Right Medical Billing
Healthcare Revenue Management Specialist

Healthcare facilities thrive when the engine behind patient care is powered by a strong, well-oiled revenue cycle. Every step, from claim submission to reimbursement, must work toward keeping the doors open.

Right Medical Billing ensures the revenue cycle of healthcare facilities is being managed the RIGHT way. A one-stop, revenue-boosting partner, it complements its billing expertise with services that help micro-hospitals, urgent care facilities and freestanding emergency rooms get payments that are rightfully theirs.

“We understand the fundamentals of billing and know exactly what can make or break reimbursements,” says Humaira Qureshi, president. “We make sure every part of the process works together to maximize revenue.”

The impact of this approach is clear. Clients report a measurable increase in reimbursements, often up to 30 percent.

A determined immigrant, woman entrepreneur, and a member of a minority community, Qureshi embodies the spirit of the American dream. After earning her bachelor’s degree in medicine and surgery from Pakistan, she moved to the U.S. with a desire to build a successful career. While working in a billing department, she witnessed the struggles of smaller healthcare facilities. Inspired to make a difference, she combined her training in medical billing and coding with her experience in transitioning physicians to digital EMR systems. The result was Right Medical Billing, named to reflect a commitment to doing every process ‘right’ from the beginning.

As a strong endorsement of her leadership, she has been appointed Chair of the Medical Billing and Revenue Cycle Advisory Board at the National Health Chamber (NHC). NHC trusts her expertise to guide industry standards for operational excellence and ethical practice, a well-deserved feather in her cap.

Maximizing Every Reimbursement

Right Medical Billing offers proactive support that begins in the planning phase of a new facility. The team advises on everything, from selecting the appropriate EMR systems to negotiating reimbursement contracts with major insurers. Following the opening, they handle credentialing, coding, claim submission, denial management, and patient billing. This ensures that every service is properly documented and reimbursed.

Out-of-network billing is a niche where it excels. This can be a particularly complex area, with many healthcare providers losing revenue simply because they aren’t familiar with the insurance rules and requirements. Right Medical’s skilled team knows exactly how to handle these cases.
Another quality that defines Right Medical Billing is its vigilance toward data security. In healthcare, information isn’t just numbers on a screen; it’s people’s lives, identities and trust. Yet, across the market, many small or offshore billing firms operate with minimal safeguards, sometimes from unsecured home networks. When patient data moves beyond US borders, it slips out of HIPAA protection and into risk. A single weak link can expose names, medical histories, and even financial information. Right Medical Billing refuses to take that chance.

The company has built its foundation on secure, US-based cloud infrastructure and a culture of accountability. Every layer, from system access to password control, is designed with precision and care. For physicians and practice owners, that commitment translates into more than reliable billing. It means assurance that their patients’ trust, and their own reputation, are protected by a partner who values data as deeply as they value care.

Right Medical Billing has evolved into a 100 percent service-based company. It prides itself on a 99.9 percent claim acceptance rate, a 36 hour claim turnaround time and an average of just 24 days in accounts receivable.

Creating the Blueprint for Streamlined Financial Operations

For Qureshi, the process of medical billing starts long before a patient steps into a clinic. Through her regular radio and TV appearances, she bridges the gap between communities and healthcare. She talks to the public about how to find the right doctors, understand insurance coverage and take preventive steps for their health.

Educating people about the workings of the healthcare system helps them come prepared. They understand their coverage, options and responsibilities. When patients are informed, registration becomes easier, claims are submitted efficiently and reimbursements happen faster. It’s a ripple effect that begins with awareness and culminates into efficiency in healthcare organizations.

Behind the scenes, Right Medical sets the stage for an efficient billing process. It works with multiple EMRs, allowing healthcare providers to choose a system that fits their workflow. This results in streamlined front desk registration and patient intake. They also guide clients on compliance with Medicare and private insurance requirements, including those for Blue Cross Blue Shield, Cigna and Aetna. Establishing these systems early empowers providers to remain well-prepared to handle claims.

