Comprehensive Hospital Billing Solutions
Optimize your revenue cycle performance with our specialized hospital billing services designed to maximize reimbursement and minimize compliance risks.
Get Free ConsultationTransforming Hospital Revenue Cycle Management
Hospital billing represents one of the most complex financial challenges in healthcare, with intricate coding requirements, varying payer policies, and constantly changing regulations. Our specialized hospital billing services address the unique complexities of inpatient, outpatient, and emergency department billing to maximize appropriate reimbursement while maintaining compliance.
With our hospital-specific expertise, we help facilities navigate the complicated landscape of facility billing, chargemaster maintenance, and compliance requirements. We understand the distinct challenges hospitals face with complex billing regulations, varied payer contracts, and the intricate documentation demands of facility billing across all service lines.
98.2%
Clean Claim Rate
22 Days
Average AR Days
$4.7M+
Revenue Recovered
Hospital Billing Challenges We Address
Understanding the specialized complexities of hospital billing is essential for financial health
Complex Code Assignment
Correct DRG and APC code assignment requires extensive knowledge of facility billing guidelines and clinical documentation review.
Authorization Management
Obtaining and validating authorizations for inpatient admissions, outpatient procedures, and specialized services.
Documentation Compliance
Ensuring clinical documentation supports the level of care billed and specific procedures performed in facility settings.
Timely Filing Management
Meeting payer-specific submission deadlines for complex hospital claims requiring additional documentation.
Payer Policy Navigation
Staying current with constantly changing payer policies, including Medicare, Medicaid, and commercial payers.
Chargemaster Maintenance
Regular updates and maintenance of the hospital chargemaster to ensure accurate billing and compliance.
Our Hospital Billing Methodology
A systematic process to optimize hospital revenue cycle performance
Comprehensive Billing Analysis
We perform detailed analysis of your hospital's billing processes to identify inefficiencies, compliance risks, and revenue opportunities across all service lines.
Process Optimization
Based on our analysis, we develop tailored strategies to streamline your hospital billing operations, from charge capture to claim submission.
Claim Management
Our specialized hospital billing team manages the entire claim lifecycle, from initial submission to payment posting and account resolution.
Performance Monitoring
We continuously track hospital-specific metrics including clean claim rates, days in A/R, and collection rates to measure improvement.
Staff Education
We provide specialized training to your hospital staff on billing requirements, documentation standards, and compliance regulations.
Compliance Assurance
We implement systems and processes to ensure billing compliance, reducing audit risks and protecting your hospital's reputation.
Demonstrated Results for Hospitals
Our hospital billing services deliver measurable financial improvements
Average clean claim rate for our hospital clients
Reduction in average accounts receivable days
Average increase in collected revenue
Additional revenue identified for hospital clients
Transparent Hospital Billing Pricing
Flexible options tailored to your hospital's specific needs and volume
How do you charge for hospital billing services?
We offer flexible pricing models designed specifically for hospital billing complexity and volume:
Percentage Model
Pay only for results with a percentage of collected hospital revenue
Ideal for: Hospitals seeking performance-based pricing
Per Claim Model
Flat fee per hospital claim processed, regardless of collection amount
Ideal for: Predictable hospital budgeting
Retainer Model
Monthly fixed fee for comprehensive hospital billing management
Ideal for: Ongoing hospital revenue cycle management
Frequently Asked Questions
Get answers to common questions about our hospital billing services
Ready to Optimize Your Hospital Billing Performance?
Our hospital billing experts are ready to help you maximize reimbursement and streamline your revenue cycle.
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