Billing workflows
Discuss the claims, coding, payment posting, and follow-up work that fits your practice.
Medical billing and RCM support
Revenue Cycle Management for Healthcare Practices
Support for medical billing, coding workflows, claims, payer follow-up, and revenue cycle reporting.
Claims and coding support
Denial and AR follow-up
Credentialing assistance
Practice-focused reporting
Example workflow
Revenue Cycle Activity
Claim review
Documentation and coding checks
Payer follow-up
Status and next steps recorded
Payment posting
Remittance review and reconciliation
Illustrative workflow only. Actual services depend on your agreement.
Examples of specialties to discuss; service fit is confirmed individually
Internal Medicine
Cardiology
Orthopedics
Neurology
Oncology
Dermatology
Pediatrics
Psychiatry
Radiology
Emergency Medicine
Gastroenterology
Urology
Ophthalmology
OB/GYN
Physical Therapy
Family Medicine
Endocrinology
Rheumatology
Internal Medicine
Cardiology
Orthopedics
Neurology
Oncology
Dermatology
Pediatrics
Psychiatry
Radiology
Emergency Medicine
Gastroenterology
Urology
Ophthalmology
OB/GYN
Physical Therapy
Family Medicine
Endocrinology
Rheumatology
Billing and RCM Services
Revenue Cycle Management Services
Explore billing and revenue cycle services for healthcare practices. The service scope, responsibilities, systems, and reporting are discussed before an engagement begins.
Medical Billing & Coding
Support for ICD-10, CPT, and HCPCS coding workflows, claim preparation, submission, and payment posting.
ICD-10 CodingCPT/HCPCSCharge CaptureClaim Review
Learn More AR Follow-Up & Collections
Accounts receivable review and payer follow-up to track open balances, responses, and next actions.
Aging AnalysisPayer Follow-UpBalance ReviewAR Reporting
Learn More Credentialing & Contracting
Provider enrollment coordination, payer status follow-up, and roster workflow discussions.
Provider EnrollmentPayer Follow-UpRe-credentialingCAQH Workflow
Learn More Prior Authorization
Authorization request preparation, payer status tracking, and appeal coordination within the agreed scope.
Request PreparationStatus TrackingAppeal CoordinationWorkflow Review
Learn More Eligibility Verification
Support for checking coverage information and recording payer responses before claim submission.
Coverage ChecksBenefits ReviewPayer ResponsesWorkflow Notes
Learn More Denial Management
Denial review, appeal coordination, and follow-up to help teams understand recurring claim issues.
Denial ReviewAppeal FilingIssue TrackingTrend Reporting
Learn More How We Work
How We Start an Engagement
A typical engagement starts by understanding your workflow and agreeing how the work will be handled.
1
Understand the Workflow
Discuss your billing process, practice needs, payer mix, and current challenges.
2
Agree on Scope
Confirm responsibilities, information needed, reporting, and service expectations.
3
Plan the Transition
Coordinate system access and workflow changes according to the agreed plan.
4
Coordinate RCM Work
Support the billing, coding, claims, and follow-up activities included in the engagement.
5
Review Open Items
Use agreed reporting and communication to discuss completed work and unresolved issues.
A clear revenue cycle process
RCM support shaped around your practice workflow
The services, timelines, reporting, and performance measures are defined with each practice rather than promised as one-size-fits-all results.
Defined responsibilities
Agree who handles each step, what information is needed, and how exceptions are escalated.
Useful reporting
Choose reporting that helps your team understand work completed, open items, and next actions.
Privacy due diligence
Review data handling, safeguards, and applicable agreements before sharing patient information.
Service fit
Discuss your practice setting, specialties, payer mix, and systems before selecting a service scope.
Ongoing communication
Keep billing questions and workflow changes visible to the teams responsible for resolving them.
Revenue Cycle Consultation
Talk through your revenue cycle workflow
Share your practice and service needs. We can discuss billing workflows, payer follow-up, reporting, and possible next steps.
Comprehensive denial rate analysis
Revenue opportunity assessment
AR aging and cash flow review
Coding accuracy audit
Credentialing status review
Request a Billing Consultation
Tell us how to reach you and which services you want to discuss.
Privacy, Coding & Security
Questions to resolve before sharing data
Ask for current documentation and confirm your organization's requirements before sending protected health information or beginning a billing engagement.
Business associate terms
Review applicable agreements and permitted PHI handling before sharing patient data.
Security documentation
Ask for current information about safeguards, vendors, access, and data flows during due diligence.
Coding support
Coding must follow the supporting documentation and the current code set and payer requirements.
Data minimization
Do not enter patient names, identifiers, or clinical details in public website forms or chat.
Payer requirements
Confirm current payer and program rules for the service, documentation, and claim.
Questions before onboarding
Discuss data access, retention, communications, and responsibilities before work begins.
RCM Insights & Resources
View All Articles Healthcare Billing Insights
AR Management4 min read
How to Reduce Days in AR: Revenue Cycle Strategies for Healthcare Providers
Days in Accounts Receivable (AR) is a key healthcare billing metric that measures how quickly providers receive payments for services. This article explains what Days in AR means, common causes of delays, and how Rafsons Med Billing helps healthcare organizations reduce AR days, improve cash flow, and optimize revenue cycle performance through efficient billing and follow-up processes.
Read article
Revenue Cycle11 min read
Why Your Medical Practice Is Collecting Less Than It Should: 7 Silent Revenue Killers
Most physicians are leaving 15-30% of earned revenue uncollected without realizing it. Here are the seven most common revenue killers we find in practices — and exactly how to fix them.
Read article
Revenue Cycle4 min read
The Growing Challenges of Free-Standing Emergency Rooms — And How Rafsons Med Billing Solves Them
Free-standing emergency rooms are rapidly expanding across the healthcare landscape, but behind their growth lies a complex set of challenges—ranging from evolving payer rules and denied claims to compliance pressures, staffing inefficiencies, and unpredictable revenue cycles. As patient volumes increase, so does the difficulty of maintaining clean, timely, and accurate billing that ensures financial stability. This article explores these rising operational and financial hurdles and highlights how Rafsons Med Billing helps free-standing ERs overcome them through specialized revenue cycle management, denial reduction strategies, and end-to-end billing optimization—turning complexity into consistent, scalable revenue performance.
Read article
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