Accurate Billing for Inpatient, Outpatient & Emergency Services
From inpatient surgeries and ER admissions to outpatient diagnostics and ancillary services, we specialize in hospital billing that improves collections and reduces denials. Our team ensures compliance, maximizes revenue, and simplifies reimbursement workflows.
Hospital Billing Built for Complex Facility-Based Care
At RCM firms, we offer comprehensive hospital billing solutions—covering inpatient DRG billing, outpatient APC claims, ED visits, surgery centers, diagnostics, and therapy units. We minimize underpayments by identifying revenue gaps across departments.
Our workflows are fully compatible with EPIC, Cerner, Meditech, and other major hospital EMRs. We keep you compliant with Medicare, Medicaid, and commercial payers by staying on top of changing rules and quality reporting requirements.
What Sets Us Apart
- Inpatient & Outpatient Billing Expertise
- ED, Radiology & Ancillary Services Coverage
- EMR Integration with EPIC, Cerner, Meditech
- Full Revenue Cycle Support & Denial Handling
- Custom Reports by Facility, Department, or DRG
Mission Statement
We help hospitals streamline billing and collections across departments by ensuring accurate coding, timely claims, and detailed reporting—so you can focus on delivering quality patient care.
Why Hospitals Choose RCM firms
Hospital billing spans multiple departments and revenue streams—each with its own coding, billing, and compliance challenges. Our dedicated teams ensure accurate billing for DRGs, APCs, ED visits, radiology, lab, surgery, and outpatient encounters—helping facilities reduce AR days and increase reimbursements.
Facility-Specific Coding
Expertise in DRG, APC, CPT, and HCPCS coding across inpatient, outpatient, and ED encounters.
Accelerated Cash Flow
Clean claim submission, payer follow-ups, and denial prevention to reduce days in AR.
Dedicated Facility Teams
Specialized account managers aligned with your departments and EMR systems.
Full HIPAA Compliance
Secure systems, user-level access, and full audit trails to protect PHI and maintain compliance.
Custom Hospital Billing Packages
Whether you're an independent hospital or a multi-facility system, we offer tailored pricing that fits your revenue, volume, and specialty mix. No hidden fees. No long-term lock-ins.
Hospital Networks
For multi-facility groups or billing over $200,000/month.
What’s Included
- End-to-end inpatient & outpatient billing
- Denial management and appeals
- ED, Radiology, and Ancillary Services billing
- Detailed monthly reporting by department
Rates are flexible and can be tailored based on facility size, specialties, and software systems. Let’s discuss it on a quick call.
Streamlined Hospital Billing Process
From ER admissions and outpatient visits to inpatient discharges and OR procedures, our hospital billing workflow is built for scale, accuracy, and compliance. We integrate with your teams and systems to make billing seamless.
Discovery & Assessment
We analyze your departments, software, and billing workflows to identify gaps and build a custom strategy.
System Integration
We connect with your EMR/EHR for secure data flow and begin credentialing with payers if needed.
Charge Entry & Claims
We validate codes (DRG/APC/CPT), scrub claims, and file them within 24 hours across all departments.
Payments & Reporting
We track payments, resolve denials, and deliver insightful reports by service line and department.
0%
Hospital Claim Accuracy Rate
0 Days
Average Reimbursement Time
0%+
Revenue Uplift from Optimized Billing
Hospital Billing Services That Ensure Compliance & Collections
We handle billing for hospitals across all departments—from emergency and radiology to surgery and inpatient care. Our team works behind the scenes to reduce claim denials, accelerate cash flow, and keep your revenue cycle compliant and efficient.
Facility-Level CPT & DRG Coding
Specialized coding for inpatient and outpatient encounters using DRG, CPT, and APC methodologies.
Modifier & Charge Audit
Ensure correct use of surgical, radiology, and professional modifiers to avoid under- or overbilling.
24-Hour Claim Submission
We process and submit hospital claims daily, ensuring compliance with CMS and commercial payer rules.
Denials & Appeals Management
Track denials across departments and submit timely appeals with documentation and medical necessity.
Patient Billing Support
Resolve patient inquiries, explain benefits and balances, and manage statement cycles professionally.
Departmental Revenue Reporting
Track collections, denials, and payer performance across ED, OR, Imaging, Labs, and inpatient care units.
Frequently Asked Questions
Questions about our hospital billing services, DRG and CPT coding, denial prevention, reporting, and EHR integration.
Speak with a Hospital Billing Expert
Managing inpatient, outpatient, ER, and ancillary billing is complex. Let us simplify it for your hospital. Contact us to get started with a tailored solution for coding accuracy, faster payments, and revenue cycle compliance.
IL 62701 United States