Physician Billing Support for Independent and Group Practices
Overview
Physician billing includes turning documented professional services into claims, submitting claims to payers, recording remittance information, and following unresolved balances. Coding requirements and payer policies vary by service, specialty, contract, and documentation.
Rafsons Med Billing can discuss professional claim workflows for individual providers and group practices, including claim review, submission, payment posting, denial follow-up, and reporting. Specialty fit, systems, access, and staffing responsibilities should be confirmed before work begins.
Codes should be supported by the medical record and applicable guidance. No percentage increase, denial rate, collection amount, or turnaround time is guaranteed.
Possible Service Activities
Professional claim review
Review assigned claim details for completeness and route questions to the appropriate practice contact.
Documentation-based coding
Coordinate coding workflows that reflect the documented service and applicable requirements.
Payment posting
Record payer remittance information and identify unresolved balances for follow-up.
Denial follow-up
Track denial reasons, response requirements, and next actions for assigned claims.
Practice reporting
Agree on reports that help review activity, outstanding items, and recurring issues.
Group workflow coordination
Discuss provider rosters, locations, and handoffs when they are relevant to the agreed scope.
How Work May Be Organized
Review practice needs
Discuss specialties, provider count, payer mix, systems, and requested services.
Agree on scope and access
Set responsibilities, approved access, information handling, communication, and reporting.
Prepare assigned claims
Use supplied documentation and practice information to review claim details within scope.
Submit and monitor
Submit assigned claims through the agreed process and track payer responses.
Post and follow up
Record payments and coordinate next steps for denials and open balances.
Frequently Asked Questions
Do you support solo and group practices?+
Which medical specialties do you support?+
Can you guarantee improved collections or fewer denials?+
Will you integrate with our EHR or practice management system?+
Discuss physician billing support
Tell us about your practice and the professional billing tasks you want to discuss. We can review service fit, access, and next steps.