Once operational foundations are in place, it continues its support through active advocacy. When providers partner with Right Medical, they gain a team that actively represents them in ongoing communications and negotiations with insurers.

“Whether dealing with large insurers or navigating policy nuances, we speak on behalf of healthcare providers to make sure they are fairly compensated for the care they deliver,” says Qureshi.

Optimizing Operations After Patient Intake

Once a patient arrives at a clinic or urgent care facility, Right Medical assists with insurance verification, a critical step to ensure that claims can be reimbursed.

It also works closely with clinicians, reviewing their charting to make sure it meets insurance standards.

Communication is at the heart of this process. Maintaining an open feedback loop helps clinicians develop habits that make charting more comprehensive and accurate, even amid the fast pace of patient care.
Coders, billers and chart auditors work under the same roof, meet regularly and exchange insights to maximize reimbursement and keep workflows running smoothly.

“Most medical billing companies focus solely on billing, and even those that do coding take a generic approach. Our coding is thorough and detailed, and that level of precision always makes a significant difference,” says Qureshi.

When claims are ready, Right Medical submits them in accordance with insurance guidelines. It prides itself on sending ‘clean claims’ with a negligible first-level rejection rate. Any claim that is rejected is addressed the same day. This proactive denial and rejection management is reflected in the company’s tagline, “Billing and Payments. Right On Time.”

Technology and automation underpin its efficiency. Clients are provided with an interactive portal where they can track areas for improvement, respond to queries, and view real-time feedback.

After insurance payments are processed, Right Medical manages any remaining balances owed by patients, who receive clear statements. Customer service representatives are available to answer questions and assist with payments.

Real Outcomes from Expert Billing

A freestanding emergency room in Texas, recognized for delivering 24/7 care with board-certified physicians and emergency-trained nurses, encountered significant challenges with its billing and collections.

This occurred when out-of-network billing for emergency rooms was still a relatively new concept, and most insurance companies did not accept freestanding emergency rooms as providers. Limited options for immediate care outside hospital systems created a gap in access for patients.

The client’s receivables were being adjusted or written off, claims were submitted with incorrect coding, out-of-network negotiations were often settled for far less than expected and there was no follow-up on underpaid claims. Physicians were not receiving feedback to improve their charting, which directly impacted reimbursements.

When Right Medical took over, the team conducted a complete analysis. As a first step, coders and chart auditors were asked to examine every claim and highlight errors, flag missing information and develop a strategy for recovering accounts receivable.

The revenue cycle management follow-up team worked aggressively on unpaid and underpaid claims, reprocessed those with incorrect adjustments or coding while the negotiation team focused on out-of-network settlements. They also reviewed past deals with third-party negotiators and tapped into their extensive database to reopen these claims. It successfully negotiated higher reimbursements, turning lost revenue into recovered income.

Insurance follow-ups and appeals were also streamlined. It categorized payers based on reimbursement trends, negotiation policies and settlement history to promptly address underpaid and denied claims. Denials related to noncovered services, coverage lapses, or coordination issues were corrected in collaboration with patients and payers.

Within months, the freestanding emergency room saw dramatic improvements. The collections ratio increased substantially, coding quality improved, physicians received consistent feedback to refine charting and out-of-network settlements rose significantly. The emergency room continues to collaborate with the Right team to monitor healthcare trends, payer policies and evolving regulations.

Charting the path forward, Right Medical Billing is exploring a wide range of tools and technologies to stay ahead of the curve. With AI starting to play a role in billing automation, it is integrating AI tools to make processes more efficient. The focus is on experimenting, adopting and fully leveraging technology.

Built on a solid foundation of advocacy and forwardlooking solutions, Right Medical Billing remains a trusted and future-ready partner for healthcare providers seeking to maximize claims and reimbursements.