About Us
iRCM is an industry leader with innovative technology and an expert team. We are a complete Revenue Cycle Management solution that streamlines reimbursements and delivers remarkable results.
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iRCM is an industry leader with innovative technology and an expert team. We are a complete Revenue Cycle Management solution that streamlines reimbursements and delivers remarkable results.
Illinois claims get denied at 14 to 15 percent, well above the national average. That gap between what you bill and what you collect is not bad luck. It is a billing system built for somewhere else. IRCM builds it for Illinois.Â
Meridian pays one way. Molina pays another. CountyCare has its own rules entirely. A claim that clears one Medicaid MCO gets denied by the next, for the same code, the same patient, the same service. Add IMPACT credentialing gaps and prior authorization backlogs, and most practices are losing money they never see leave. That’s why Illinois medical billing services cannot simply be a national billing playbook with “Illinois” added to the cover.Â
A lapsed enrollment does not deny one claim. It denies months of them, retroactively.
Receive personalized attention, guidance, and support to enhance efficiency in your medical billing processes
Missing one authorization does not cost you a denial. It costs you weeks in appeals that often go nowhere.
Coverage changes. Nobody checks. Claim denied.
A service you performed and never billed is gone. Forever.
Wrong code, wrong modifier, wrong level. Denied or audited.
Every rejection adds days to your A/R.
Past the filing deadline, that money is not late. It is lost.
Paid less than contracted, and nobody checked.
One assessment tells you. Denial patterns, A/R aging, collection rate, all of it, laid out plainly.
Meridian. Molina. CountyCare. IlliniCare. Aetna Better Health. Blue Cross Community. Twelve MCOs, twelve rulebooks. Add Medicare Advantage, the Illinois Department of Insurance’s prompt-pay rules, and the Surprise Billing Act. Most billing companies learn this the hard way, on your dime. We already know it
We do not hand you a denial report. We work every denial until it is resolved.
We do not apply generic rules to Illinois payers. We built our process around them.
We do not bury underpayments in adjustments. We find them and fight for them.
We do not split billing across five systems. One team owns your whole revenue cycle.
We show you the real numbers. Even the ones that are not flattering.
We find out exactly where your revenue cycle stands
We build billing rules around your practice, not a template.
We integrate with your EHR without slowing your front desk.
We work your claims, your denials, your A/R, every day.
 We built our process around Illinois payers. Most companies did not.
We bill every HealthChoice Illinois MCO by name, with their specific rules built in.
A percentage of what we collect. If we do not collect, we do not get paid.
We assess it honestly. What is recoverable, we chase. What is not, we tell you straight.
 Every account operates under a signed HIPAA Business Associate Agreement.
Meridian. Molina. CountyCare. IlliniCare. Aetna Better Health. Blue Cross Community. Twelve MCOs, twelve rulebooks. Add Medicare Advantage, the Illinois Department of Insurance’s prompt-pay rules, and the Surprise Billing Act. Most billing companies learn this the hard way, on your dime. We already know it
iRCM is an industry leader with innovative technology and an expert team. We are a complete Revenue Cycle Management solution that streamlines reimbursements and delivers remarkable results.
