Specialty RCM Services Designed Around the Full Revenue Flow
Veriflow supports specialty practices across the revenue cycle - from patient readiness and eligibility to coding review, claims, denials, AR recovery, payment posting, contract visibility, and executive dashboards.
More Than Billing. Full Revenue Flow Execution.
Full-Cycle RCM
Complete revenue cycle support across eligibility, charge capture, coding review, claims submission, denial management, payment posting, AR follow-up, and reporting.
Best Fit For
Practices replacing a billing vendor or seeking complete revenue cycle ownership.
Key Deliverables
Eligibility review, Charge and claim review, Clean claim submission, Payment posting, Denial follow-up, AR follow-up, KPI reporting, Revenue performance reviews
Front-End Automation
Veriflow strengthens the front-end by improving scheduling readiness, insurance capture, payment link workflows, eligibility verification, benefits checks, and patient communication.
Best Fit For
Practices with avoidable front-end rejections, high patient balance leakage, missing insurance issues, or eligibility gaps.
Key Deliverables
Patient scheduling readiness, Insurance capture before visit, Eligibility and benefits checks, Payment link workflows, Patient responsibility visibility, Front-end issue tracking
Prior Authorization Support
Veriflow uses AI-assisted and workflow-driven processes to organize payer rules, document requirements, authorization status, missing information, follow-up queues, and procedure readiness
Best Fit For
Practices delayed by authorization requirements, missing documents, payer friction, and unclear procedure readiness.
Key Deliverables
Payer rule checklist, Required document tracker, Pending authorization queue, Missing information tracker, Status follow-up workflow, Authorization aging report, Procedure readiness view
Coding & Documentation Intelligence
Veriflow supports chart-to-claim review by checking documented medical necessity, ICD support, CPT alignment, modifier usage, and payer policy expectations before submission.
Best Fit For
Specialties with denials tied to documentation, bundling, ICD mismatch, modifier usage, or medical necessity.
Key Deliverables
Chart-to-claim review, ICD and CPT alignment support, Modifier review, Medical necessity support, Payer policy readiness, Documentation gap feedback
Denial Management
Veriflow does not treat denials as isolated transactions. We identify denial root causes, payer trends, preventable patterns, appeal priorities, and corrective actions.
Best Fit For
Practices with recurring payer denials, weak prevention controls, and inconsistent appeal outcomes.
Key Deliverables
Denial root-cause report, Appeal prioritization, Payer trend review, Corrective action plan, Team training inputs, Denial prevention workflow
AR Recovery
Veriflow prioritizes old AR by age, payer, balance, denial history, collectability, and required action. The goal is to convert inventory into focused work queues and measurable recovery.
Best Fit For
Practices carrying 60+, 90+, and 120+ AR with unresolved unpaid claims.
Key Deliverables
AR aging review, High-value claim list, Payer segmentation, Collectability prioritization, Daily work queue, Escalation tracker, Liquidation reporting
Payment Posting & Reconciliation
Veriflow supports clean financial visibility through ERA/EOB posting, adjustment review, payment reconciliation, underpayment detection, and payer behavior reporting.
Best Fit For
Practices needing cleaner reporting, accurate payment visibility, and better revenue reconciliation
Key Deliverables
ERA/EOB posting, Adjustment review, Underpayment indicators, Reconciliation reporting, Credit balance visibility, Posting accuracy checks
Contract Support
Veriflow helps practice owners understand whether payer contracts match actual paid results by reviewing payment behavior, reimbursement patterns, denial trends, and underpayment indicators.
Best Fit For
Owners who want payer contract visibility, reimbursement benchmarking, and negotiation support.
Key Deliverables
Payment benchmarking, Payer behavior review, Underpayment indicators, Contract performance insights, Rate negotiation support, Reimbursement variance reporting