Physician and Professional Fee Billing Services
Physician billing covers the professional-fee side of care — the work a specific provider performed — billed separately from any facility charge and shaped around how that provider actually delivers care.
Trusted by 160,000 Providers
Why Physician Billing Matters
Professional fee billing is often treated as identical to general medical billing, but place of service and provider-type rules genuinely change how a claim should be built. A physician who splits time between office and hospital work is exposed to two different rule sets, and applying the wrong one produces denials that look unrelated but share the same root cause.
Professional fee coding
Provider encounters coded and billed independent of any facility charge.
Place-of-service accuracy
Claims coded to reflect where the encounter actually took place.
Multi-setting billing
Office, hospital and other settings billed under the rules specific to each.
Provider-specific fee schedules
Payments reconciled against the professional fee schedule that applies to each provider.
E/M and procedure coding
Visit levels and procedures coded to the provider's documentation.
Denial management for professional claims
Denials specific to professional-fee rules worked by cause, not treated generically.
Complete Physician Billing Services
Professional fee billing starts with the provider's own documentation of the encounter, coded and billed independently of any facility charge for the same visit, even when both occur in the same location on the same day.
Place of service, provider type and the specific payer's professional-fee rules all affect how a claim should be built, and those rules shift depending on whether the provider is seeing patients in an office, rounding in a hospital, or covering both.
Where a provider works across multiple settings, professional fee billing has to track which encounters belong to which place of service and bill each correctly rather than applying one setting's rules everywhere.
Why Practices Choose RevaxisMD for Physician Billing
Measurable improvement across the financial metrics that decide whether a practice can plan.
Built around how physicians work
Billing runs on the practice's clinical rhythm rather than asking clinicians to reshape their day around the revenue cycle.
Documentation queries that respect time
Providers are asked about documentation specifically and infrequently, not sent long generic query lists weeks after the fact.
Correct visit levels
Encounters are coded to what the record supports, which protects against both lost revenue and audit risk.
Per-provider visibility
Performance is reported by provider, so a documentation or coding pattern is attributable rather than practice-wide noise.
Multi-site and multi-specialty ready
Group practices are billed under the right rendering provider, taxonomy and location every time.
Less unpaid administrative work
Physicians stop doing follow-up that no reimbursement model has ever paid them for.
Our Physician Billing Process
Every stage is defined, so you always know which claims are moving and what is being done about the ones that are not.
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01
Provider documentation review
Each encounter's documentation is reviewed against what the specific provider actually performed, independent of any facility charge.
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02
Place-of-service coding
Place of service is coded to match where the encounter actually occurred, since payer rules for professional fees vary by setting.
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03
Professional-fee claim submission
Claims are built and submitted against professional-fee rules specific to the payer and setting, not treated identically to facility claims.
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04
Cross-setting coordination
For providers working across settings, encounters are tracked by location so each is billed under the rules that actually apply to it.
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05
Payment reconciliation
Professional fee payments are posted and reconciled against contracted rates specific to the provider's fee schedule.
Trusted by Practices Nationwide
Healthcare providers across the country trust RevaxisMD with their revenue cycle operations.
★★★★★
As a solo practitioner I was drowning in administrative work and losing money on uncollected claims. Handing over the billing operation transformed our finances — revenue is up meaningfully in the first year and I can focus on patients instead of insurance paperwork.
★★★★★
Switching was the best decision we made for our practice. Within the first month we saw significant improvement in cash flow. The team is responsive, knowledgeable, and genuinely invested in our success — our collection rate improved sharply in just six months.
★★★★★
The transition was seamless and the ongoing support has been outstanding. They reduced our days in A/R dramatically and improved our cash flow. Their credentialing team also helped us get contracted with three major payers we had been trying to join for over a year.
Get professional fee billing built around how your providers actually work.
We will review how your professional fee claims are billed across settings today.
Physician Billing — Common Questions
How is physician billing different from facility billing for the same visit?
They are billed on different claim types under different rules, even for the same encounter, and both need to be coordinated so neither is duplicated or missed.
Can you bill for a provider who works in multiple settings?
Yes. Encounters are tracked by location so each is billed under the professional-fee rules that actually apply to that specific setting.
Do you report performance at the individual provider level?
Yes, where useful. Groups that compensate based on productivity often need billing and collection data broken out per provider rather than only at the practice level.
Does professional fee billing affect physician compensation?
It can, for groups compensating on billed or collected charges, which is part of why professional fee billing accuracy matters beyond aggregate practice revenue.
What causes most professional-fee denials?
Place-of-service mismatches and provider-type rules specific to a payer are common causes, distinct from the reasons facility claims typically deny.
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