Hospital Billing Services Built for Facility Claims
Hospital billing is more complex than a physician office. We support facility claims, coding, charge capture review, denials and payer follow-up, so your revenue cycle team can spend less time chasing payments.
- Facility claims on UB-04 / 837I
- Inpatient and outpatient coding rules
- Charge capture and chargemaster review
- Payer-specific authorization and edits
- Denials, appeals and underpayments
How We Support Hospital Revenue
We can take on the full billing cycle or specific parts of it, depending on where your team needs the most help.
Facility Claim Billing
Facility claims prepared, checked against payer edits and submitted electronically.
Coding Support
Inpatient and outpatient coding support, with documentation questions raised early.
Charge Capture Review
Review of charges and billing rules to help prevent missed or mismatched charges.
Denials & Appeals
Denied claims analyzed, corrected and appealed, with causes tracked.
A/R Follow-Up
Unpaid claims worked by age and payer until they are resolved.
Posting & Reporting
Payments posted and reconciled, with reports on claims, denials and collections.
How We Get Started
A hospital billing setup needs care. We start by understanding your workflow before we change anything.
We look at your current billing, denials and A/R to see where revenue is being lost.
We agree what we will handle, what stays with your team, and how work is handed over.
We confirm secure access to the systems and payer portals we need, with your approval.
We bill and follow up on claims, then share regular reports so you can see what is happening.
Facilities We Can Talk To
We can discuss billing support for the following kinds of facilities. Every facility is different, so we start with a conversation about your size, payer mix and systems.
- Community hospitals
- Critical access hospitals
- Specialty hospitals
- Behavioral health facilities
- Outpatient departments
- Ambulatory surgery centers
Not sure if we are the right fit? We will tell you plainly. You can also read about our revenue cycle management and medical audit services.
Talk to a Billing Specialist
Tell us about your facility and where billing is slowing you down. We will give you an honest view of how we can help, with no obligation.
You can also call (307) 300-9272 or email hello@alpharcmsolutions.com, Monday to Saturday, 8 am to 8 pm. See our pricing page for how we charge.
Book a Free Consultation
Hospital Billing FAQs
Hospital billing is how a hospital turns the care it provides into payment. Facilities generally bill insurers on facility claim forms, and the process covers coding, charge capture, claim submission, payment posting, denials and follow-up on unpaid claims.
Physician offices bill for professional services. Hospitals bill for facility services such as the room, supplies and procedures, which usually means different claim forms, coding rules and payer requirements. Because of that, hospital billing is typically more complex.
We can discuss both. Scope depends on your facility and systems, so we confirm exactly what we will handle during the consultation.
Yes, you can hand over the whole cycle or only part of it, such as denials or A/R follow-up. Book a free consultation and we will talk through the options.
Where we are given access, we work in your existing systems and payer portals. We confirm what is possible with you before we start.
Pricing depends on the size of your facility, claim volume and the services you need. See our pricing page or book a free consultation for a quote.