AI-powered medical billing for USA practices, run by people who know your payers.
Doctor, you did not train for eleven years to argue with payers. iFocusRCM takes coding, claims, denials and aged A/R off your desk, and works every one of them until it is paid.
- No setup fee
- From 3.49% of collections
- Month to month after 90 days
- Keep your current software
The things a practice asks about before it moves its billing, answered up front.
- BAA with every clientSigned before any patient data moves
- Certified medical billing teamAAPC and AHIMA credentialed
- Coders assigned by specialtyYour specialty every day, not a shared pool
- Works in your PM and EHRNothing to migrate, no new license
- Role based accessLeast privilege, and every action logged
- 4.9 average ratingAcross the practices we currently bill
One team for the entire revenue cycle
We sell billing services, not software. There is no platform to migrate to and no license to buy. You keep the systems you have, we do the work inside them, faster, because the routine parts run on automation built for this. If it touches your revenue cycle, we likely already handle it. If we do not yet, ask, we are built to grow into it.
Medical Billing
Charge entry through payment posting, handled end to end by a team that knows your payers.
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Revenue Cycle Management
One team owning the whole cycle, from eligibility check to the final zero balance.
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Medical Coding
Certified coders assigning ICD-10, CPT and HCPCS to the level your documentation supports.
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Medical Audit
A hard look at your coding, documentation and billing before a payer takes one.
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Credentialing Services
Payer enrollment, revalidation and CAQH upkeep, tracked so nothing lapses.
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Denial Management
Every denial worked, appealed where it is winnable, and fixed at the root cause.
Learn moreWho are we?
Most billing problems are attention problems. Claims are not usually denied because the work is hard. They are denied because nobody looked at them on the day they needed looking at, and then nobody looked again. Small practices lose real money in that gap every month.
iFocusRCM is built around closing it. AI catches what a busy team misses, named people own what AI cannot decide, assigned by specialty, with a daily queue they are accountable for.
- A named contact, not a ticket queue
You get the name, direct line and email of the person who owns your account. Escalation does not mean starting again with a stranger.
- Coders assigned to your specialty
Cardiology and behavioral health do not fail in the same way. The coder on your account works your specialty every day, so they already know your payers' habits.
- Denials fixed at the cause, not just reworked
Every denial is tagged by payer and reason code. When a pattern shows up we change the upstream step so it stops recurring.
- Reporting you can actually act on
Monthly numbers with the one decision they imply, not a forty page export nobody opens.
The revenue cycle, explained from end to end
From the moment a patient books to the day the payment posts, every handoff is a place money can stall. This short explainer walks the full path a claim travels, and where practices most often lose revenue along the way.
- Registration and eligibility
Why most denials are already decided before the visit starts.
- Coding and claim submission
What a clean claim actually requires, and who checks it.
- Denials, appeals and A/R
Where stalled money sits, and what working it really means.
Revenue cycle management, explainedPlay the revenue cycle management explainer videoStraight from YouTube, no email or form first.What the work looks like once it is running
Figures below describe results across our client base. They are not a guarantee for any individual practice, and we will tell you plainly what is realistic for yours.
Coders assigned to yours, not a general pool.
Accepted by the clearinghouse or payer without rejection. Acceptance is not payment.
Charts sampled in internal audit where the code matched the documentation.
Mean of the client reviews published on this site.
Of collections, for billing only. Full revenue cycle starts higher.
Doctor, put your own numbers in
Two questions worth answering before you talk to anybody: how much revenue is stuck in denials and aged claims, and whether billing in house is actually cheaper. Move the sliders. Nothing is sent anywhere.
Collections divided by billed charges. If you do not know it, 80 to 85% is typical for a practice without dedicated A/R follow up.
A clean operation runs under 5%. We treat everything above 5% as addressable, and assume 65% of that is actually winnable.
Benchmark is 35 days. Each day above that is counted at 0.12 points of collection rate, capped at 3 points.
$10,872 per month, from a collection rate moving +7.6 points.
An estimate, not a quotation or a promise. It assumes denials above a 5% benchmark are 65% winnable and caps the improved rate at 97%, because no practice collects 100% of billed charges. Your real figure depends on payer mix, documentation quality and how old the A/R is. The free audit produces the real number.
A 28% load is added on top for payroll tax, insurance, paid leave and turnover.
Billing only starts at 3.49%. Full revenue cycle, including coding and denials, starts at 4.49%.
$70,875 across a year, on collections of $122,400 per month.
This compares direct cost only. It does not price the recruitment, training, cover during leave, or the revenue lost while a billing seat sits vacant, all of which fall on the in house side. It also does not assume any collection rate improvement, which is calculated on the other tab.
