Hospital Billing Services
SoftbeckMedicare provides comprehensive hospital billing services for health systems of all sizes. We specialize in institutional billing, managing everything from patient access and coding (ICD-10-PCS and CPT) to claim submission (UB-04), denial management, and compliance. Our expert team helps you navigate the complexities of hospital reimbursement, maximizing revenue and improving financial performance.
Our Success in Numbers
Collection Ratio
0%
Trusted by
0+ Hospitals
Revenue Increase
0%
Beds Supported
0+
DRG Assigned
Claim in process
End-to-End Hospital Billing Solutions & Compliance
Our hospital billing solutions cover the entire patient journey, from pre-admission to final payment. We provide expert support for facility coding, MS-DRG and APC assignment, and claim submission. We ensure your documentation accurately reflects the intensity of care and supports the complexity of services rendered to secure the appropriate reimbursement for every patient encounter.
Managing Complex Inpatient & Outpatient Billing
Hospitals handle a wide range of complex cases, from routine outpatient procedures to multi-day inpatient stays. Our team is expert at managing the specific billing requirements for all types of hospital encounters, ensuring accurate coding, clean claim submission, and effective management of denials for even the most complex cases.
Eligibility Verified
Medicare Validated
Comprehensive Patient Access & Eligibility
We optimize your hospital's patient access process to maximize revenue. Our services include real-time insurance verification, prior authorization management, and accurate patient estimation. This ensures a smooth financial process from the very beginning of the patient encounter, reducing the risk of billing issues and improving patient satisfaction.
Patient Access Optimization
Streamlined registration and check-in
Prior Authorization
Management for inpatient & outpatient procedures
Advanced Denial Prevention & Revenue Protection
Our denial prevention strategy for hospitals uses AI-powered analytics to identify at-risk claims before submission. We analyze thousands of data points to flag issues with coding, medical necessity, and compliance. By proactively correcting these issues, we significantly reduce denial rates, protect your revenue, and improve cash flow.
Who We Serve
Community & Rural Hospitals
Academic Medical Centers
Multi-Hospital Health Systems
Specialty Hospitals (Cardiac, Orthopedic, etc.)
In Association With
Denials Management Services We Provide
Our hospital denial management team uses a strategic approach to overturn denials and address their root causes.
EHR/EMR Systems Expertise
We leverage your EHR data to provide the necessary clinical documentation for successful appeals and DRG validation.
Care Coordination Software
We ensure all care coordination activities are documented and billed for, supporting the full continuum of patient care.
RPM Platforms Management
We manage data from RPM platforms to support billing for outpatient and post-discharge remote monitoring services.
Billing & Coding Software
We use enterprise-level billing software to manage the high volume of claims and ensure accurate UB-04 submissions.
Why Choose SoftbeckMedicare for Hospital Billing?
Deep expertise in institutional billing (UB-04) and facility coding
Proven ability to reduce AR days and improve clean-claim rates
Expertise in managing MS-DRG and APC assignments
Comprehensive denial management and appeals for hospitals
Seamless integration with major hospital EHRs
Scalable solutions for single hospitals and large health systems
What Our Clients Say About Working With Us
Responsive
“SoftbeckMedicare, as our medical billing company, has reduced our claim denials by up to 20% and resolved all of our billing challenges, including prior authorization and credentialing. We have regularly scheduled weekly meetings with them, and they have been very responsive and courteous during the calls.”
Doctor Godfrey Mensah
Co-Founder, AW Care