Aim
Streamlining healthcare revenue cycle management.
Empowering providers to focus on patient care
Focus on patient care.
Billing, coding, credentialing, virtual assistance, and scribing—so providers stay with their patients while Relibill owns the named queue.
+1 (432) 274-3278
181 S. Franklin Ave., Suite 609, Valley Stream, NY 11581, USA
Live claim cycle
Eligibility through remit, owned step by step
- 01EligibilityViewCoverage is confirmed before the visit, not discovered on a denial.
- 02ChargeViewThe signed note and the code describe the same work.
- 03ClaimViewThe file leaves, and the acknowledgement comes back to a person.
- 04RemitViewThe payment is posted to the encounter it belongs to.
- 05Follow-upViewWhatever is still open has an owner and a date.
How
Empowering healthcare practices with expertise, innovation, and personalized service.
Who it is for
Built for the people who have to explain the money.
Physicians, clinics, and healthcare professionals use the same administrative cycle. Relibill covers medical billing, credentialing, state licensing, virtual assistance, and scribing, with a named queue from eligibility through the remit.
- Physicians
- Independent practices
- Groups
- Administrators
- Billing directors
- Finance leads
Services
What the office does
Six lines of work. The longer catalog underneath is how those lines are staffed across the cycle.
Medical billing
Charges, claims, posting, and follow-up for professional work.
Read more →Medical coding
Codes that match the note, before the claim goes out.
Read more →Credentialing
Enrollment and re-credentialing, including Medicare and Medicaid.
Read more →State licensing
Board applications and renewals, separate from payer enrollment.
Read more →Virtual assistants
Scheduling, intake, and the front-desk work that makes a claim payable.
Read more →Scribing
Visit documentation so the clinician can stay with the patient.
Read more →
Services along the cycle
Revenue cycle
The full path from a scheduled visit to a posted payment and a report a manager can use.
Patient access
Coverage, authorization, enrollment, and the front-office work that makes a later claim payable.
Coding and claims
Charge capture, code assignment, edits, and the claim files payers actually accept.
Payments and A/R
Remits, denials, follow-up, patient statements, and the reporting that explains the balance.
Technology and operations
How systems, edits, and people share the work without treating software as a substitute for review.
Where revenue leaks before anyone calls it a billing problem
01
Eligibility
Inactive coverage found after the visit.
02
Authorization
The procedure happens before the number exists.
03
Coding
The note and the code describe different work.
04
Denials
The same reason returns because nothing upstream changed.
05
A/R
Open claims are sorted by size, not by deadline.
06
Patient balance
A statement goes out before the remit does.
Follow one encounter across the cycle
Select a stage to see how that queue is owned from the schedule to the deposit.
Patient access
Coverage and authorization before the claim exists.
Registration is checked against the card the patient holds today. A 270/271 eligibility response is read for what it actually contains. Services that usually need authorization are flagged at scheduling, not after a denial.
Approach
In-house work and a partnered queue
The difference is ownership of the queue: who carries each step, and who has the next date.
Named ownership
Every open claim has a person and a next date, not a shared inbox.
Same systems
Work runs in the practice EHR and clearinghouse paths already in place.
Valley Stream reply
Questions land with the office that will own the engagement.
Side by side
Coverage
Often seen in-house. The card on file is copied forward. Inactive plans are discovered as denials.
Partnered queue. Eligibility exceptions are a same-day list. Staff do not describe a 271 response as an approval.
Charges
Often seen in-house. Unbilled visits appear when someone notices a slow month.
Partnered queue. Signed encounters without charges are a dated queue with an owner.
Coding
Often seen in-house. A favorite level is applied and changed only if a payer downcodes.
Partnered queue. The note selects the code. Unsupported levels are queried, not upgraded.
Denials
Often seen in-house. Large dollars are called first. Repeated small reasons are ignored.
Partnered queue. Reason codes route the work. Repeating reasons become an edit or a script.
Patients
Often seen in-house. Statements go out while claims are still in process.
Partnered queue. Statements follow adjudicated patient responsibility and match the remit.
Measures worth defining before anyone quotes them
First-pass acceptance, denial rate, net collection, and days in A/R are defined here so the monthly review uses the same language as the assessment.
First-pass acceptance
Formula
Claims accepted without a front-end rejection, divided by claims submitted.
It shows whether identifiers, enrollment, and format edits are working. It does not show whether claims were paid.
A high acceptance rate can sit next to a poor denial mix. Quote the denominator before comparing months.
Works in the systems you already run
Claims, eligibility, and remits move as 837, 270/271, and 835 transactions through the practice's EHR and practice-management system. Each connection is tested against a live file before it carries production work.
Technology and securityProtected health information stays in contract
Engagements that touch patient data use a business associate agreement, named users, and minimum-necessary access. The public site takes practice questions only. Patient records stay in the systems covered by that agreement.
How an engagement starts
01
Assessment
We learn the specialty, the systems, the payer mix, and which queues hurt. No patient list is required to start the conversation.
02
Scope
The proposal names the tasks, the system access, and the measures to baseline. Anything not listed is not assumed.
03
Access and safeguards
Named users, minimum necessary roles, and a business associate agreement are in place before claim data moves. Shared logins are not the design.
04
Parallel run
A sample of encounters, remits, and denials is worked while the current process is still visible, so posting rules and edits can be compared.
05
Steady operation
Daily queues and a monthly review replace the project. Upstream fixes are written back into edits and scripts.
From the journal
Patient access · 4 min
Eligibility Mistakes That Delay Payment
The eligibility errors that turn into denials later, and the checks that belong before the visit rather than on the remit.
Denials · 4 min
How to Read a Claim Denial
How to separate a rejected file from a denied claim, read the reason, and decide whether the fix is upstream or an appeal.
Coding · 4 min
CPT 99213 and 99214 for Established Visits
How established-patient office codes 99213 and 99214 differ, what the note has to show, and what a biller should not invent.
Questions practices ask first
What does a billing engagement include?
The agreement names the queues. A full professional-billing engagement covers charge capture, coding, claim submission, posting, and follow-up. Eligibility, authorization, patient statements, credentialing, state licensing, virtual assistance, and scribing are added when the practice wants them. The work is professional physician and clinic billing.
Do you guarantee a collection rate or a reduction in days in A/R?
Collection rate and days in A/R depend on payer mix, contracts, documentation, and patient responsibility. Every engagement starts with a baseline of those measures and a report that shows what moved them. The proposal does not sell a percentage or a day count.
Will you replace our EHR?
Clinical records stay in the system you already use. Billing runs through the access your vendor agreement allows, in that EHR and practice-management system.
Do you bill hospital facility claims or dental claims?
Professional physician and clinic claims are the scope. Hospital facility billing and dental billing sit outside that scope.
How do fees work?
Engagements are structured as a percentage of defined collections, a flat monthly fee, or a hybrid. The definition of collections and the services included are written into the contract. The proposal after the assessment names the fee for that practice.
Bring the queue you can already name.
Tell us the specialty, the volume, and the systems in use. Leave patient identifiers off the form. The office answers from Valley Stream.