Est. 1996 A Stronger Tomorrow for Healthcare
Your claims should not need chasing.
UnifiedRCM has run revenue cycle operations for physician practices and healthcare organizations since 1996 — eligibility through final payment, worked by named specialists inside the system you already use. We are not a startup, and we are not a billing vendor you email and hope to hear back from.
Speak with a specialist, not a sales queue. Response within one business day.
What practices tell us
“We are not short of claims. We are short of anyone who owns the number at the bottom.”
That is the gap we fill. One accountable team, one reporting rhythm, one place the answer comes from.
- A named account manager, reachable by phone
- We work inside your existing EHR and PM system
- US-based team, no offshore hand-off
- Reporting you can pull any day of the month
30 yrs
Serving providers since 1996
1996
Year founded
4
Core service areas
US‑based
Where your work is handled
UnifiedRCM has provided revenue cycle management for healthcare practices and organizations since 1996.
Core service areas
The full revenue cycle, handled end to end
Take the whole cycle or the part that is bleeding. Most practices start with denials and aged A/R, because that is where the money already earned is sitting.
Eligibility & Verification
Confirm coverage before the visit, not after the denial.
Learn moreClaims Management
Charge capture, coding review, scrubbing and disciplined follow-up.
Learn moreDenial Resolution
Appeals worked to root cause, so the same denial stops recurring.
Learn moreRevenue Optimization
Underpayments, contract performance and the revenue you never billed.
Learn moreWhat providers are up against
The denial problem is getting worse, not better
These are industry figures, not ours — published by independent organizations and cited below so you can check them yourself.
11.8%
of claims denied on first submission
Initial denial rates rose again in 2024 across a dataset covering more than 2,300 hospitals and 375,000 physicians.
Kodiak Solutions, 2025
14.5%
of primary care visit revenue goes to billing
Peer-reviewed measurement of what billing and insurance-related administration actually costs a practice per encounter.
Tseng et al., JAMA, 2018
13 hrs
per physician, per week, on prior authorization
Averaging 40 prior authorizations a week. Two in five practices now employ staff who do nothing else.
AMA Prior Authorization Survey, 2026
Worth knowing: most denials that get appealed get paid. Payers overturned 67% of appealed Medicare Advantage prior authorization denials in 2025 (KFF, 2026), and hospitals recovered roughly 70%% of the denials they pursued (Premier Inc., 2025). The problem is not that appeals fail. It is that most denials are never worked at all.
People. Process. Performance.
Three decades of doing this one thing
Every revenue cycle problem we have been handed traces back to one of three things: the wrong people touching the work, a process that leaks at the seams, or performance nobody is measuring.
People
Named specialists who know your account, your payers and your specialty — not a ticket queue and a rotating cast of strangers. You will know who works your claims and how to reach them.
Process
Documented workflows from eligibility to final payment. Every claim follows a defined path, every denial has an owner, and every exception is worked to resolution rather than written off at month end.
Performance
Clean claim rate, days in A/R, denial rate, net collection rate and first-pass resolution — reported on a set rhythm. If a number moves the wrong way, you hear it from us first, with the plan attached.
Why practices move to us
The things that usually go wrong, addressed up front
Most practices arrive having been burned once already. So rather than make you ask, here is where we stand on the questions that actually decide this.
- No long-term lock-in. Clear notice terms, no auto-renewal traps, no liquidated damages.
- Your data stays yours. Returned in full if we part ways, regardless of any fee dispute.
- System-agnostic. We operate inside your EHR and practice management software.
- Every claim worked. No dollar-value floor, no write-offs without your approval.
- A named contact. Not a ticket queue, not a rotating support pool.
- Business continuity planned. Redundant clearinghouse routing, so an outage elsewhere does not stop your cash flow.
Common questions
Answers before you ask
Do we have to change our EHR or practice management system?
No. We work inside the system you already use. Switching platforms is disruptive, expensive and rarely necessary, and a billing partner that requires it is solving their problem, not yours.
Where are your staff located?
Your work is handled by a US-based team. If any function is ever handled elsewhere, we will tell you which function and what controls apply before you sign anything — not after.
UnifiedRCM to confirm exact staffing model before launch.
Do you work every claim, or only the large ones?
Every claim, regardless of dollar value. Small balances are where percentage-based billing partners quietly lose interest, so we put it in writing: nothing is written off without your approval.
What happens to our existing accounts receivable?
We work it. Legacy A/R is usually the fastest money in the engagement because it has already been earned — it just stalled. We agree the approach to aged claims before the transition starts.
Who owns our data?
You do, at all times, and you get it back in a usable format if we part ways — regardless of any open invoice or fee dispute.
How quickly will someone respond when there is a problem?
Within one business day, from a named person you already know.
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.