All services
Institutional & Hospital Billing
Managing institutional revenue demands specialized knowledge of intricate regulations, complex payer contracts, and high-volume claim submissions. We transform your hospital billing into a high-performing system. Our large-scale RCM solutions are optimized for UB-04 claim filing, complex coding, and denial management, ensuring maximal profitability and results from your large-scale operations and service lines.
Expert Management of Complex UB-04 Claim Submissions.
Institutional billing requires deep proficiency in coordinating professional and facility claims, managing DRG/APC coding, and navigating specialized hospital payer agreements. We reduce compliance risk and prevent denials specific to institutional setups. Our team ensures the entire billing process is accurate, transparent, and geared toward accelerating cash flow across all departments and service centers.
Institutional Edge
Do you manage both Pro and Facility claims?
Yes, we handle both professional (CMS-1500) and institutional/facility (UB-04) claims simultaneously, ensuring comprehensive coverage and seamless coordination across all your service lines.
How is your compliance monitored?
We conduct continuous internal audits focused on institutional-specific regulations and payer updates, ensuring your billing practices remain compliant and drastically reducing exposure to government scrutiny.
Can you integrate with our existing EHR?
Absolutely. Our implementation team specializes in secure, seamless integration with all major hospital and institutional EHR systems, allowing us to manage the billing process without disrupting your clinical or operational teams.