
Reporting Changes to Your RCM Company to Prevent Denials

Clear communication can make or break your revenue cycle, as it ensures all parts of the process, from patient intake to final payment, run smoothly. Without communication, even small missteps can lead to big financial consequences, such as claim denials. Did you know that one of the most common (and avoidable) reasons for claim denials is failure to report important updates to your revenue cycle management (RCM) company?
At Integrity Billing, we understand how fast things move—new hires, address changes, updated payer contracts, and so forth. But when these updates aren’t shared promptly, they can create costly obstacles. Let’s walk through why it’s so important to keep your RCM partner in the loop and how it can protect your treatment center’s bottom line.
Small Changes Can Lead to Big Denials
Your RCM company operates under the assumption that your information is up-to-date. If this is not the case, your claims have a much higher chance of being delayed, denied, or underpaid.
For example, something as simple as an outdated tax ID can trigger an immediate rejection from the payer. Even changes that seem minor, like your facility hours or your group practice address, can affect billing accuracy and compliance.
This is the case because insurance companies rely on systems that follow strict rules for processing and verifying information. If information doesn’t match, or the insurance company can’t validate the accuracy of the claim, it can be denied or rejected.
Common Changes You Should Always Report
To keep claims flowing smoothly, be sure to notify your RCM company about:
- New providers or terminations
- Changes in NPI numbers or credentials
- Updated tax ID or business entity structure
- New contracts or payer credentialing changes
- Billing address or service location changes
- EHR/EMR transitions or updates
- New programs or services being offered
- Insurance participation or network status changes
- Updated licensing or accreditations
If you’re not sure whether a change affects billing—ask! It’s better to confirm than assume.
Why It Matters: Real-World Impact
Let’s say you add a new therapist to your practice. You assume everything is good to go, but your RCM partner doesn’t have their NPI or effective start date. Claims are submitted under the wrong rendering provider, and suddenly you’re looking at weeks of denied claims and lost revenue.
This situation is preventable, and it starts with simple, proactive communication. Because every claim, code, and patient detail matters, make sure you choose an RCM company you trust. At its core, your RCM provider is there to help you get paid efficiently, accurately, and in full. But they can only do that if they have the right information at the right time.
Building a Stronger RCM Partnership
At Integrity Billing, we don’t just process claims—we act as an extension of your team. We want to celebrate your growth, support your transitions, and help you get paid faster and more accurately. Some of the steps we take to accomplish this include regular communication touchpoints, onboarding checklists for new providers, and credentialing support and monitoring. We also align our clients with dedicated account managers who get to know their facility and services.
Any time your facility goes through a change, big or small, make sure you ask yourself these questions:
- Does this affect who delivers services?
- Does this affect where or how services are delivered?
- Does this affect how we’re paid or how we bill?
If the answer is “yes” or even “maybe,” let us know. This small step ensures we’re on the same page and can prevent big billing issues later.
Let’s Stay in Sync. Contact Integrity Billing Today.
At Integrity Billing, we believe transparency and communication are key to a healthy revenue cycle. Keeping us updated helps us keep you compliant, efficient, and financially strong. Whether you have a change coming up, or you’re looking to optimize your revenue cycle, schedule a consultation with us at 800-683-5640.