Inpatient, outpatient, and ASC billing with complete DRG validation, charge capture, and audit compliance for facilities.
Hospital inpatient DRG assignments and outpatient APC coding require specialized expertise to ensure proper reimbursement and avoid costly downcoding.
Missing charges for supplies, procedures, and ancillary services in fast-paced hospital environments result in significant revenue loss.
Hospital billing must comply with complex regulations including condition code requirements, medical necessity, and proper documentation.
Hospitals generate thousands of claims monthly with varying payer rules, requiring sophisticated billing systems and expert staff.
Each payer has unique billing requirements, edits, and documentation needs that change frequently and vary by facility type.
Disconnected systems between registration, clinical, and billing departments create inefficiencies and revenue leakage.
Team of certified facility coders with deep expertise in DRG, APC, and revenue code assignments for all facility types.
Technology-driven charge capture solutions that integrate with clinical systems to ensure every service is captured and billed.
Rigorous compliance protocols and audit preparation ensure adherence to CMS requirements and payer-specific rules.
Data-driven approach identifies revenue opportunities, resolves denials, and optimizes facility reimbursement.
Complete MS-DRG coding, revenue code assignment, and condition code management for hospital inpatient stays.
APC-based billing for hospital outpatient departments and ambulatory surgery centers with proper packaging rules.
Comprehensive charge capture validation and chargemaster maintenance to maximize compliant revenue.
Specialized denial resolution for hospital-specific denial reasons including medical necessity and coverage.
Medtransic's facility billing team has been exceptional. They optimized our DRG coding, reduced our denial rate from 22% to under 6%, and increased our net revenue by 35%. Their expertise in hospital billing is unmatched, and their compliance protocols give us complete confidence.
Contact Medtransic today for expert hospital facility billing services. Call 888-777-0860 or visit https://medtransic.com/contact for a free consultation.