Mon – Fri : 08:00 AM – 05:00 PM CST – Sat/Sun: Closed
347-701-1467
info@rafsonsmedbilling.com
Mon – Fri: 08:00 AM – 05:00 PM – Sat/Sun: Closed
Mon – Fri : 08:00 AM – 05:00 PM CST – Sat/Sun: Closed
Mon – Fri: 08:00 AM – 05:00 PM – Sat/Sun: Closed
Accurate billing and coding are vital for timely reimbursements. RafsonsMedBilling’s team ensures error-free processing and secures payments for your healthcare services.
Effective Revenue Cycle Management is key to financial health. RafsonsMedBilling streamlines every step, maximizing revenue and improving cash flow for your practice.
Eligibility and benefits verification is essential to prevent claim denials and delays. RafsonsMedBilling ensures accurate coverage details upfront, so your practice receives timely and complete payments.
Provider credentialing is crucial for seamless billing and patient trust. RafsonsMedBilling ensures your credentials are accurate and up-to-date, helping you maintain compliance and receive timely reimbursements.
Choosing RafsonsMedBilling means partnering with a team committed to precision, transparency, and personalized service. Our expertise minimizes errors, maximizes reimbursements, and ensures compliance, all while delivering seamless support tailored to your practice’s needs.
Our expert audits at RafsonsMedBilling reveal hidden revenue leaks from coding inaccuracies, demographic errors, and claim denials. Maximize your reimbursements and streamline billing for a stronger financial future.
Experience seamless billing solutions that boost revenue, reduce errors, and ensure compliance—so you can focus on quality patient care.
Free up more time for patient care by entrusting your billing to RafsonsMedBilling.
Minimize administrative tasks, allowing more time for patient-focused care.
Boost cash flow with faster claim processing and optimized reimbursements.
Minimize billing errors for quicker approvals and fewer claim denials.
Boost patient satisfaction with smoother billing processes and accurate, transparent charges.
Keep patient data secure with strong privacy and protection measures.
Ensure adherence to all regulatory standards for accurate and timely billing.
Streamline claim submissions to accelerate processing times and reduce delays.
RafsonsMedBilling provides comprehensive medical billing, coding, claim submissions, revenue cycle management, eligibility verification, and provider credentialing services to help your practice maximize reimbursements and minimize errors.
Our team of certified billers and coders follows strict protocols and stays updated with industry standards, reducing errors and improving claim acceptance rates to ensure timely reimbursements.
Eligibility verification helps prevent claim denials by ensuring that patients’ coverage details are accurate, reducing delays and ensuring smooth payment processing for your services.
Yes, we handle denied claims by identifying the reasons for denial, managing resubmissions, and filing appeals if necessary to help recover revenue that might otherwise be lost.
We prioritize patient data security by following strict HIPAA compliance standards and using secure systems to safeguard all personal and health information.
Provider credentialing verifies that your credentials meet insurer and regulatory standards, allowing you to bill insurance companies accurately and gain patient trust while avoiding revenue delays.
We gather key patient details, such as demographics, insurance, and contact information, ensuring a strong foundation for accurate billing.
During each visit, we document medical services provided, including diagnoses and procedures, building a detailed medical record.
Our coders assign standardized codes to diagnoses, procedures, and services, allowing for smooth communication with insurance companies.
A complete claim is created with patient details, insurance information, and coded services, prepared to ensure efficient processing.
The claim is submitted electronically to the patient’s insurance company, allowing for prompt processing and tracking.
The insurance company reviews the claim for accuracy and coverage, determining the payable amount per policy guidelines.
If approved, payment is sent to the provider. In case of denial, we handle resubmission or appeals to maximize reimbursements.
We bill patients for any co-payments, deductibles, or non-covered amounts and follow up on outstanding balances if needed.
Our clients trust RafsonsMedBilling for our accuracy, reliability, and dedication to providing a smooth, stress-free billing experience.
Experience the full benefits of RafsonsMedBilling’s streamlined solutions firsthand. Book a demo today to see how our practice management, billing, and compliance services can enhance your workflow, increase revenue, and improve patient satisfaction.
In today’s healthcare landscape, hospitals face tightening margins, increased operational costs, and complex billing requirements. RafsonsMedBilling serves as an extension of your team, helping to enhance collections, reduce errors, and optimize revenue through our tailored medical billing solutions. From managing AR recovery to reducing manual entry and claims errors, we streamline your billing to ensure fast, accurate reimbursements for healthcare systems.
1. Insurance Eligibility & Benefits Verification Our team verifies patient insurance coverage, co-payments, and deductible requirements to ensure seamless claim submission. Accurate verification of benefits prevents denials, enhances cash flow, and increases the likelihood of successful reimbursements for services rendered.
2. Accurate Coding, Billing & Payment Posting Our experienced billers review patient records and assign precise codes, reducing errors that lead to denied claims. Payment posting allows us to quickly identify issues like non-covered services and prior authorization requirements. This proactive approach to billing and posting improves cash flow and minimizes billing cycle disruptions.
3. AR Follow-Up & Denial Management RafsonsMedBilling takes a proactive stance on accounts receivable. Our team follows up on unpaid claims to reduce AR days, appeals denied claims, and provides analysis to identify root causes of denials, helping to prevent future revenue losses and keep collections on track.
4. Provider Credentialing & Out-of-Network Negotiation Credentialing with insurance payers ensures providers meet all requirements for insurance reimbursement. For out-of-network claims, our negotiation experts work to achieve optimal reimbursements, leveraging cost analytics and insurance payer relationships to support your bottom line.
