- +(62) 21 2002-2012
- help@medsuresolutions.llc
Optimize revenue capture, reduce claim rejections, and improve cash flow with our comprehensive hospital billing solutions. We handle UB-04 claims, DRG coding, and payer complexities for inpatient, outpatient, and emergency department services.
We verify insurance, collect accurate demographics, and confirm authorization before or at the time of admission.
Certified hospital coders assign ICD-10, CPT®, HCPCS, and revenue codes, then submit clean UB-04 claims to payers.
We post payments, manage denials, appeal underpayments, and reduce accounts receivable days for your hospital.
Hospital billing involves complex DRG assignments, multiple payer contracts, and strict filing deadlines. Our team ensures maximum allowable reimbursement for every patient encounter.
Hospital billing is the process of submitting claims for facility services provided during inpatient stays, outpatient visits, emergency room encounters, and observation services using the UB-04 claim form.
Hospitals bill using UB-04 forms with revenue codes and DRG payments. Physicians bill using CMS-1500 forms with E/M codes. Each has separate fee schedules, modifiers, and reimbursement rules.
Yes — inpatient, outpatient, ER, observation, surgery, radiology, lab, physical therapy, and behavioral health.
We analyze denial reasons (medical necessity, authorization, coding), correct claims, and file timely appeals with supporting documentation.
Absolutely. We follow HIPAA-compliant processes, encrypted data transmission, and signed BAA agreements with every practice.
Yes — from 10-bed rural hospitals to 500+ bed academic medical centers.