Physician Group RCM Services

Streamlined Revenue Cycle Management for Multispecialty & Single-Specialty Practices

Physician practices operate in one of the most challenging financial environments in U.S. healthcare. Changing payer rules, staffing shortages, complex coding requirements, and rising administrative demands make it increasingly difficult for practices to maintain healthy cash flow.

Impact Innovations provides end-to-end RCM services designed specifically for physician groups, helping practices maximize reimbursement, reduce denials, and eliminate operational bottlenecks—so clinicians can focus entirely on patient care.

Whether you manage a single specialty practice or a multi-location physician group, our team ensures accuracy, compliance, and predictable financial performance.

Why Physician Groups Need Specialized RCM Support

Physician billing is fundamentally different from hospitals, labs, and diagnostic centers.

Common challenges include:

  • High documentation variation across providers

  • Specialty-specific coding complexity (E/M, modifiers, procedures)

  • Frequent payer policy updates

  • Prior authorization delays

  • High denial rates for medical necessity

  • Rising patient responsibility and underpayments

  • Increasing administrative workload for staff

Our services resolve these issues by creating a structured, technology-driven workflow that handles everything from front-end eligibility to back-end AR recovery.

Our RCM Services for Physician Groups

Impact Innovations manages the complete revenue cycle for physician practices.

1. Patient Registration & Eligibility Verification

Accurate eligibility protects your practice from rejections and billing delays.
We verify:

  • Active coverage

  • Deductible & co-pay

  • Prior authorization needs

  • Plan limitations

  • COB details

We resolve coverage issues before your providers see the patient.

2. Specialty-Specific Medical Coding

Our certified coders support all major specialties, including:

  • Internal Medicine

  • Family Medicine

  • Cardiology

  • Orthopedics

  • Neurology

  • Endocrinology

  • Dermatology

  • Pain Management

  • Psychiatry

  • Pediatrics

  • Pulmonology

  • Gastroenterology

We ensure:

  • ICD-10/CPT accuracy

  • Correct modifier usage

  • E/M leveling

  • LCD/NCD alignment

  • Audit compliance

3. Clean Claims Submission

Every claim is scrubbed and validated before being sent to payers to maximize first-pass approvals.

4. Denial Management

We handle:

  • Root-cause analysis

  • Rapid appeals

  • Documentation correction

  • Payer follow-ups

Our objective is not just to fix denials but to eliminate repeat patterns permanently.

5. AR Follow-Up for Physician Groups

We aggressively pursue outstanding claims to maintain <30 days in AR, improve cash flow, and prevent avoidable write-offs.

6. Payment Posting & Payer Reconciliation

We reconcile payments against expected contracted rates to catch underpayments and hidden losses.

Why Physician Groups Choose Impact Innovations

  • Deep expertise across all specialties

  • Predictable, faster reimbursement

  • Lower denial rates and fewer administrative tasks

  • HIPAA-compliant, secure infrastructure

  • Dedicated account managers

  • Transparent performance reporting

Transform Your Physician Practice Revenue

Your practice deserves a billing partner as committed to precision as you are to patient care.

Book a free RCM audit for your physician group.