Mid-Year Check-In: Strengthening Care, Streamlining Revnuew
The halfway point of the year is a natural moment to pause and ask: Is your revenue cycle where it needs to be? With six months of insight behind us—and more policy updates on the horizon—it’s the right time to assess, adjust, and strengthen your strategy for the rest of 2025. Taking Stock of the […]
RCM Spotlight: Billing Strategies for Nutritional Services
As nutrition-based services continue to grow across the healthcare landscape, organizations delivering medical nutrition therapy (MNT), health coaching, and medically tailored meals (MTM) face a complex billing environment. Whether nutrition is your primary focus or one of many offerings, understanding the nuances of reimbursement is key to building a sustainable program. IRCMS supports organizations across […]
New Telehealth CPT Codes: What Providers Need to Know to Protect Revenue in 2025
As we move deeper into 2025, telehealth billing is undergoing another significant shift. The temporary flexibilities introduced during the COVID-19 public health emergency are winding down, and new CPT codes and modifiers have been introduced to reflect the evolving reality of telehealth reimbursement. One of the most important upcoming changes: Medicare will soon roll back […]
Bridging the Gap: Driving Collaborative Solutions
Bridging the Gap: Driving Collaborative Solutions The conversation around bridging the gap between providers and Managed Care Organizations (MCOs) continues to gain momentum. In an evolving healthcare landscape, where financial pressures and operational complexities are ever-present, fostering collaboration between these groups is essential for improving outcomes and supporting sustainable Revenue Cycle Management (RCM) practices. A […]
From Questions to Action: Strengthening Revenue Cycle Management in 2025
From Questions to Action: Strengthening Revenue Cycle Management in 2025 Last year, we shared MGMA’s “10 Questions Every Practice Should Ask Their Revenue Cycle Management Partner.” This resource offers valuable guidance for evaluating RCM strategies and identifying opportunities for improvement. The questions raised—ranging from claims management solutions to patient engagement tools—serve as a practical framework […]
Driving Change in Revenue Cycle Management: Insights from Nick DeRose, CEO
Driving Change in Revenue Cycle Management: Insights from Nick DeRose, CEO Throughout my time in healthcare, I’ve spent years navigating the complexities of Revenue Cycle Management (RCM). From cash flow management to data accuracy, healthcare organizations face a myriad of challenges. It’s essential to consistently evaluate these areas to optimize performance and stay ahead in […]
Tackling Billing Hurdles: A CEO’s Take on MCO Challenges
Tackling Billing Hurdles: A CEO’s Take on MCO Challenges As the CEO of Integrated RCM Services and throughout my career, I’ve witnessed firsthand the mounting complexities and frustrations that Managed Care Organizations (MCOs) face with billing and claims processing. The urgency to address these challenges is greater than ever, given the evolving landscape of healthcare […]
Overcoming Patient Payment Challenges
Overcoming Patient Payment Challenges The complexities surrounding patient financial responsibility are increasingly problematic for both patients and health systems. As detailed in a recent Becker’s advisory call sponsored by RevSpring and featured in a Becker’s Healthcare Whitepaper, hospitals face substantial hurdles in collecting payments efficiently, with issues ranging from high denial rates to patient confusion […]
New Jersey MGMA Chapter Welcomes Nick DeRose as Legislative Liaison
New Jersey MGMA Chapter Welcomes DeRose as Legislative Liaison Integrated RCM Services is proud to announce that CEO Nick DeRose has been named the Legislative Liaison for the New Jersey state chapter of the Medical Group Management Association (MGMA). This notable appointment underscores DeRose’s extensive expertise and leadership in healthcare revenue cycle management, as well […]
Disparities in Mental Health Treatments: Insights for Revenue Cycle Management
Disparities in Mental Health Treatments: Insights for Revenue Cycle Management In light of the recent findings from Vizient, Inc.’s report on disparities in mental health treatments between Medicaid and commercially insured populations, it’s essential for us at IRCMS to delve deeper into how these insights impact our clients and their revenue cycle management. Understanding Treatment […]