Why UnifiedRCM

Ask us the hard questions first.

Most practices come to us having been burned once already — by a partner that went quiet, a contract they could not leave, or a billing team nobody could reach. So rather than make you dig, here is where we stand on the questions that actually decide this, answered before you ask them.

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Our approach

A partnership is a structure, not an adjective

Every billing company calls itself a partner. What makes it true is whether the structure behind it survives a bad month — who you can reach, what you can see, and whether you can leave.

A named team, not a queue

You get specific people who know your account, your payers and your specialty, reachable by phone. No ticket system as the only channel, no rotating support pool, no explaining your situation from scratch every time.

Reporting you can pull, not wait for

A/R aging by payer and denial reason, available any day of the month rather than at month end. Plus a standing review call, so the numbers get discussed rather than just delivered into an inbox.

Accountability that includes bad news

If a metric moves the wrong way, you hear it from us first with the plan already attached. A partner who only reports good months is not reporting.

Transition

The part everyone worries about, planned in the open

The single biggest fear in changing billing partners is not price. It is what happens to cash flow during the switch. Typical transitions run 30 to 60 days.

Weeks 1–2 — Discovery and access

We map your current state: systems, payer mix, fee schedules, open A/R, denial history and workflows. Access is established in your systems. We agree the treatment of legacy A/R and the cut-off date in writing before anything moves.

Weeks 2–4 — Build and parallel run

Workflows, edits and reporting are configured for your specialty and payers. Where practical we run in parallel so nothing falls between the old process and the new one.

Weeks 4–8 — Cutover

Live claims move to us while aged A/R is worked in parallel. Your named account manager is in place from day one, not assigned after go-live.

Days 60–90 — Baseline and review

We report against the baseline we measured at the start: clean claim rate, first-pass resolution, days in A/R, denial rate, net collection rate. You see the before and after, including anything that has not improved yet.

Specific timelines depend on your systems, payer count and volume. The schedule above is the typical shape of a transition, and the actual plan is agreed with you in writing before work begins.

What you can expect from UnifiedRCM

Revenue cycle management should give you more visibility—not more questions.

UnifiedRCM combines experienced people, disciplined processes, and consistent follow-through to help keep your revenue cycle moving.

What UnifiedRCM brings and what it means for your practice
What we bring	What it means for your practice
Dedicated Account Support	Work with a team that understands your practice, your workflow, and your priorities—not an anonymous ticket queue.
Proactive A/R Follow-Up	Outstanding claims don’t simply sit on an aging report. We monitor claim status, address denials and rejections, and follow accounts through the revenue cycle.
Fast Claim Processing	Complete claims are targeted for processing within one business day so avoidable billing delays don’t start with us.
Denial & Rejection Management	We identify and work denials and rejections while communicating documentation, authorization, coding, or payer issues that need your attention.
Clear Reporting & Visibility	You receive reporting available through your billing systems so you can see what’s happening with your revenue cycle.
Works With Your Existing Workflow	We work within mutually approved systems and processes rather than forcing a one-size-fits-all approach on your practice.
HIPAA & Confidentiality	PHI is handled under applicable HIPAA requirements and a separate Business Associate Agreement when required.
Accountability From Start to Finish	Our role doesn’t end when a claim is submitted. We monitor claim status, work denials and rejections, and support the process through payment.

Who handles your account

One Unified Team

Providers remain liable for what their billing partner does with patient data, which makes “who is actually touching my claims” a reasonable question — and a vague answer a red flag.

Your account is handled by UnifiedRCM employees
We execute a Business Associate Agreement with every client
Access to your systems is limited to the specialists assigned to your account
Staff are background-checked and trained on HIPAA obligations
You are told who is assigned to your account, and you deal with the same people month to month

Everything else

The questions worth asking any billing company

If you are evaluating more than one partner, ask all of these of each. The answers tell you more than any capabilities deck.

How is your fee calculated, and on what?

Revenue cycle services are most commonly priced as a percentage of net collections, typically in the mid single digits, with per-claim and flat-fee models also in use. What matters as much as the rate is the basis: whether the fee applies to collections from any source, including copays and money your own staff collect, or only to the work the partner actually does. Ask for that in writing.

What is included, and what costs extra?

Common add-ons across the industry include setup and implementation, software or platform fees, clearinghouse charges per claim, patient statements, credentialing per payer per provider, and in some contracts denial rework billed separately. Ask for a written list of what is included and what is not.

Do you require a long-term contract?

Ask for the notice period, whether the agreement renews automatically, and whether early termination carries a fee. These are the terms practices most often get caught by, and they should be set out in writing before you sign anything.

Who owns our data and how fast do we get it back?

You should own it outright and be able to retrieve it in a usable format at any time, including during a fee dispute. Any answer that conditions data release on payment is a reason to walk away.

Who actually handles our account?

Ask whether the people working your claims are the company’s own employees, and whether any part of the work is passed to another company. A partner who is vague about this is telling you something.

What are your actual numbers?

Ask for clean claim rate, first-pass resolution rate, net collection rate, days in A/R, percentage of A/R over 90 days, and denial rate — with the method behind each. Widely referenced targets include days in A/R of 30 to 40 (AAFP), net collection at or above 95% (AAFP), and denial rates below 10%. Be sceptical of any figure quoted without a definition attached.

Do you work every claim regardless of dollar value?

Under a percentage-of-collections model, small balances are where attention quietly goes to die. Ask whether there is a dollar floor and who authorizes write-offs. Our answer: no floor, and no write-off without your approval.

Who is our day-to-day contact and how fast do they respond?

You should have a named person, not a queue. Our commitment is a response within one business day from someone who already knows your account.

What happens to our existing A/R during transition?

Ask whether legacy A/R is worked, at what rate, and from what cut-off date. Aged A/R is often the fastest recovery in a new engagement, and a partner who will not touch it is leaving your money on the table.

What happens if your systems or your clearinghouse go down?

This became a real question after the 2024 Change Healthcare outage, when some practices moved revenue cycle work back in house rather than depend on a vendor they could not reach (MGMA, 2024). Ask about redundant clearinghouse routing and documented downtime procedures.

Do you handle credentialing and payer enrollment?

Slow credentialing is silent lost revenue — a provider who cannot bill is a provider working for free. Ask whether it is included and what it costs per payer, per provider.

How do you handle our patients?

Patient financial experience is a retention issue, not just a billing one: 93% of patients say the billing experience could dissuade them from returning to a provider, and 25% would leave a negative review after a poor one (Cedar, 2021). Ask who answers billing calls, from where, during what hours, and who sets the collections posture. It should be you.

Find out what your revenue cycle is actually leaving behind.

Request a consultation and a revenue cycle specialist will walk through your denial patterns, A/R aging and payer mix with you. No obligation, and no software to install.

Request a Consultation Call 1-877-77-UnifiedRCM