Medical billing that turns claims into collected cash
We run the full revenue cycle for independent behavioral health, primary care and physical therapy practices. One to twenty-five providers. Denials worked, AR followed up, and a monthly report that tells you what actually happened.
Most practices don't lose money on one bad claim
They lose it on the same denial repeating every month because nobody categorized the last one. On claims that need a single phone call sitting until the filing window closes. On payments that post at less than the contracted rate and close quietly as paid in full. We came into healthcare from business process outsourcing, which means we start by mapping how your revenue cycle actually runs and writing it down. Then we fix what the map shows.
Scope of services
Full revenue cycle, or only the pieces you need
Most practices don't need a vendor to take everything. They need the two or three stages that are leaking money. We're built to run the whole cycle and priced to run part of it.
Eligibility & Benefits Verification
Coverage confirmed before the appointment, including plan changes and retroactive approvals your own record wouldn't reflect. Not just whether the plan is active, but what it pays: deductible status, copay, visit limits, and whether the service is covered.
Prior Authorization
Authorization requests initiated ahead of service, tracked to decision, and monitored for expiry and unit consumption. Retroactive authorization is possible with some payers under narrow conditions and impossible with others. We'd rather not test which one you have.
Payer & Contract Analysis
We read your executed contracts and load the contracted allowables so posting can compare every payment against what was actually owed. Without this, underpayments post as paid in full and disappear. Your fee schedule stays yours to set.
Coding Review & Claim Submission
We review coded encounters for accuracy, modifier logic and documentation support before they become claims. Final code assignment stays with the rendering provider. Clean claims go out daily, not in a weekly batch that ages before it leaves the building.
Denials & Rejections
Rejections worked the day they land, categorized by root cause. Recurring causes get escalated into a configuration or workflow fix instead of being corrected one claim at a time forever. That's the difference between a billing service and a billing partner.
Payment Posting
Remittances posted against the expected contracted allowable, so variances flag as underpayments instead of closing quietly. Patient responsibility tracked separately from contractual adjustment, which sounds obvious and is one of the most common problems we find on takeover.
AR Follow-Up & Reporting
Aging worked by dollar value and proximity to the filing deadline, not oldest first. Every month you get billed versus collected, denials by reason code, AR by bucket and payer, and underpayments against contract. Four questions answered in ten minutes.
Why us
What's actually different here
Process discipline from outsourcing
Onboarding starts by mapping your workflow and writing it down, then building procedures specific to your practice. Most billing companies inherit whatever you were already doing and never document any of it, which is why the knowledge walks out when a biller leaves.
Our fee moves with your collections
We're paid on net collections actually received, and the rate steps down as those collections grow. There's no revenue for us in billing volume that will never pay, and no reason to leave a recoverable denial sitting.
Transparency by default
Billed versus collected, denials by reason code, AR by bucket and payer, underpayments against contract. Every month. If a number looks wrong, we'll show you the claims behind it.
Collaboration
Accountability
Simplify Your Healthcare Processes Today
Discover reliable and efficient healthcare solutions tailored to your needs with RBA Health Solutions. Let us handle the complexities while you focus on patient care.