The Complete Revenue Cycle System That Recovers Every Dollar Your Practice Earns
Stop letting unworked denials, undercoding, and credentialing delays bleed your practice. EntireRCM operates seamlessly inside your existing EHR/PM with dedicated compliant billing squads, real-time analytics, and guaranteed first-pass clean claim submission.
Free Revenue & Billing Gap Analysis
Confidential audit of uncollected claims, undercoding, and payer aging.
Verified Operational Benchmarks
Aggregated performance metrics from $250M+ in claims across 75+ medical specialties.
Where In-House Billing Silently Fails
Most losses occur in dozens of routine denials and administrative friction points that busy in-house desks don't have the time to resolve.
Unmonitored Denials (5%–15%)
When complex denial codes arrive (CO-16, CO-4), internal staff often write them off rather than spending hours on hold with payers. That silently surrenders thousands monthly.
Crippling In-House Payroll
Full-time billers cost $60k+ in salary plus taxes, benefits, PTO, and software seats. When they leave, collections freeze for weeks while you recruit a replacement.
Aging Accounts Past 90–120+ Days
Payers enforce strict timely filing limits. Claims stuck in aging queues exceed 90/180-day thresholds and become completely uncollectible bad debt.
Chronic Undercoding of E/M Visits
Fear of payer audits causes clinicians to downcode 99214 to 99213. Losing $40–$60 per encounter over dozens of daily patients bleeds upwards of $20,000 every single month.
Credentialing Stalls ($8k+/Wk)
When clinicians wait 4–6 months to be credentialed, their rendered care cannot be submitted to commercial plans. That earned revenue is permanently destroyed.
Is Your Practice Leaking Revenue?
We perform a confidential forensic audit of your last 90 days of EHR billing entries, identifying exactly where dollars were missed and how to reclaim them.
Compare In-House vs. EntireRCM
See the direct bottom-line cash impact of shifting fixed payroll liabilities into an agile 2.99% discounted performance model.
Fixed Cost Overhead
- Fixed cost regardless of collections
- Paid vacations & turnover downtime
- In-house staff rarely have appeal specialists
Pay Only On Collected Cash
- 100% Variable — Pay only when paid
- Dedicated squad with AAPC compliant coders
- Free analytics, Day 1 onboarding & appeals
Illustrative comparison — your exact savings depend on payer mix, specialty and current write-off rate. Request the free audit for a practice-specific projection.
Complete Suite of RCM Offerings (All Included Under One Rate)
Medical Billing & Charge Capture
Every encounter reconciled against schedules and scrubbed against NCCI edits before a single claim leaves the building.
Real-Time Eligibility & Benefits (VOB)
Live copay, deductible and coverage checks before the patient arrives — eliminating bad debt at the source.
Provider Credentialing & Contracting
CAQH scrubs, payer packets and weekly follow-up calls that cut enrollment from 6-9 months to 30-60 days.
Prior Authorization Coordination
Clinical documentation submitted to payers before treatment so authorizations are never the reason care stops.
EFT Setup, ERA Setup & EDI Clearinghouse
Electronic funds transfer, 835 ERA auto-routing and 837 clearinghouse configuration inside your existing EHR.
Patient Payments & Statements
Digital statements, SMS/email pay links and respectful payment-plan management that recover patient balances faster.
Root-Cause Denial Management
We classify every denial by root cause, appeal with clinical documentation, then fix the upstream workflow that caused it.
Practice Analytics & Reporting
Weekly claim snapshots and monthly executive reviews covering collections by payer, aging buckets and net collection ratio.
RPM & Telehealth Specialist Coding
Payer-compliant coding for Remote Patient Monitoring and telehealth encounters across commercial and government programs.
The EntireRCM 8-Step Precision Workflow
A synchronized loop connecting clinical documentation to reconciled bank deposits with complete audit transparency.
EHR, EFT/ERA & EDI Setup
Role-based HIPAA access, 835 ERA routing, EFT direct deposit, and clearinghouse EDI configuration inside your existing EHR/PM. Zero system change.
Pre-Encounter VOB & Auths
Patients verified for coverage, deductible balance, and prior authorizations before stepping foot into your clinic exam rooms.
