Welcome to Rapha Healthcare

Future Of Healthcare?

Technology-enabled Revenue Cycle Management and Risk Adjustment Solutions for Rapha Healthcare.

Message Us Now
7530031699
Welcome to Rapha Healthcare

Analytics and Insights that Drive Change

Unlock the value of your data to bring meaningful insights for smart decision-making through our integrated Analytics platform.

Our Services
7530064687
Welcome to Rapha Healthcare

Medical Coding Solutions

Optimize medical coding to improve reimbursement, reduce backlogs and denials while eliminating timely filing issues with ODP-CODE.

Code Auditing
US:+1 (415) 789-3791   UK +44 7309548389

ABOUT US

About Rapha Healthcare
  • WE ARE AN ANALYTICS DRIVEN, TECHNOLOGY ENABLED ORGANIZATION THAT PROVIDES HEALTHCARE BILLING, CODING, AND CUSTOMIZED ANALYTICS SOLUTIONS TO
    OUR CLIENTS.
  • OUR TECHNOLOGY ENABLED SERVICES AND SOLUTIONS HELP PROVIDERS, PAYERS, PHARMA AND CLINICAL RESEARCH ORGANIZATIONS INCREASE EFFICIENCIES, REDUCE COSTS, ACCELERATE CASH FLOW, AND OPTIMIZE REVENUE.

OUR MISSION

Our Mission Rapha Healthcare
  • WE ARE AN ANALYTICS DRIVEN, TO GLOBALIZE SUCCESS TO MAKE LIVES BETTER.
  • WE CONTINUOUSLY OPTIMIZE OUR SERVICES AND LEVERAGE THE LATEST TECHNOLOGY INNOVATIONS.
Two Girls working together

OUTCOME OF RAPHA

  • Accuracy
    • Rapha health doesn't just deliver. We over deliver! Our team is an extended arm to our clients. Our domain experts are constantly delivering suggested process upgrades and recommendations for saving money, time, and boosting efficiency within our client's businesses. On top of that, we strive to over deliver on our accuracy promises.
  • Leading to Delivering a Successful Solution
    • Delivering productivity, savings, and quality
    • Meeting and exceeding SLAs
    • Process and progress reviews
    • Planning for the future
    • Client side training and deployment

RCM SERVICES

Rcm services of Rapha Healthcare
rcmServices_image

PATIENT ACCESS SERVICES

Our Portfolio
  • Demographic Verification

    Our demographic verification services can help

    • Identify missing information
    • Verify patient addresses
    • Improve the quality of data collected
    • Support both scheduled and non scheduled patient visits
  • Insurance and Benefit Verification

    Insurance verification and benefit determination services available include

    • Confirm insurance coverage, including dual eligibility, TP eligibility, and Out of State verification.
    • Determine in and out of network benefits and patient liability.
    • Support the “No Surprises Act” billing estimate requirements for out of network and uninsured individuals
  • Prior Authorization Validation

    Rapha offers Prior Authorization services available

    • Validate the necessity of authorization
    • Initiate submission of referral/ authorization
    • Monitor and manage the process through completion
  • Payment Posting in RCM

    Significance of Precision in the Payment Posting Process

    • Maintains the clarity of the revenue cycle evaluation
    • Reduced Claim Processing Duration
    • Support for handling large-scale data
    • Improved Accuracy in Secondary Claim Submissions
  • Accounts Receivable

    Redefining Communication with Immersive Experiences

    • Overseeing digital and physical claims
    • Monitoring outstanding invoices
    • Enhanced fiscal stability
    • Increased adherence

MEDICAL CODING AND DOCUMENTATION SERVICES

  • Rapha offers professional fee coding services for the following needs
    • Emergency visits
    • Multi specialty E/M
    • Hospital medicine
    • Ambulatory surgery
    • Anesthesiology
    • Ambulance
    • Pathology lab and more
  • Rapha offers hospital facility coding services for the following needs:
    • Inpatient
    • Emergency department
    • Same day surgery
    • Observations
    • Ancillaries Services
Two Girls working together
Two Girls working together

PAYMENT POSTING IN MEDICAL BILLING SERVICES

  • Rapha offers the significance of precision in the payment posting procedure
    • healthcare practice
    • financial performance
    • massive data
    • Secondary Payers
    • payment lifecycle
    • systematic medical billing
    • claim denial resolutions
  • Rapha offers Payment Posting RCM services for the following needs:
    • Patient-centred
    • Claim Submissions
    • Increased Accuracy
    • Healthcare
    • Revenue Cycle
    • Reimbursement time

AR CALLINGCOMMUNICATION PROCESS BETWEEN A HEALTHCARE AND PROVIDER

  • Rapha provides AR calling solutions to streamline and enhance systematic processes for various needs
    • Training for individual
    • Extensive Research
    • Appeal Strategy
    • Accurate Maintenance
    • Post-call action
    • after-call actions.
    • possible approaches
  • Rapha's AR callers are tasked with following up on pending claims. Here are some key measures they can take to ensure effective follow-up
    • Monitor Outstanding
    • Claims Process
    • Customise the Process
    • Security Measures
    • Better compliance
    • Create a schedule
Two Girls working together

WHY RAPHA HEALTHCARE

Why Rapha
  • why we’ve developed a collaborative process with each customer to deliver configurable solutions that best fit their needs.
  • Compliance and Security
  • HIPAA Security Safeguards
  • We believe the best way to diagnose is to listen. As a trusted partner our first step is to fully understand the goals of your organization and the challenges standing in your way.
CODING DENIAL EDITS AND APPEALS

Rapha team of service experts can help you:

  • Rapidly identify coding errors.
  • Perform necessary coding edits.
  • Manage appeals for both professional and hospital coding.
Get Started

Standard Plan

CODE AUDITING

Rapha offers auditing services for:

  • Inpatient
  • Outpatient
  • Professional
  • Value Based Care audits including mortality and MIPS
Get it Now
Medical Billing Process

Payment Posting's benefits:

  • The beneficiary is assessed.
  • The exchange rate is authorized.
  • Transaction details are inspected.
Learn More
AR CALLING SYSTEMATIC PROCESS

Generating account receivable reports:

  • Enhanced profitability.
  • Efficient information handling.
  • Greater compliance.
Subscribe Now