Welcome to Rational Billing

Key Features:

You may manage your medical business more profitably and efficiently while expanding it with the help of our medical billing and coding services. With the help of our free medical billing software, you can better manage patient data, raise patient volume, boost revenue, lower the number of claims that are refused, and increase patient satisfaction.

1) Error-Free Charge Entry: In order to guarantee the submission of a first-time authorized claim, we offer comprehensive error-free entry. We obtain each patient's demographic data and billing information from you. Every day, our billers input the charges for processing claims.

2) Real-Time Insurance Verification: We verify each patient's insurance eligibility in order to expedite your workflow, reduce days of accounts receivable, and prevent denials.

3) Claim Submission and Scrubbing: Clean claims are submitted thanks to the efforts of our billing specialists and scrubbing process. If there are any rejections, resubmission is completed the same day following any necessary adjustments.

4) Payment Posting: EOBs and ERAs are promptly posted and validated.The patient's account is updated with the outstanding amounts. We check to ensure that the right amount is paid on an eCash claim.

5) Patient Statement: Thanks to the efforts of our claims experts and cleaning process, a perfect claim is submitted. If rejected, the resubmission will be completed on the same day after making any necessary adjustments.

6) Followup & Appeals: If you are denied, our A/R specialists will address the cause of the denial, resolve the issue, and process your payment.

Experienced Team of Coders:

We thoroughly review all claims prior to submission and promptly make any necessary changes before submitting your request for payment. Our dedicated team of programmers can help expedite the process so that claims are sent to payers quickly, significantly reducing payment times.

Medical Coding Audit:

We provide appropriate evaluation and management (E&M) levels for your practice management to ensure accurate reimbursement for services. Our team of expert coders assigns updated his CPT, ICD-10, HCPCS codes and NCCI changes to minimize errors and make the review process less stressful. Here's what you can do with Rational coding and testing services: Ensure ICD-10 compliance and follow HIPAA guidelines Reduce all denied and ultimately not billed (DNFB) cases. Significantly minimize accounts receivable backlog Improve patient engagement by freeing up healthcare professionals to focus on patient care. Improve provider documentation and improve data reporting.

ICD and CPT Coding:

Our certified procoders support your revenue cycle and ensure the highest standards of coding accuracy and compliance. medical coding team is skilled in CPT, ICD-10, HCPCS codes, and NCCI editing to assign the most accurate codes to the services provided.

Rational Billers helps you submit error-free applications, analyze rejected applications, and track rejections and non payments. At Rational Billers, we take great satisfaction in offering superior, error-free medical billing services that go above and beyond simple application submission. We provide comprehensive solutions to improve your revenue cycle management, all with a dedication to quality.

1) Error-Free Application Submission: We make sure your applications are flawlessly prepared, reducing the possibility that they will be rejected.

2) Rejected Application Analysis: In order to prevent rejections in the future, our team thoroughly analyzes rejected applications, looking for trends and putting corrective measures in place.

3) Rejection and Non-Payment Tracking: We recognize how crucial it is to keep track of rejections and unpaid invoices. Our cutting-edge systems notify you and enable prompt resolution of unresolved problems.

4) Provider Documentation Improvement: Raising the caliber of provider documentation to comply with industry norms will increase processing speed and accuracy of claims.

5) Data Reporting Enhancement: We use state-of-the-art technology to expedite data reporting and give you insightful analytics so you can make well-informed decisions.

6) On-Network and Off-Network AR Tracking: Our services ensure a comprehensive approach to managing your revenue streams by covering both off-network and on-network accounts receivable (AR).

7) Workers' Compensation Tracking: Our expertise lies in monitoring workers' compensation claims, streamlining the processing process, and optimizing payouts.

8) Negotiations with Claims Adjusters: On your behalf, our skilled staff bargains with claims adjusters to maximize reimbursement rates and guarantee just compensation.

● Improve provider documentation and improve data reporting.

● On-network and off-network AR tracking.

● Workers' compensation tracking.

● Negotiations with claims adjusters.

Denial Management Services:

Rational Billers helps you submit error-free applications, analyze rejected applications, and track rejections and nonpayments. Our first-class, high-quality AR medical billing services include:

● Improve provider documentation and improve data reporting.

● On-network and off-network AR tracking

● Workers' compensation tracking

● Negotiations with claims adjusters

Rule Based Denial Prevention:

Our world-class claims resolution tools ensure that claims errors are not only identified before they are submitted, but also systematically corrected. Our fully customizable rules-based system is designed to prevent denials related to coding, LCD policies, payer, gender rules, and other rules specific to your specialty or practice.

Better Collection Rates:

Our Denial Management team helps you improve your payment collection by identifying the root cause of every denied claim and providing the tools you need to enable timely resolution. With our integrated software suite, denied claims are automatically routed to the appropriate staff for immediate follow-up and systematic remediation.

Rational Billers ative reporting quickly uncovers unrealized revenue opportunities, giving your practice a competitive advantage. Our cost-effective solutions provide detailed reporting and analysis of employee performance, providing actionable insights to improve employee efficiency and productivity.

Whether it's billing, helping hospitals smoothly transition to value-based reimbursement, or facilitating the integration of newly acquired physician groups, Rational offers customization to accelerate your business' revenue cycle. By providing innovative solutions, we are well-positioned to address the challenges facing hospitals and health systems.

Hospital: Rational Billers has decades of experience working in hospitals and health systems. Our team is made up of experts who understand the pain and challenges faced by hospitals and healthcare professionals. Whether your organization is in the process of transitioning to value-based reimbursement or you need help integrating a recently acquired group of physicians into your organization's systems, Rational Billers provides a complete customized solution. Rational Billers is a trusted name in the healthcare industry and has helped many hospitals and health systems manage:

● Enrollment

● Verification

● Revenue Cycle Mangement

● A/R

● Follow-Up

● Analytics & Reporting

● Patient Statements