5. Comprehensive Revenue Cycle Management (RCM) Our end-to-end RCM services begin at appointment scheduling and span through claim submission, follow-up, and collections. Using efficient RCM software, we handle eligibility verification, claims, payment posting, and data analytics to maximize revenue and streamline workflow.
RafsonsMedBilling delivers professional, error-free hospital billing solutions designed to streamline your billing process, enhance accuracy, and accelerate payments to meet the unique requirements of your healthcare organization. Our services help reduce costly errors and optimize accounts receivable, ensuring your financial performance stays robust and effective.
A disorganized hospital billing process can severely impact cash flow and financial stability. Outsourcing to RafsonsMedBilling provides a smart, cost-effective solution to manage your entire billing and collections process while reducing operational expenses. We help healthcare providers across the nation raise their reimbursements by over 20%, offering complete hospital revenue cycle management, medical accounts receivable, patient engagement, and practice management solutions. Our expert team ensures accuracy, speeds up collections, and saves valuable time for your organization.
RafsonsMedBilling provides specialized emergency room billing services for healthcare providers nationwide, helping freestanding and hospital-based ERs achieve maximum reimbursements while simplifying the billing process. With extensive knowledge in out-of-network billing, our team understands the unique complexities of emergency room billing, delivering fast, reliable revenue cycle management for your facility.
1. Patient Eligibility & Verification
Our eligibility verification services ensure accurate patient coverage details, identifying any pre-authorization needs or co-payment amounts upfront. This process helps reduce claim denials and speeds up reimbursements.
2. Accurate Coding, Charge Entry & Claims Submission
Our team performs coding and charge entry with meticulous attention to detail, ensuring compliance with payer regulations to minimize denials. From coding audits to precise claims submission, we streamline your ER billing for faster, more consistent payment.
3. Comprehensive AR Management & Denial Recovery
We handle aggressive AR follow-up and denial management, analyzing denied claims to correct issues and optimize future billing accuracy. Our team specializes in appeals and underpaid claim recovery, helping you recapture lost revenue.
4. Out-of-Network Negotiation
Out-of-network claims require specialized expertise, and our team is skilled in negotiating these claims to secure maximum reimbursement. By leveraging payer relationships and data insights, we optimize the return on every out-of-network encounter.
5. Dedicated Emergency Room Revenue Cycle Management (RCM)
Our end-to-end RCM services are tailored to the emergency room setting, from pre-certification and claims filing to collections and reporting. With integrated billing software and data analytics, RafsonsMedBilling delivers a seamless RCM experience that maximizes your revenue flow.
RafsonsMedBilling brings extensive expertise in urgent care billing, with a team skilled in managing the specific challenges of urgent care claim submissions and reimbursement protocols. Our billing specialists leverage deep industry knowledge to streamline billing processes and achieve maximum reimbursement swiftly, ensuring your urgent care facility operates at its financial best.
Our tailored urgent care billing services cover every aspect of the billing process to meet the specific needs of urgent care facilities:
1. Accurate Data Entry
Our data entry professionals accurately capture and enter all urgent care center data to prevent billing errors and ensure a seamless process.
2. Claims Completion
RafsonsMedBilling’s scalable urgent care RCM services handle both electronic and paper claim submissions in compliance with insurer-specific rules, ensuring claims are processed efficiently.
3. Practice Reports
We deliver custom reports for urgent care facilities regularly, providing timely updates through email based on each practice’s specifications.
4. Payment Processing & Audits
All received payments and explanations of benefits are recorded promptly. We conduct regular payment audits to confirm accurate reimbursements, maximizing your revenue.
5. Appeals Management
Our appeals management team promptly addresses denials and underpayments, filing appeals to secure the correct reimbursement for your practice.
6. Customized Reporting
Our reporting is flexible and designed around the specific needs of your practice, with options for daily, weekly, or monthly updates.
7. Annual Fee Schedule Updates
We update fee schedules annually, accounting for inflation and cost-of-living increases, to optimize reimbursements for urgent care facilities.
8. Claims Follow-Up
RafsonsMedBilling ensures that aging reports are up-to-date, following up on submitted claims until they are reimbursed efficiently.
RafsonsMedBilling serves a range of medical facilities, including both private practices and larger healthcare systems. Working with private practices allows us to stay current with healthcare advancements and help practitioners optimize their revenue cycles. Private practices often face revenue declines due to gaps in revenue cycle management knowledge, and RafsonsMedBilling offers targeted support to bolster financial health and streamline business operations.
Errors in documentation are one of the primary challenges private practices face in revenue cycle management. At RafsonsMedBilling, we ensure your team is well-trained in accurate documentation practices, significantly increasing claim acceptance rates. With a 99.9% claim acceptance rate, we reduce denials and address the root cause of any that arise, resubmitting claims quickly to ensure timely reimbursement. All claims are filed within 24 hours.
Insurance Eligibility and Benefit Verification
We gather essential insurance eligibility and benefit details for your patients, minimizing overcharges when collecting co-pays and preventing the need for refunds, which can affect patient trust.
Accurate Coding and Compliance Updates
Keeping up-to-date with the latest codes and compliance practices is essential to prevent revenue loss. RafsonsMedBilling ensures your practice uses accurate codes and follows best practices to maximize revenue and reduce errors.
Patient Statement and Support Services
Our team handles patient statements and provides phone support to answer patient queries. We actively pursue appeals and handle the time-intensive tasks of billing, allowing your staff to focus more on patient care, ultimately enhancing both patient satisfaction and operational efficiency.