Specialty RCM built to
Veriflow RCM helps specialty healthcare practices strengthen reimbursement performance through specialty billing expertise, front-end automation, clinical documentation intelligence, payer policy readiness, prior authorization support, AR recovery, denial management, and executive dashboards.
96%
Gross collection
-32%
Denial rate
28d
Days in AR
100%
Clean Claim Rate
The Real Problem
Why Revenue Gets Stuck?
It may have a revenue flow problem.
Your Practice May Not Have a Billing Problem.
Revenue leaks occur when scheduling, insurance verification, authorization, documentation, coding, claim submission, denial management, and accounts receivable processes fail to work together.
The Veriflow approach
Veriflow Connects the Full Revenue Flow
Front-End Readiness
Insurance capture, eligibility checks, benefit verification, patient responsibility workflows, payment links, and prior authorization readiness before the claim is created.
Coding & Documentation Intelligence
Clinical documentation review support for CPT, ICD, modifier usage, medical necessity, and payer policy alignment.
Prior Authorization Support
AI-assisted and workflow-driven support for payer rules, required documents, missing information, status follow-up, and authorization work queues.
Denial Prevention & AR Recovery
Denial root-cause analysis, appeal prioritization, payer trend tracking, high-value AR segmentation, and collectability-based follow-up.
Executive Dashboards
Owner-level visibility into charges, payments, denials, AR aging, payer behavior, front-end readiness, prior authorization status, and team performance.
Specialty focus
Built for Specialty Practices With Complex Revenue Risks
Allergy & Asthma
Biologics
Rheumatology
ENT
GI / ASC
Behavioral Health
Results Snapshot
Revenue control starts with visibility.
|
Metric
|
Before
|
After
|
Message
|
|---|---|---|---|
|
Payments per Visit
|
$148
|
$188
|
Improved reimbursement realization through AR cleanup and front-end
correction.
|
|
Gross Collection Rate
|
39%
|
49%
|
Strengthened claims accuracy and collections discipline.
|
|
First-Time Denial Rate
|
11%
|
8%
|
Reduced avoidable denials through root-cause controls.
|
|
AR Over 90 Days
|
37%
|
15%
|
Focused aging AR reduction with daily performance review.
|
|
Total AR
|
$3.94M
|
$3.43M
|
Reduced outstanding AR through prioritized execution
|
|
Unpaid Claims
|
4,853
|
2,697
|
Converted inventory into actionable work queues.
|
* Results may vary based on specialty, payer mix, documentation quality, contracts, patient benefits, coding accuracy, and operational readiness.
Testimonials
What Our Clients Say
Get Enquiry
Find out where your revenue is getting stuck.
Request a focused Revenue Flow Audit to review front-end readiness, authorization bottlenecks, coding and documentation risk, denial trends, AR opportunity, payment posting gaps, and dashboard visibility.
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