Hospital Billing and Revenue Cycle Management
Protouch Medical Billing offers comprehensive, end-to-end Revenue Cycle Management (RCM) solutions tailored specifically to the unique needs of hospitals. We ensure compliance, accurate billing, and optimized cash flow, enabling hospitals to focus on delivering exceptional patient care while maintaining financial health.
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Managing the revenue cycle in hospitals is a complex and multifaceted task. Hospitals face unique challenges, including high patient volumes, varied payer contracts, and intricate billing requirements for inpatient and outpatient services. Protouch Medical Billing understands these complexities and offers tailored RCM solutions that streamline billing operations, ensuring compliance with federal and state regulations.
From patient registration and insurance verification to claims submission and denial management, we provide hospitals with a complete RCM solution. By addressing every aspect of the revenue cycle, we help hospitals reduce errors, prevent revenue leakage, and improve overall financial performance.
Tailored RCM Solutions for Hospitals
Accurate Charge Capture and Coding
We ensure that all hospital services, including inpatient stays, surgeries, diagnostic procedures, and outpatient care, are accurately coded and billed, ensuring maximum reimbursement and compliance with payer regulations.
Patient Registration and Insurance Verification
We handle insurance verification and ensure that all patient information is captured accurately at the time of registration, reducing the risk of claim denials and ensuring timely reimbursement.
Claims Submission and Management
Our team manages the entire claims process, from timely submission to active follow-up, ensuring that your hospital receives reimbursement for all services provided without unnecessary delays.
Denial Management and Appeals
With proactive denial management strategies, we minimize claim rejections by identifying issues before claims are submitted. In the case of denials, our experienced team manages the appeals process to recover lost revenue quickly.
Accounts Receivable (AR) Management
Our AR management services ensure that claims are followed up promptly, reducing AR days and improving cash flow. We aggressively pursue unpaid claims to maximize collections.
Compliance and Regulatory Support
We stay up-to-date on changing healthcare regulations, ensuring that your hospital remains compliant with HIPAA, CMS, and payer-specific requirements. This helps protect your hospital from audits and penalties.
Real-Time Reporting and Analytics
We provide hospitals with comprehensive financial reporting tools that offer full visibility into the health of their revenue cycle. Our data-driven insights help identify areas of improvement, optimize cash flow, and reduce operational inefficiencies.
Why Choose Protouch Medical Billing for Hospitals?
- In-Depth Knowledge of Hospital Billing
We understand the complexities of hospital billing, including DRG-based reimbursement models, bundled payments, and inpatient/outpatient billing. Our expertise ensures that your hospital captures every dollar it’s owed. - Improved Cash Flow for Hospitals
By reducing AR days and preventing revenue leakage, we ensure that hospitals maintain a healthy cash flow, allowing them to focus on providing quality patient care. - Proactive Denial Prevention
We take a proactive approach to denial management, identifying potential issues before claims are submitted and preventing common errors that lead to denials. - Comprehensive Compliance and Audit Support
We provide comprehensive compliance support, ensuring your hospital adheres to federal and payer-specific regulations while avoiding costly penalties.