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.
“Our DNFB dropped from 9 days to under 3, and net collections lifted 11% in the first quarter. The weekly KPI scorecard is what changed the conversation with our CFO — we finally had numbers we could defend.”
Diane R.
Director of Patient Financial Services · 180-bed acute care hospital, TX
“The denial trend report alone paid for the engagement. They didn't just appeal — they showed us the three upstream fixes that cut denial volume in half within four months.”
Marcus T.
Revenue Cycle VP · Multi-site health system, FL
“AR days came down 16 within five months. Their account director knows our payers better than our own contract team.”
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.