Freestanding Facility Medical Coding
Accurate CPT, HCPCS and ICD-10 coding for freestanding ER, urgent care, surgical and diagnostic visits, with the facility fee and professional fee split correctly or billed as one appropriate charge.
Medical Billing Solutions for Healthcare Providers
Accurate medical coding services nationwide.
Reliable Credentialing Enrollment Across…
Verify patient insurance coverage, benefits…
Tracking payments, invoicing , managing…
Improve collections by insurance claim denials.
Reliable, accurate, compliant, friendly billing…
Efficient support with our Virtual Assistant services
Grow your brand, we handle your social media.
Boost your website traffic with expert SEO
Interactive e-learning to boost skills anytime, anywhere.
Get noticed online with Google Ads.
Manage patient records securely with EHR solutions.
Medical Billing Solutions for Healthcare Providers
Accurate medical coding services nationwide.
Reliable Credentialing Enrollment Across…
Verify patient insurance coverage, benefits…
Tracking payments, invoicing , managing…
Improve collections by insurance claim denials.
Reliable, accurate, compliant, friendly billing…
Efficient support with our Virtual Assistant services
Grow your brand, we handle your social media.
Boost your website traffic with expert SEO
Interactive e-learning to boost skills anytime, anywhere.
Get noticed online with Google Ads.
Manage patient records securely with EHR solutions.
Freestanding Facility Billing Services by Revex Square are designed for facilities that provide hospital-level care outside a traditional hospital setting. Whether you operate a freestanding emergency room, urgent care center, surgery center, or diagnostic facility, your billing requires a team that understands the operational and reimbursement differences of your facility model.
Freestanding facilities can face unique reimbursement challenges, including facility and professional fee billing, out-of-network claims, medical necessity requirements, and increased payer scrutiny. Revex Square provides a dependable revenue cycle team that understands these complexities and helps your facility submit accurate claims, reduce payment delays, and improve overall reimbursement.
Complete billing & RCM overview for freestanding facilities
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Schedule a Free DemoWe handle the billing so you can focus on your patients.
More than a decade of specialized medical billing experience helping healthcare facilities improve collections and revenue.
Our experienced billing team focuses on accurate claim submission, catching the errors that turn into denials before they ever reach a payer.
We follow every claim from submission through payment, helping your facility receive revenue faster and maintain a healthier cash flow.
Our team understands facility-versus-professional billing splits, out-of-network claim handling, and the unique challenges of freestanding facility revenue cycle management.
We simplify every step of your revenue cycle so your facility can focus on delivering patient care.
We verify demographics and insurance information and flag network status early since out-of-network cases follow a different claims path from the start.
Our team captures every component of the visit, splitting the facility fee from any separately billable professional services performed during the same encounter.
Certified coders assign CPT, HCPCS and ICD-10 codes, documenting medical necessity thoroughly enough to hold up under the extra scrutiny freestanding facilities routinely face.
Clean claims are submitted electronically, correctly separated between facility and professional components, to insurance companies for processing and reimbursement.
We monitor payments, manage out-of-network negotiation and No Surprises Act qualifying payment calculations where they apply, and follow up on claims until they are resolved.
Every visit, procedure and diagnosis is carefully reviewed to reduce coding errors, claim rejections, and lost revenue.
Our streamlined billing workflow helps move claims through the revenue cycle and improves your facility’s cash flow.
Comprehensive revenue cycle solutions designed for freestanding facilities.
Accurate CPT, HCPCS and ICD-10 coding for freestanding ER, urgent care, surgical and diagnostic visits, with the facility fee and professional fee split correctly or billed as one appropriate charge.
Freestanding facilities, especially freestanding ERs, may operate out-of-network with certain payer contracts. We manage the negotiation and appeal process instead of simply accepting the first denied or underpaid response.
Since the No Surprises Act reshaped balance billing rules for emergency and certain out-of-network care, we document qualifying payment amounts correctly so your facility stays compliant while still pursuing fair reimbursement.
Freestanding facilities, especially freestanding ERs, can face closer payer scrutiny on medical necessity. We help ensure documentation supports the level of care billed before the claim is submitted.
Our team identifies the root causes of denials, corrects billing issues, and follows up with payers to recover lost revenue, including denials tied to network status disputes and medical necessity challenges.
We monitor accounts, prioritize aging balances, and actively follow up with payers to accelerate reimbursement and improve overall cash flow.
Eligibility and network status are verified before or at the point of care so your team knows upfront whether a claim will follow in-network or out-of-network rules.
Detailed reports and performance insights help you understand collections, denials, A/R, and the overall health of your revenue cycle.
Let Revex Square handle your billing while you focus on care.
Every freestanding facility is different. A freestanding ER managing out-of-network claims and No Surprises Act calculations has different needs than an ambulatory surgery center billing bundled procedure claims or a diagnostic imaging center coordinating technical and professional component billing.
Revex Square provides freestanding facility billing services built around a model that does not fit neatly into either physician billing or hospital billing. Your facility does both at once, and state rules can add another layer. Some states, like Texas, require specific patient notice postings about freestanding ER billing, and we track requirements like these so your facility stays compliant wherever it operates.
Splitting of facility and professional charges, correct network status flagging, and documentation built to withstand medical necessity review.
Handling of commercial payers, out-of-network negotiation, and No Surprises Act qualifying payment amount requirements.
From eligibility and network verification to coding, claims, denials, and A/R follow-up, covering the path from registration to final reimbursement.
Your facility deserves more than a general billing company. You need a revenue cycle partner that actually understands what makes your freestanding facility model different.
Our billing professionals understand dual facility-and-professional billing, out-of-network claim strategy, and the documentation standards freestanding facilities are held to.
Simple, transparent pricing with no unnecessary hidden fees, so you understand exactly what you are paying for.
Work with experienced billing specialists who become an extension of your facility and remain focused on your financial performance.
From patient registration and eligibility verification to coding, claims, denials, and A/R follow-up, we manage the complete revenue cycle.
From claim denials to out-of-network disputes, Revex Square helps identify the problems affecting your revenue and provides practical solutions.
We identify denial patterns, correct billing errors, and follow up with payers to recover revenue.
Our team actively tracks outstanding claims and follows up with insurance companies to accelerate reimbursement.
Payers routinely lowball out-of-network freestanding facility claims, betting that no one will push back on the qualifying payment calculation.
Freestanding facilities face closer scrutiny than hospital departments doing the exact same work, and thin documentation is the easiest excuse a payer has to deny.
Blurring the facility fee and professional fee into one claim, instead of splitting them correctly, routinely causes denials or underpayment on one side of the visit.
Clear reporting gives you better visibility into collections, denials, A/R, and overall revenue performance.
Let our freestanding facility billing experts identify opportunities to improve your revenue cycle.
The replies to the questions most frequently asked about freestanding facility billing, out-of-network claims, compliance, and revenue cycle management.
It's billing for a facility that operates independently of a hospital, including freestanding ERs, urgent care, surgery centers, or imaging centers, usually covering both a facility charge and a professional charge for the same visit.
Many freestanding ERs simply don't hold contracts with every commercial payer, which puts a large share of their claims into out-of-network territory by default.
It sets specific rules for calculating and disclosing what a patient owes on out-of-network emergency care, so compliant billing now requires accurate qualifying payment amount calculations.
Payers question freestanding facility claims more closely than traditional hospital claims, so documentation has to clearly justify the level of care billed.
Our services start as low as 2.75% of monthly collections, with the exact rate depending on your facility's claim volume and out-of-network mix.