Hospital Medical Billing Services
Running a hospital is challenging, but a smooth billing process makes it easier. We manage the entire medical revenue cycle, from patient insurance verification to claims submission and payment posting. We cover all the details so your team can work on providing patient care, while we deal with the difficulties of billing and provide you with timely reimbursements. We verify patient insurance, code treatments for both inpatients and outpatients, and submit reimbursement claims.
Our team also tracks unpaid claims, following up on outstanding payments to maximize collections and improve your cash flow. We work to guarantee that all parts of the billing process are covered.
Our services tackle common billing problems like insurance claim denials and outstanding accounts receivable (AR) easily. By addressing these issues, we help maintain a smooth financial operation for your hospital.
Simplify Your Healthcare Billing With Us
To simplify the medical billing process, we apply several techniques and use different tools. These tips will help to optimize the workflow, improve efficiency, and provide a smooth healthcare billing experience.
Quick and Simple Setup
No matter how big or small your practice is, our billing services are easy to use. We make the billing process easier for you so there are fewer mistakes and delays. This means your patients have a better experience. Our service also helps to increase cash flow by speeding up collections, so your practice gets paid faster.
EHR Integration
Taking care of hospital bills can be difficult, but our EHR integration makes it simpler. We connect your hospital's Electronic Health Record system (like Epic or Cerner) to our payment system so that no data has to be entered by hand. This cuts down on mistakes and speeds up the claims process.
Security and Compliance
Protecting patient data is very important. To keep your hospital's information safe, our system follows all HIPAA rules. You don't have to worry about security risks because we make sure that all medical records and billing invoices are safe from violations. Our secure payment system keeps your hospital's information safe and according to all industry standards.
Analytics and Reporting
Through live dashboards, our analytics and data tools give you real-time information about your billing and finances. We can quickly find problems like high denial rates and rejected claims. This lets us make choices based on data that increase revenue and make billing easier. Our customizable reports are made to fit the specific needs of each practice. This helps cut down on claim delays and increase cash flow.
Telehealth Billing
Telehealth is important but its billing is difficult to handle. By managing all the unique coding and billing requirements, including specific CPT codes and modifiers, our telehealth billing system makes this easier for you. We reduce the chances of claims being rejected by guaranteeing proper billing and following all telehealth regulations. We take care of the billing for both in-person and online appointments.
But How Do We Manage Your Billing?
Patient Registration and Insurance Verification
Our medical billing process starts when healthcare staff provides us with detailed patient information and insurance details. We verify the patient's insurance coverage and treatments included by their insurance providers. This helps to remove any billing errors afterwards.
Coding for Treatments
After completion of treatment, healthcare workers provide detailed documentation of services delivered. Our certified coders give correct medical codes for each service provided to the patient making sure that the claims are submitted correctly and timely.
Claims Submission
Our latest billing software guarantees that every claim is accurate and complete with the correct information. Once the claim is finalized, it is submitted directly to the payer for review and approval. This automation helps to prevent delays in medical reimbursement payments.
Payment Posting and Claim Denial Management
We post bills to the practice accounts after approval, recording any remaining balance. If a claim is denied, we reopen and review it to identify the error. Once corrected, we resubmit the claim with the required appeal. This process guarantees that no service provided to the patient goes underpaid.
Accounts Receivable (AR) Management
Our accounts receivable management services focus on identifying unpaid claims, addressing billing errors, and ensuring timely follow-ups. By efficiently managing your AR, we reduce delays in payments and help secure full reimbursement for your hospital.
Regular Financial Reporting
Our financial reporting gives hospitals details of their billing performance. We provide clear, easy-to-understand reports that pinpoint key factors, such as collections, denial trends, and outstanding claims. With these understandings, you can identify areas for improvement and make decisions that increase revenue and simplify operations.
What Is Covered In Our Hospital Billing Services
Hospital Stays
Our staff makes sure that every aspect of a patient's hospital stay, including room and board, nursing care, prescription drugs, and any other services provided during the stay, are appropriately billed. For these complex and costly services, we work to lower billing errors and maximise reimbursement.
Emergency Services
We provide full billing for each ED visit, from the first appointment until the patient's discharge. Among the charges that our team keeps track of are facility expenses, doctor fees, and any diagnostic procedures or treatments performed during the visit. We work to guarantee compliance with EMTALA regulations and minimize denials based on medical necessity.
Mental and Behavioral Health Services
Each phase of mental and behavioural health care, including inpatient stays, outpatient visits, and partial hospitalization programs, is covered by our billing services. We make sure that the appropriate codes are used for each kind of service provided and that every document fulfills the particular requirements for mental health billing.
Physical Therapy
All physical therapy services, including assessments, techniques, and therapeutic exercises, are billed by us. Our staff guarantees that the appropriate CPT codes are used for each type of treatment and that every record supports the medical necessity of the services given. We also help with billing for physical therapy-related orthotics and durable medical equipment.
Surgical Procedures
From pre-operative evaluation through post-operative care, our team provides timely billing for all surgical procedures. We guarantee that all appropriate charges are captured, including anaesthesia, operating room time, supplies, and implants. We also manage billing for any complications or revisions related to the initial surgery.
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Our Client Says For Us
Frequently Asked Questions
How Do You Manage Insurance Claim Denials?
We identify the reason for the denial, correct any errors, and resubmit the claim. Our team also works with insurance companies to resolve complex denial issues to maximize reimbursements.
How Do You Provide Accurate Coding?
Our coders are AAPC-certified, experts in ICD-10, CPT, and HCPCS codes to document procedures and services. This helps reduce errors and increases the chances of claim approvals.
Can You Provide Detailed Financial Reporting?
Yes, we offer financial reports that cover details of denial trends and cash flow. These reports help identify areas for improvement and improve decision-making.
Do You Offer Customized Billing Solutions?
Yes, we design our billing services to meet the unique needs of each hospital. Our flexible solutions provide efficient billing processes and improved financial performance.
What Are the Benefits of Outsourcing Hospital Billing?
Outsourcing hospital billing helps reduce administrative burdens, improve cash flow, minimize claim denials, and provide accurate, timely reimbursements so hospital staff can work on patient care.
