We ease the back-office burden for private healthcare practices.
A New York company serving clients nationally
Agility RCM is a medical billing company dedicated to helping healthcare providers improve their revenue cycle management and revive their IDR claims. Our team leverages technology and in-depth experience to deliver the best possible results for our clients.
Why Choose Agility RCM?
Agility RCM is headquartered in New York, though, we serve practices in all 50 states.
Proven Success
We’ve submitted hundreds of successful claims to the federal IDR process, and our specialists have a track record of significantly increasing revenue for our clients.
Exceptional Service
We provide the guidance and support you need to navigate the complexities of the No Surprises Act. You’ll be kept in the loop about your claim status every step of the way.
Substantial Payouts
Through our well-honed process, we’ve helped practices receive additional payments that are up to 2500% greater than the initial commercial insurer payments.
Empowering healthcare providers with seamless, efficient, and maximized reimbursement solutions, our mission at Agility Billing Services is to redefine excellence in medical billing.
With a profound expertise in navigating the complexities of out-of-network reimbursement processes and the federal independent resolution system, we are dedicated to optimizing revenue streams while ensuring compliance and accuracy. Our commitment lies in providing unparalleled support, leveraging cutting-edge tech.
FAQs About the Federal IDR Process
Out-of-network practices that provide services at in-network facilities can submit claims to the IDR process.
Claims for services provided on or after January 1, 2022 may be eligible for the federal IDR process, depending on:
- The type of health plan the claim is submitted to (i.e., self-funded vs. fully-funded)
- The state in which services were provided. Certain states have state IDR processes that disqualify some claims from being submitted to the federal IDR process.
- How much time has passed since an insurer has made an initial payment of the claim. The federal IDR process is time-sensitive. After a set timeframe, claims may no longer be eligible for federal IDR.
Currently, it takes about four to six months for a payment determination to be made after a federal IDR process is triggered. However, various factors can influence this timeline, including how backlogged a certified IDR entity is.
We take billing off your plate so you can focus on patient care.
Our team of experts includes certified coders, billing specialists, and compliance professionals. We know the landscape in and out and we’re up-to-date on the latest industry trends, regulations, and best practices. Join the growing number of healthcare providers who trust Agility RCM to handle their IDR claims.
don’t wait
Maximize Your Revenue Today
Don’t leave money on the table. Contact Agility RCM to start the federal IDR process and secure the payments your practice deserves. IDR applications are time-sensitive, so book a complimentary consultation today!