Live in two to three weeks
Nothing about onboarding requires your staff to take on a project. The heaviest thing we ask for is access.
Free audit
Send us 90 days of claims data. We read your denial mix, your aging and your coding, and come back with what we found and what it is worth.
Access and setup
BAA signed, role based access granted in your existing systems, payer list confirmed. No data migration, no new software.
Go live
New claims start going out clean while we work the aged buckets in parallel. You see the first weekly A/R review inside two weeks.
Steady state
Daily queues worked, denials tagged at cause, monthly reporting with one named owner you can call.
You find out what is wrong before you pay us anything
The audit is genuinely free and it is not a sales exercise with a report attached. If your billing is already in good shape we will say so, and you will have a written second opinion at no cost.
- Denial mix by payer
- Aging by bucket
- Undercoding found
- Estimated recoverable
Specialties we bill
Coded by people who work your specialty every day. If yours is not listed, ask. We will tell you honestly whether we have the depth for it.
The routine checks run themselves. People handle the judgement.
Doctor, software is good at catching a missing modifier on ten thousand claims and bad at arguing with a payer. We let AI handle the first job, at scale and around the clock, so our specialists spend their day on the second one.
- Automated claim scrubbing before submission
- Denial patterns flagged by payer and reason code
- Aged A/R prioritized by what is most collectable
- Eligibility checked ahead of the visit
- Coding suggestions reviewed by a certified coder
- Charge capture gaps surfaced daily
- Payment posting reconciled automatically
- Reporting built from your live claim data
We work in the system you already use
No migration, no new license, no retraining your front desk. We log into your practice management system and work inside it. If yours is not listed, ask.
We bill in every state
Payer rules, Medicaid variations, prior authorization requirements and specialty documentation all differ by state. Your account is set up for the states you actually practice in.
Click a state to see how we bill there. The highlighted states have a page of their own.
Built for practices where one bad month matters
The smaller the practice, the more a stalled A/R hurts. Most of our clients are under fifteen providers.
I have the pleasure of working with Zack as our coordinator specifically for denials management and Accounts Recievable for my cardiology practice and I was impressed by how much they were able to recover in the first few months. It is worth it.
Very reliable, communicative, and we've noticed a difference with less denials since switching over. Highly recommend
iFocus RCM transformed our revenue cycle. Faster reimbursements, fewer denials, and a team that truly understands emergency imaging billing. Great company!
Their team is what we were looking for. The automated eligibility/ VOB is useful in our office and is always in before patients come in! They are the way to go. Zack was helpful with setting us up.
Dedication and knowledge is evident. Deducting where mistakes occur resulted in improvements. I have found iFocus RCM to be professional, dependable, and attentive to detail. Their commitment to quality service is commendable.
Plain reading on the things that cost you money
Written for practice owners and administrators, not for other billing companies.
The seven denials that account for most lost revenue
Eligibility, authorization, coding specificity and timely filing. What each one costs and how to stop it.
What to review before you change billing companies
The questions worth asking, the data you should be given, and the contract terms to look at twice.
Days in A/R: what good actually looks like
Realistic targets by specialty, and why an average can hide a bad aging tail.
The things practices ask us first
What does it cost?
Billing starts from 3.49% of collections. The rate depends on your specialty, claim volume and average claim value, so we quote after looking at your numbers rather than before. There is no setup fee and no charge on money we do not collect.
Do we have to change our software?
No. We work inside the practice management and EHR system you already use. If you are unhappy with your current system we will tell you, but changing it is never a condition of working with us.
How long does onboarding take?
Most practices are live in two to three weeks. Week one is access, payer list and a baseline read of your A/R. Week two we start submitting. Aged A/R recovery runs in parallel so old claims are being worked while new ones go out clean.
How do you handle patient data?
All work is done under a signed business associate agreement, on access we are granted rather than copies of your data, with role based permissions and audit logging. Our processes are built to be HIPAA compliant in how data is handled. We do not claim any certification or accreditation beyond that.
Are we locked into a contract?
No long term lock in. The agreement runs month to month after an initial 90 day period, which exists only because that is the shortest window in which the work can fairly be judged. You own your data and can take it with you.
Who actually works on our account?
A named account manager plus coders and A/R specialists assigned to your specialty. You will know their names. You are not writing to a shared inbox and hoping.
Find out what your billing is actually costing you
Send us 90 days of claims data and we will come back with your denial mix, your aging and an estimate of what is recoverable. Free, no commitment, and yours to keep either way.
