Hospital billing, engineered for cleaner cash flow.
End-to-end hospital revenue cycle support for U.S. health systems — inpatient, outpatient, observation, and ER. We tighten charge capture, reduce DNFB, accelerate AR, and bring your denial rate down quarter over quarter.
99.1%
First-pass clean-claim rate
Across UB-04 facility claims
28 days
Average days in AR
Down from a 45-day baseline
−42%
Denial rate reduction
Within 6 months of onboarding
Built for hospital billing,, end-to-end.
Hospital billing is the most complex part of healthcare revenue cycle. Multiple service lines, UB-04 vs. CMS-1500 logic, DRG and APC reimbursement, payer-specific contract terms, and a coding workflow that has to keep pace with high-acuity care — there is no single point of failure, just a long chain that all needs to work.
We embed alongside your CDM, HIM, and patient-financial-services teams to manage every step from charge capture to final payment posting. Our model is transparent: weekly performance reports, an assigned account director, and KPI accountability against the metrics that actually move your bottom line.
A complete hospital billing, engagement
One scope. One accountable team. Every step of the revenue cycle covered with the same rigor and reporting cadence.
Charge capture & CDM review
Validation of charge entry against clinical documentation, CDM accuracy audits, and missing-charge alerts on every encounter.
Inpatient & outpatient coding
ICD-10-CM/PCS, CPT, HCPCS, MS-DRG, and APC coding by AHIMA-credentialed coders specialized in facility-side work.
UB-04 claim submission
Clean facility claims released through your clearinghouse, with payer-specific edits scrubbed before submission.
Denial & appeal management
Daily ERA review, root-cause tagging, structured first- and second-level appeals, and peer-to-peer coordination.
AR follow-up & recovery
Payer-by-payer aged-AR work with weekly cash-recovery reporting and write-off control kept in your hands.
Patient financial services
Self-pay billing, payment-plan enrollment, financial counseling support, and HIPAA-compliant patient communications.
Measurable performance — not promises.
Benchmarks our clients consistently hit within their first two quarters of partnership.
$25M+
Revenue recovered
Cumulative reimbursement recovered for hospital clients across surgery, ER, and inpatient service lines.
99.1%
Clean-claim rate
First-pass clean-claim rate on UB-04 facility claims after our pre-submission edit layer.
28 days
Average days in AR
Down from a 45-day baseline within the first two quarters of partnership.
−42%
Denial rate reduction
Drop in payer denial rate within 6 months — driven by upstream root-cause feedback.
A repeatable five-step process, engineered for transparency.
No black box. Every handoff documented, every metric reported, every change owned by a named specialist on your team.
Discovery
We map your service lines, payer mix, CDM, and current KPI baselines under a signed BAA.
Embed
Our coders and billers integrate with your HIS / EHR using read-only or full access depending on scope.
Operate
Daily coding, claim release, denial work, and AR follow-up — owned by a dedicated account team.
Report
Weekly cash report, monthly KPI scorecard, and quarterly business review against your baselines.
Improve
Denial root causes feed back to upstream teams — scheduling, registration, coding, and providers.
Discovery
We map your service lines, payer mix, CDM, and current KPI baselines under a signed BAA.
Embed
Our coders and billers integrate with your HIS / EHR using read-only or full access depending on scope.
Operate
Daily coding, claim release, denial work, and AR follow-up — owned by a dedicated account team.
Report
Weekly cash report, monthly KPI scorecard, and quarterly business review against your baselines.
Improve
Denial root causes feed back to upstream teams — scheduling, registration, coding, and providers.
Specialty-tuned. System-native.
We work inside the platforms your team already uses — across every clinical specialty your organization serves.
Industry specialties
Service-line coverage
Specialists who code and bill across every department in your facility.
Technology integrations
HIS, EHRs & clearinghouses
We work directly inside the systems your hospital already runs.
What changes inside your operation
The day-to-day improvements your team will notice in the first 60–90 days of working with us — quantified, not implied.
DNFB dropped to single digits
Held-bill aging reduced through tight charge-capture review and same-day coding queues on high-acuity cases.
Net revenue lift within 90 days
Most clients see 6–12% measurable lift in net collections in the first quarter as denials drop and AR ages out.
Faster cash, lower days in AR
Average days-in-AR reduction of 15–20 days through aggressive payer follow-up and clean first submissions.
Full compliance posture
AHIMA-credentialed coding, internal QA layer, and audit trail on every chart — defensible under RAC and MAC reviews.
Internal team relief
Your in-house staff focuses on edge cases and leadership work while we handle the production volume.
One accountable partner
A named account director and weekly cadence call — never a ticket-queue runaround.
Patient data, treated like patient care.
Hospital data is the highest-stakes category we touch. Every engagement starts with a signed BAA, role-based access only to the system surfaces we need, and an auditable trail of every coder action — defensible under RAC, MAC, and internal compliance review.
HIPAA-compliant by design
Encrypted in transit and at rest. Role-based access controls. Annual security review.
BAA-backed engagements
Every engagement starts with a signed Business Associate Agreement before any PHI is shared.
Credentialed coders only
AAPC and AHIMA credentials, continuous QA scoring, and quarterly compliance recalibration.
US-based oversight
Account leadership, QA, and client communication operated and supervised inside the US.
Outcomes that change how teams talk about billing.
“Before TrueClaim, our unbilled accounts were sitting for over a week. They brought that down to just a few days, and our overall collections increased noticeably right away. Having a clear weekly breakdown made a huge difference when presenting our financials to the board.”
Diane R.
Director of Patient Financial Services · 180-bed acute care hospital, TX
“The insights we get from their reporting have been invaluable. Instead of just fighting rejected claims, they actually helped us identify where we were making mistakes in the first place. Fixing those issues dropped our denial rate by half in just a few months.”
Marcus T.
Revenue Cycle VP · Multi-site health system, FL
“Our accounts receivable days dropped significantly in less than half a year. It feels like we finally have a true partner. The person managing our account seems to understand the payer rules even better than our internal team ever did.”
Priya N.
Controller · Specialty surgical hospital, IL
A partner — not just a vendor.
Six reasons U.S. providers trust us with the most accountable part of their operation.
Facility-side specialists
Hospital billing is not a side practice for us. Dedicated coders, billers, and AR specialists who work UB-04 every day.
Transparent reporting
Every metric that matters — clean-claim rate, DNFB, AR days, denial rate by reason — visible in your dashboard.
HIPAA-secure by design
BAA-backed access, role-based controls, encrypted transfer, and SOC-aligned operational policies.
US-based oversight
Account leadership, QA, and client communication operated and supervised inside the United States.
Same-day coding lanes
High-acuity inpatient cases can be put on a 24-hour turnaround lane to keep DNFB clean.
Performance accountability
We hold ourselves to KPI commitments documented in our engagement letter — not vague promises.
Everything you wanted to ask about hospital billing,.
Can't find what you need? Ask a specialist.
See where your hospital's revenue cycle is leaking.
30 minutes with a senior facility-side specialist. We'll review a sample of your claims and DNFB, surface the top three opportunities, and hand you a written 90-day plan. No contract required.