Common Questions

SignalRCM runs the full billing operation: coding review, claim scrubbing and submission, denials and appeals, payment posting and ERA reconciliation, patient statements and follow-up, and payer follow-up. Your clinicians document care in your existing EHR, and we handle what turns those notes into paid claims. You keep visibility into every step through live reporting.

Both. SignalRCM is a managed billing service run on our own platform. An experienced billing team works your account day to day, while the software handles coding drafts, claim scrubbing, submission, and reporting. You get the accountability of a service with the visibility of software.

Most practices reassign or reduce in-house billing roles once SignalRCM is live, since we take over the day-to-day claim and denial work. Some groups keep a billing lead to own the relationship and review reporting on their side. We can work either way and scope it with you during onboarding.

You keep clinical judgment, the final say on codes, and full visibility into your revenue. Suggested codes are routed for physician review before submission, and nothing goes to a payer without sign-off from the provider of record. SignalRCM does the billing work; the practice keeps the decisions.

Codes are drafted from your clinical documentation and routed to the provider for a quick review-and-approve step inside their existing workflow. Physicians can edit any code before approving the encounter. Suggestions are supported by current payer rules, but the clinical call stays with the doctor who saw the patient.

Yes. A live dashboard shows collections, denials, days in A/R, and payer performance. You can drill into any individual claim to see its status, and pull reports for your finance team or partners without going through us.

Every denial is reviewed and challenged with an appeal, correction, or resubmission, and tracked through resolution. Soft denials are typically corrected and resubmitted within a few business days of the remittance. Harder denials enter the appeal queue with payer-specific documentation pulled from the encounter.

Yes. Across the industry, a large share of denied claims are never reworked because they aren't worth a biller's manual time. Our workflow applies the same review to a small-dollar denial as to a large one, so low-value claims aren't quietly written off.

Claims are scrubbed against current payer rules before submission, with eligibility, modifiers, authorizations, and fee schedules checked upfront. When a payer denial pattern shows up, we adjust the upstream rules so the same issue is caught before the next claim goes out rather than after.

No. SignalRCM connects to your existing EHR and practice management system instead of requiring a migration. Major systems including Epic, athenahealth, and eClinicalWorks are supported. Your team keeps the same clinical workflow, and we handle what happens after the note is written.

Most practices can go live in weeks. Our implementation team handles the EHR connection, payer enrollment, and historical data migration, and the exact timeline depends on your systems and payer mix. We scope a realistic go-live date with you before you sign.

Open claims are handled during the transition. Depending on your contract, we can run in parallel for a period or take over open A/R from your current biller. Either way, in-flight claims are tracked through the handoff rather than dropped.

Onboarding is designed to minimize staff lift. Clinicians keep using your existing EHR, and the front desk doesn't get a new portal. The main new touchpoint is the provider's code-approval step, which sits inside their current workflow.

SignalRCM drafts ICD-10 and CPT codes from your clinical documentation using current payer rules, with a confidence indicator on each suggestion. Those suggestions are routed for physician review before submission. AI supports billing operations; it does not remove oversight.

Physicians can edit any suggested code before approving the encounter, so an incorrect suggestion is corrected before the claim is submitted. The system learns from those edits, and suggestions become more accurate for each provider over time.

No. AI is meant to support coding work, not replace clinical judgment. It removes manual code lookup, payer-rule checking, and submission steps, while the provider who saw the patient confirms the codes.

No. We do not train shared or cross-practice models on your patient data. Your clinical notes are used only to draft codes for your own claims.

SignalRCM works with specialty practices and medical groups, from single-location practices up through multi-provider groups. We custom-scope for larger groups. We don't currently serve hospital-owned practices or large health systems.

Our coding logic adapts to specialty-specific CPT and ICD patterns. Supported specialties include primary care, internal medicine, pediatrics, cardiology, orthopedics, and behavioral health, among a growing list. If we don't yet support your specialty, our team will tell you directly rather than take on work we can't do well.

SignalRCM works across the payer mix most specialty practices and medical groups already bill — commercial and government payers including Medicare, Medicaid, TRICARE, Blue Cross Blue Shield, Aetna, UnitedHealthcare, Cigna, and Humana, plus most regional plans. Eligibility is checked against them before claims go out.

Yes. Patient data is encrypted in transit and at rest, access is role-based and least-privilege, and every action is audit-logged. We sign a BAA with every practice before onboarding, and our security posture is published in our trust center.

Only the named SignalRCM team members assigned to your account, plus your own users. Access is least-privilege and logged. We don't share, sell, or use practice data for anything other than running your billing.

SignalRCM charges a percentage of what we collect for you, with no setup or per-claim fees. Specific rates depend on practice size, specialty, and payer mix. We'll quote you on a short call once we understand your volume.

SignalRCM runs on annual contracts. Denials, aged A/R, payer enrollments, and per-provider learning all take continuity to do well, and a yearly term supports that work. We'll walk through the terms with you before you commit.

Every practice gets a named account manager plus a direct line to our billing operations team. You're not routed through a general support queue for billing questions.

Urgent items go straight to your account team rather than a ticket backlog. Time-sensitive issues — a payer deadline, a cash-flow question — are prioritized, and most questions get a response quickly.

Open items are visible in your dashboard alongside claim status and revenue reporting, so you can see what's in progress without emailing us. Your account manager also reviews open issues with you on a regular cadence.