Claims and coding
Coordinate charge review, coding workflows, claim preparation, submission, and payment posting within the agreed service scope.
Revenue Cycle Services
Workflows for Medical Billing and RCM
Explore the types of billing and practice operations work you can discuss with Rafsons Med Billing. Service scope and system fit are confirmed with each organization.
Billing
Front-End
Eligibility checks
Review coverage and benefits information and record payer responses for the practice workflow.
Prior authorization
Coordinate authorization requests, status follow-up, and appeal steps with the practice team.
Follow-Up
Denial follow-up
Review denial reasons, organize next steps, and coordinate appeals using the available documentation.
Accounts receivable
Review open balances and payer activity, then track follow-up actions and unresolved items.
Practice Operations
Credentialing
Coordinate enrollment information, application follow-up, and re-credentialing workflows.
Reporting
Agree on reports and measures that help your team review activity, open work, and next steps.
System fit
Discuss your current practice-management and EHR systems before confirming an integration or access plan.
Confirm service and system fit
Tell us which workflows you need support with and which systems your practice uses.
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