Physician Billing That Maximizes Professional Fee Collections
Overview
Physician billing requires specialty-specific expertise, intimate knowledge of E&M documentation guidelines, and sophisticated understanding of each payer payment policy. A one-size-fits-all approach consistently leaves 10-30% of potential revenue unrealized.
Rafsons Med Billing assigns specialty-trained billing and coding teams to each physician client. Your internal medicine group gets billers who understand primary care coding nuances. Your cardiology practice gets coders expert in cardiac catheterization and echocardiography billing. This specialty alignment consistently delivers superior financial results.
We serve individual solo practitioners, small group practices, large multi-specialty groups, and employed physician organizations within health systems, with scalable billing operations that grow with your organization.
Key Benefits & Outcomes
Specialty-Aligned Teams
Dedicated billing teams with specialty-specific expertise in your medical discipline for optimal coding.
E&M Level Optimization
Documentation review ensures appropriate E&M level assignment, eliminating undercoding that costs most practices 15-20%.
Modifier Expertise
Correct modifier usage protects reimbursement and prevents inappropriate bundling by payers.
Value-Based Care Support
MIPS and MACRA reporting assistance, quality measure tracking, and value-based payment optimization.
Provider-Level Analytics
Individual provider performance reports show collections, denial rates, and payer performance by physician.
Multi-Location Support
Unified billing across multiple practice locations with site-specific and provider-specific reporting.
Our Process
EHR Integration and Charge Setup
We connect to your EHR, configure your fee schedule, and verify payer enrollment for all providers.
Charge Capture and Documentation Review
Charges are captured and clinical documentation is reviewed for coding accuracy and completeness.
Specialty Coding and Claim Preparation
Specialty-certified coders assign appropriate ICD-10, CPT, and modifier codes for each encounter.
Clean Claim Submission
Claims are scrubbed and submitted electronically within 24-48 hours of charge entry.
Payment Posting and Provider Reporting
Payments posted, reconciled, and provider-level performance reports delivered monthly.
Frequently Asked Questions
How do you prevent E&M undercoding?+
Do you handle billing for employed physicians within health systems?+
Can you handle telemedicine billing?+
What specialties do you have billing expertise in?+
Maximize Your Professional Fee Collections
Specialty-aligned billing expertise that captures every dollar you have earned.