Hospital Billing Services
Expert Solutions for Timely, Accurate Reimbursement through our Hospital Billing Services
For hospitals, receiving timely and accurate reimbursement is crucial for smooth operations and providing quality patient care. However, intricacies of medical billing like changing payer requirements, claim denials, and recovering lost revenue can hinder reimbursement. This is where our hospital billing company steps in, offering expert hospital management services to handle these challenges. This way, the focus can remain on patients rather than administrative hassles.
Our Hospital Billing Services
- Verifying patient insurance eligibility and coverage
- Coding hospital procedures properly using CPTs, DRGs, and ICD guidelines
- Scrubbing claims to prevent rejections and denials
- Rapid electronic submission to all your contracted payers
- Following up and appealing claims to maximize reimbursement
- Posting payments and generating patient invoices
- Providing customizable analytics for performance tracking
- Utilizing payer-specific submission platforms and protocols
- Maintaining compliant coding and documentation
- Meeting pre-authorization and pre-certification requirements
- Medical necessity for hospital billing and coding services
- Appropriate length of stay
- Correct coding based on documentation
- Payer-specific authorization requirements
At AltuMED, we are a hospital billing company providing expert solutions for timely, accurate reimbursement to hospitals. Our hospital management services and hospital billing and coding expertise enhance the professional development and recognition of the medical services profession through education and advocacy. By choosing to outsource hospital billing to us, together, we can ensure healthcare quality and patient safety.
Here's how we achieve these goals
Verifying Patient Insurance Eligibility
Verifying patient insurance eligibility and coverage is a critical step in the billing process. This is a key part of our hospital management services. It ensures that the services provided are covered by the patient’s insurance plan, reducing the risk of claim denials and ensuring timely and accurate reimbursement. When you outsource hospital billing to us, we handle these crucial steps for you.
Coding Hospital Procedures
Accurate coding of hospital billing services procedures is essential for proper billing and reimbursement. Adhering to CPT, DRG, and ICD guidelines ensures that the services rendered are appropriately documented and billed, reducing the risk of claim denials and supporting accurate financial reporting.
Scrubbing Claims
Scrubbing claims involves a thorough review of hospital billing company data to identify and correct errors before submission. This process helps prevent claim rejections and denials, ensuring that claims are processed and reimbursed on time.
Rapid Electronic Submission
Utilizing rapid electronic submission processes expedites the delivery of claims to contracted payers. This accelerates the reimbursement process, reducing the time between service delivery and payment receipt.
Following Up
Diligent follow-up and appeals processes are essential parts of our hospital management services for maximizing reimbursement. This involves tracking the status of submitted claims, identifying denials, and pursuing appeals to ensure that all eligible services are properly reimbursed.
Posting Payments
Timely and accurate posting of payments and generation of patient invoices are critical for maintaining financial transparency and patient accountability. This process supports accurate accounting and patient billing.
Providing Customizable Analytics
Customizable analytics provide valuable insights into hospital billing performance, allowing for the identification of trends, areas for improvement, and opportunities to optimize the revenue cycle management process.
Assured Accuracy and Compliance
As an ISO-certified company, we follow the highest quality management standards and best practices to guarantee accurate hospital billing services for your facility. Our trained team works with your hospital to make your billing and coding better. We also make sure to follow all the rules of HIPAA..
Professional Expertise and Swift Turnaround
Our experienced professionals are trained to deliver timely results, enabling the optimization of your revenue cycle. We leverage our deep payer expertise and contract management skills to navigate the intricacies of hospital billing, from proper coding and documentation to meeting pre-authorization requirements.
Denial Prevention and Recovery
Our proactive approach to denial management identifies potential issues early, reducing claim rejections and improving cash flow. We analyze denials to uncover root causes, such as lack of medical necessity, incorrect coding, or payer-specific authorization requirements, and implement targeted solutions to prevent future occurrences.
Robust Data Security and Compliance
Unify is a HIPAA-compliant hospital billing company, and we adhere to all regulatory requirements. We guarantee complete data security through the use of firewalls, VPNs, SSL encryption, and other advanced technologies.
Continuous Process Improvement
To maintain the highest levels of accuracy, we conduct routine claim audits and provide regular training to our coders. This ensures that our processes are constantly evolving to keep pace with the changing healthcare landscape.
Cutting-Edge Technology Integration
We leverage state-of-the-art hospital billing software, such as MediTouch, Nextgen, and eClinicalWorks, to streamline your revenue cycle and ensure uninterrupted cash flow. Our systems integrate seamlessly with your existing Electronic Health Record (EHR) and Practice Management (PM) software, ensuring a smooth and efficient workflow.
What Our Clients Say
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