Clinical Charge Scrubbing
Encounters matched against clinical charts. AAPC compliant coders review CPT, ICD-10, HCPCS, and specialty modifiers (-25, -59).
Clean Claim Submission
Electronic transmission through cleared clearinghouses within 24-48 hours of encounter completion with zero formatting faults.
Payment Posting & Statements
Remittances posted same day. Digital patient billing & statement delivery deployed for prompt copay/deductible resolution.
Root-Cause Appeals
Denied claims are isolated by reason code. Supporting clinical notes are attached and appealed while underlying templates are updated.
Aggressive A/R Follow-Up
Aging claims worked directly with insurance adjudicators before timely filing constraints expire. No balance left stranded.
Executive Financial Review
Clear executive dashboards detailing collections by payer, write-off prevention, net collection rates, and practice expansion insights.
Every Week Your Provider Isn't Credentialed Is $8,000+ Your Practice Can Never Bill
Incomplete applications are the #1 reason credentialing drags on for 6 to 9 months. EntireRCM audits your CAQH profile, completes payer packets with zero missing fields, and calls payers weekly to expedite approvals in 30 to 60 days.
- Step 1 — Day 1 Paperwork Audit: CAQH profile scrub, license, DEA and board verification
- Step 2 — Weekly Payer Calls: documented follow-ups on every open application
- Step 3 — Day 30–60 Approval: effective dates secured and billing switched on
Specialty-Specific Payer Rules (75+ Covered)
Denial triggers are unique to clinical procedures. Our compliant billers master the exact rules governing your sub-specialty.
Mental & Behavioral Health
90837 time rules, parity law and tele-psychiatry modifiers handled with zero parity denials.
Cardiology
Modifier 26/TC splits, echocardiogram bundling and catheterization documentation precision.
Orthopedics & Spine
Global surgical periods (10 vs 90 days), hardware implant billing and multi-procedure discounting.
Physical Therapy
8-minute rule calculations, KX modifier thresholds and plan-of-care certifications.
Dermatology
Lesion destruction stacking limits, biopsy bundling bypass and Mohs micrographic staging.
Neurology
EEG duration specifications, EMG frequency limits and Botox spasticity documentation.
Pain Management
Epidural and facet injection frequency rules, RF ablation bundling and prior-auth management.
Gastroenterology
Screening vs diagnostic colonoscopy rules, endoscopy bundling and biopsy modifier logic.
OB/GYN
Global obstetric packages, antepartum charge tracking and preventive visit splits.
Oncology
J-code drug billing, buy-and-bill documentation and clinical trial compliance.
Urology
Cystoscopy bundling rules, urodynamic study units and AUA procedure coding.
Urgent Care
High-volume E/M leveling, POS 20 billing and occupational medicine workflows.
Dental Billing
CDT-to-CPT crossover for oral surgery, periodontal maintenance staging and dual claims.
Internal & Family Medicine
AWV paired with problem visits (-25), Chronic Care Management and preventive care splits.
Trusted by Practices Nationwide
Clinical directors, practice owners, and specialists who eliminated administrative drag, reclaimed aging accounts, and maximized net collections.
“I was previously using a different billing company who made recurring errors with our claims — we weren't getting paid on time and accounts were piling up. EntireRCM came in, audited our records, and secured higher reimbursement rates with two major payers. Our collections increased over 16% within 60 days.”
“Working with a team that answers every call immediately and delivers 100% precision on provider enrollment is priceless. We were fully credentialed with over 10 insurance networks in under 45 days. They eliminated an enormous administrative burden from our clinicians and front desk.”
“The 2.99% flat performance model saved us over $30,000 annually compared to internal billing payroll, while our Days in A/R fell from 48 down to 21 days. We now enjoy granular weekly reporting by payer without the stress of managing internal billers.”
Frequently Asked Questions
Everything you need to know about our rates, onboarding timeline, EHR integration, and compliance protocols.
Ready to Recover Every Dollar Your Practice Earns?
Join medical practices and surgery centers running at 99.2% first-pass claim acceptance. Book your complimentary 20-minute gap analysis call today.