payment posting with contract variance checks
- Secondary and tertiary claim filing
- Patient statements and balance follow up
- Refund and credit balance review
- Monthly reporting on collections and aging
A claim is more than a submission
Every handoff needs a check: the encounter must be complete, the payer must acknowledge the claim, and the payment must be reconciled. Your team should be able to see what happened and what happens next.
What changes when billing is somebody’s only job
This is not a criticism of your staff. It is a question of what happens to the billing queue on a busy clinic day.
| Situation | Handled in house | Handled by iFocusRCM |
|---|---|---|
| A superbill arrives | Entered when the front desk gets a quiet hour | Entered within one business day |
| A payer changes a rule | Found out by getting denied | Picked up in the edit set before submission |
| A payment comes in low | Posted as paid and closed | Flagged as a variance against your contract |
| A patient balance ages | Statements go out when someone remembers | On a fixed statement and follow up cycle |
| Your biller takes leave | The queue stops | The queue does not know they were away |
A few things to know before we start
The right scope starts with a clear conversation.
Ask it directly. You will get an answer from somebody who works accounts, not a sales script.
Monday to Friday, 8am to 5pm Central TimeDo we have to change our software?
No. We work inside your existing practice management system. There is nothing to migrate and no new license to buy.
How is the fee calculated?
It is a percentage of what we actually collect for you, starting from 3.49%. If the money does not come in, we do not get paid on it either.
What happens to our current billing staff?
That is your call and we have seen it go both ways. Some practices move them onto patient facing work, others keep them as the internal point of contact with us.
How long before we see a difference?
The submission side changes in the first billing cycle. Aged accounts receivable takes longer, because old claims move at the payer’s pace and not ours.
Most practices do not buy one service in isolation. These are the ones that change the same numbers.
Find out what your last 90 days actually collected
Tell us your specialty and the billing issue you want reviewed. We will agree the scope and arrange a secure way to share any records needed.