Pain, spine, anesthesia & ASC medical billing Paid isn't the same as paid right.
RAS Health Care Solutions recovers the revenue independent procedural practices lose to denials, aging AR, underpayments and out-of-network disputes. We work inside your existing system and are paid only on what we collect.
This claim was "paid". It's still $450 short.
Here's a remittance line we see all the time. A bilateral transforaminal epidural, paid as if only one side was done. No denial, no flag, nothing on the aging report. Multiply it across a year of injections and it adds up to real money.
- Denials get worked to appeal, with the op note and payer policy attached.
- Underpayments like this one get caught by checking every paid line against your contract.
- 60+ day AR gets a dedicated team before timely filing runs out.
Results from recent client engagements.
Recovered revenue, fewer denials and faster payment for independent procedural practices. Client and physician names are kept confidential.
We only do procedure-heavy specialties.
Each specialty has its own denial patterns. Our playbooks start from the codes, modifiers and payer edits that hit your claims most.
Interventional pain
Epidurals, facet and RFA claims, bilateral and distinct-procedure modifiers, imaging rules and medical-necessity edits.
Learn moreSpine surgery
Fusion, instrumentation and interbody add-ons, modifier 22, pre-auth crosswalks and operative-report appeals.
Learn moreAnesthesiology
Base and time units, medical direction modifiers, concurrency, and No Surprises Act disputes for out-of-network groups.
Learn moreOrthopedics
Modifier 25 and 57, global periods, joint injections, DME and surgical appeals.
Learn morePM&R
EMG and nerve conduction studies, interventional PM&R procedures and documentation requests.
Learn moreAmbulatory surgery centers
Professional claims for ASC cases, implant and carve-out billing, and No Surprises Act rules at in-network facilities.
Learn moreRheumatology
Biologic infusions, J-code units and NDCs, JW/JZ wastage modifiers, prior authorization and joint injections.
Learn moreTwo weeks from signed BAA to working claims. Same software.
BAA and access
We sign a mutual HIPAA Business Associate Agreement and set up role-based access in your existing PM/EHR.
AR and denial diagnostic
The team works through your aging buckets and denial history to size the recovery and set priorities.
Recovery and reporting
Daily scrubbing, pre-auths, appeals and IDR filings, with weekly collection reporting to practice leadership.
We are paid when you are paid.
No retainers, no setup fees and no lock-in. If cash doesn't reach your bank account, we don't earn a fee.
Pricing detailsYou deal with one person. A credentialed team does the work.
Strategy backed by experienced specialists.
Strategy & Direct Client Partnership led by Rohit Pandey, backed by a dedicated team of credentialed medical coders (AAPC/AHIMA) and seasoned AR follow-up specialists.
Rohit Pandey
Managing Director & Client Strategy- Dedicated Practice Alignment: Direct executive partner access for practice leadership.
- Tailored Procedural Playbooks: Custom denial prevention and revenue recovery workflows engineered for surgical, interventional, and specialty medical practices nationwide.
- Federal No Surprises Act (NSA) & Independent Dispute Resolution (IDR): Commercial recovery strategy.
- Strict HIPAA Compliance Governance: 45 CFR Parts 160/164 with encrypted audit trails.
A note from Rohit
Most practices that call us aren't in crisis. They're busy. Their billers keep claims moving, and nobody has the afternoon it takes to sit on hold about one injection, or to check whether last month's payments actually match the contract.
That's the work we do. We sign a BAA before we see anything, we work in the system you already use, and we only get paid out of money that reaches your account. If it isn't a fit, I'll tell you on the first call.
When you email or call, you get me. I reply myself, usually within one US business day.
Rohit PandeyManaging Director, RAS Health Care Solutions
Software finds the pattern. A credentialed coder makes the call.
We use AI to predict denials, cross-check op notes against codes, draft appeals and track payer rule changes. Every output is reviewed by a person before it touches a claim.
AI in RCM: the overview
Where AI genuinely helps the revenue cycle, where it fails, and how to use it safely.
ReadDenial prediction
Scoring claims for denial risk before submission, so fixes happen before the payer sees them.
ReadCoding cross-checks
Comparing operative notes with CPT codes and modifiers to catch missed or unsupported lines.
ReadAppeal drafting
Drafting appeals that cite the op note and the payer's own policy, finished by a person.
ReadRecent guides from our team.
Questions practices ask
What does RAS Health Care Solutions do?
We recover revenue for independent procedural practices: denial appeals, 60+ day AR recovery, underpayment recovery, full-cycle RCM and No Surprises Act IDR disputes, working inside your existing PM/EHR.
How much does it cost?
6–7% of net collections (insurance payments on claims we work from your start date) for full-cycle RCM, and 10% of the IDR award only when a No Surprises Act dispute is won. No setup fees, retainers or lock-in contracts.
Do we have to change our software or replace staff?
No. We work inside the system you already use, under a HIPAA Business Associate Agreement, alongside your in-house team.
How fast can you start?
Access in the first three days after the BAA is signed, an AR and denial diagnostic in week one, and full operations from week two.
Who does the work?
Strategy and client partnership are led by Rohit Pandey, backed by a dedicated team of credentialed medical coders (AAPC/AHIMA) and seasoned AR follow-up specialists, with senior oversight on every account.
15 minutes. One screen. Your numbers.
A short Google Meet with Rohit to look at where your revenue stalls and whether contingency recovery makes sense for your practice. No software change, nothing to pay up front.