Hospital-Based Physician Billing Services

Specialized Hospital-Based Physician Billing Solutions That Maximize Revenue, Minimize Denials, and Ensure Total Compliance

Why Choose Our Hospital-Based Physician Billing Solutions?

Extensive Hospital Practice Knowledge: Our team specializes in the unique billing requirements for hospital-based physicians—including hospitalists, ER, intensivists, and consultants—managing complex E/M coding, inpatient encounters, and multidisciplinary coordination.
Custom In-House Technology: Our fully integrated billing system interfaces directly with hospital EMRs, physician documentation systems, and scheduling tools to deliver rapid, accurate billing tailored for the hospital environment.
Regulatory Compliance: Stay fully compliant with CMS, HIPAA, and payer-specific regulations, reducing audit risk and ensuring your practice’s financial security.

Subspecialty Coding Expertise: Proficient in hospital-based specialties—including hospitalists, ER physicians, intensivists, and consultants. Expert in coding initial and subsequent inpatient visits, consultations, critical care, and discharge management.
Complex Encounter Management: Accurate processing of complex inpatient scenarios, such as multidisciplinary rounds, split/shared visits, and transitions of care, ensuring all services are billed appropriately.
Integration & Accuracy: Automated interfaces for inpatient documentation, consult notes, and patient demographics streamline data capture and minimize manual entry and billing errors.
Modifier Management: Application of appropriate modifiers (e.g., 24, 25, 26, TC, 59, 76, 77) to accurately reflect hospital-based services, optimize payments, and reduce denials.

Clean Claim Submission: Ensure every claim is built with the correct CPT/HCPCS codes, documentation, and payer-specific rules.
Denial Analysis & Appeals: Rapid response to denials, focused on root-cause analysis, resubmission, and appeals to recapture lost revenue.
Payment Posting & Reconciliation: Detailed payment posting, with customized reports tracking collections, adjustments, and outstanding balances.

EMR and Hospital Data Transfers: Automated interfaces for imaging studies, reports, and patient demographics, minimizing manual entry and errors.
Customizable Workflows: Adapt quickly to your hospital or group’s processes for scheduling, reporting, and patient prep.

Productivity Dashboards: View volume by modality, provider productivity, and reimbursement trends in real time.
Revenue Cylcle Analytics: Track days in A/R, denials rates, and charge lag to proactively spot and solve issues

Specialties

EDI Claims Billed

Denial Rate