Generating Quarterly/Monthly Billing Reports and More

Ruffe Systems

More than just a billing company, Ruffe Systems, Inc. consistently delivers premium service to physicians and patients, maintaining a gold standard of quality in every phase of our customer relationship management. Integrity is the core RSI value, something we know translates into the return our doctors see in their bottom line. We treat your patients with professionalism and politeness helping them to understand their bills and the steps needed for payment. We represent your practice with the care and courtesy as if it were our own.

  • Customer Service Excellence When patients call RSI, it is a key touch point opportunity for improved customer relationships. We do not take this role lightly. We are dedicated to providing both a positive and helpful experience, ultimately ensuring your practice is well represented to its most important audience: your patients.
  • Credentialing For practitioners who need to fulfill the steps to get on board with insurance providers, it can be a cumbersome process. We will facilitate this process for you, a benefit you will not see with other companies.
  • Prompt Payments Our excellent staff will troubleshoot any issues in advance prior to billing a carrier. This eliminates denials and delays and gets you paid faster.
  • Higher Percentage of Collections when you work with RSI, you're working with a team that has the proven knowledge and experience to navigate the complex billing and collections process with efficiency. More completed collections means a better bottom line.
  • Customized Reporting & Practice Analysis Because we created and maintain our own proprietary software, we are able to show you every conceivable view of your practice. Customized reporting is one of the hallmarks of our service. Our goal is to provide the data you need to operate your practice at its optimum, making you the most from your time.
  • Maximum Contract Revenue With over 30 years of experience, we have the knowledge to help you negotiate the maximum allowable rates for your services. RSI has helped numerous clients improve their contracted rates based on our current and historical knowledge of the industry and skillful negotiation.
  • Litigation Support we operate under the expectation that insurance companies will provide timely compensation. However if an issue does arise, as our client, you can rest assured that RSI will vigorously pursue managed care entities that fail to honor the negotiated contracted rate. As part of our service, RSI will provide full litigation support for your legal counsel.

Ruffe Systems Inc. Services and Custom Software set us apart from other billing companies, for example:

  • We are responsible for collection of all demographics, coded charges, and any other documentation needed to facilitate the billing process.
  • We immediately follow-up on all mail returns, incorrect insurance information, or any other problem which has inhibited reimbursements.
  • All commercial insurance, Medicare, Medicaid and Champus correspondence and refiles are done on a weekly basis.
  • We file all insurance claims; patients do not receive statements from us until their portion is due is due.
  • RSI software generates proper messages on all patients' statements to inform them of the current status of their accounts.
  • All Medicare, Medicaid, Champus, railroad Medicare, and commercial claims are sent electronically. This will expedite reimbursement.
  • Patient co-insurance is billed immediately by internal software programming so there is no lag of time in reimbursement.
  • RSI software edits all procedures for which Medicare/Medicaid have a specific diagnosis edit. The proper diagnosis is defined prior to billing to avoid denial and re-file which would delay reimbursement.
  • Outstanding patients' Statements are sent weekly.
  • Review and follow-up on all past due accounts is performed weekly.
  • Third party billing AMA 1500 is done weekly.
  • Posting is done twice a week; funds are deposited in physician's account and in bank of physician's choice.
  • Refunds are generated twice monthly.
  • Clear and concise reports are sent to the physicians monthly. If a physician needs any other type of information on a report which is not currently offered, RSI will develop it for them.
  • RSI will generate quarterly reports as well as monthly reports summarizing key information and providing monthly comparisons.
  • Department logs are checked daily which guarantees to the physician that RSI has received and billed every procedure performed.
  • Our staff has expertise in coding and reimbursement for all government regulated agencies.
  • We immediately inform physicians, in writing, about any changes in regard to coding which would affect their reimbursement.
  • We assist physicians with CPT coding.
  • We offer professional fee comparisons.
  • Our staff will meet with the physicians and their accountants at any time to review financial reports and discuss any other issues relating to their practice.
  • RSI will review and upgrade price files with physicians whenever government regulatory agencies change the allowable or coding structure.
  • Professionally trained personnel are knowledgeable in regard to any client's medical specialty.
  • RSI will personally meet all hospital/office personnel and encourage a good working relationship with them.
  • We review and negotiates all health management contracts to ensure the optimum reimbursement should the physician desire.
  • We provide assistance with provider numbers with various regulatory agencies and fulfilling credentialing requests.
  • Our software edits all managed care reimbursements to ensure that contract payment terms are met.
  • RSI will assist physicians in pursuing managed care entities if reimbursement is not according to negotiated contract terms.
  • Specialized reports may be selected according to your practice's needs.
  • Personal attention is given to physicians' patients by our skilled staff. Courtesy and efficiency are top priorities at RSI.
  • RSI is certified by US Postal Service to produce all zip + 4 and carrier-out, insuring prompt and correct mailing addresses.
  • We employ electronic capabilities for verification of Medicaid eligibility through Medicaid Medifax, giving us access to HMO, TPL, Medipass, and much more information which will insure prompt and proper adjudication of claims.
  • Before forwarding any self-paying accounts to a collection agency of your choice, we will verify patient's Medicaid eligibility in case retroactive eligibility has been granted.
  • RSI's direct access to Medicare's bulletin board gives us capability to verify information such as eligibility records and Medicare HMO enrollment status.