Medical Billing
Charge entry through payment posting, handled end to end by a team that knows your payers.
Learn moreMedical BillingNew Free 90 day claims audit, no commitment
Your billing should not be the reason the practice is losing money. We fix that.
Doctor, you did not train for eleven years to argue with payers. iFocus RCM takes coding, claims, denials and aged A/R off your desk and works them until they are paid.
- No setup fee
- From 3.49% of collections
- Month to month after 90 days
- Keep your current software
98%Clean claim rate
CollectionsTrending up
26 daysAverage days in A/R
HIPAACompliant handling
How we work
BAA with every clientUSA based teamCertified codersWorks in your PM and EHR4.9 average ratingRole based access, audit logged
Services
Nine things we do, and nothing we do not
We sell billing services, not software. There is no platform to migrate to and no licence to buy. You keep the systems you have and we do the work inside them.
Revenue Cycle Management
One team owning the whole cycle, from eligibility check to the final zero balance.
Learn moreRevenue Cycle ManagementMedical Coding
Certified coders assigning ICD-10, CPT and HCPCS to the level your documentation supports.
Learn moreMedical CodingMedical Audit
A hard look at your coding, documentation and billing before a payer takes one.
Learn moreMedical AuditCredentialing and Enrolment
Payer enrolment, revalidation and CAQH upkeep, tracked so nothing lapses.
Learn moreCredentialing and EnrolmentDenial Management
Every denial worked, appealed where it is winnable, and fixed at the root cause.
Learn moreDenial ManagementAccounts Receivable Recovery
Aged claims worked oldest first, with a written plan for anything over 90 days.
Learn moreAccounts Receivable RecoveryVirtual Medical Assistant
Trained remote staff for scheduling, intake, prior authorisation and inbound calls.
Learn moreVirtual Medical AssistantPractice Growth and SEO
Local search, reputation and site work that brings new patients to the practice.
Learn morePractice Growth and SEO
Why iFocus
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.
We are built around closing it. Named people, assigned by specialty, with a daily queue they are accountable for.
- 01A 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.
- 02Coders assigned to your specialty
Cardiology and behavioural 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.
- 03Denials 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.
- 04Reporting you can actually act on
Monthly numbers with the one decision they imply, not a forty page export nobody opens.
By the numbers
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.
98%First pass claim acceptance
97%Coding accuracy on audit
50+Specialties supported
4.9/5Average client rating
Revenue calculator
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.
Estimated recoverable per year
—
— per month, from a collection rate moving —.
Monthly billed charges—
Collected today—
From working winnable denials—
From clearing aged A/R—
Collected with us—
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%.
Monthly saving with iFocus
—
— across a year, on collections of — per month.
Salaries—
Benefits, tax and turnover load—
Software and clearinghouse—
In house total—
iFocus total—
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.
Getting started
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 ninety 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.
During the audit
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
90 daysof claims reviewed
Who we serve
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.
Solo practices
One provider, no billing staff, no room for a bad month.
Group practices
Multiple providers and locations under one A/R.
Ambulatory surgery
High value claims where one denial matters.
Labs and imaging
High volume, thin margin, tight payer rules.
Behavioural health
Authorisation heavy work with strict session limits.
Billing companies
Overflow coding and A/R capacity under your brand.
Pricing
A percentage of what we collect, and nothing else
No setup fee, no minimum, no charge on money we fail to bring in. The rate depends on specialty, volume and average claim value, so the exact number comes after we have seen your data.
Billing only
from 3.49%
of collections
Charge entry, scrubbing, submission, payment posting and patient balances.
- Claims out within one business day
- Payer specific scrubbing
- Payment posting and reconciliation
- Patient statements
- Monthly reporting
Full revenue cycle
from 4.49%
of collections
Everything in billing, plus coding, denials, A/R recovery and eligibility.
- Everything in billing only
- Certified specialty coding
- Denial management at root cause
- Aged A/R recovery
- Eligibility and benefits checks
- Named account manager
Project work
quoted
per engagement
Audits, credentialing, backlog clean up and virtual assistant staffing.
- Retrospective coding audit
- Payer enrolment and revalidation
- One off A/R backlog recovery
- Virtual medical assistant
- Practice growth and SEO
Percentages shown are starting rates. Your quote is written down before any work begins and does not change without your agreement.
Resources
Plain reading on the things that cost you money
Written for practice owners and administrators, not for other billing companies.
Guide
The seven denials that account for most lost revenue
Eligibility, authorisation, coding specificity and timely filing. What each one costs and how to stop it.
Checklist
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.
Benchmark
Days in A/R: what good actually looks like
Realistic targets by specialty, and why an average can hide a bad aging tail.
Questions
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 ninety 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.
Talk to a personMonday to Friday, 8am to 8pm ET