Hospital and Facility Billing Services
Hospital billing runs at higher volume and higher complexity than office-based billing: facility and professional claims, UB-04 forms, DRG and revenue code logic, and payer rules that differ by department and service line.
Trusted by 160,000 Providers
Why Hospital Billing Matters
Facility billing errors compound with volume in a way office billing does not. A one percent error rate across a handful of monthly claims is a rounding error; the same rate across hospital-scale volume is a material and recurring revenue loss.
Facility claim preparation
UB-04 claims built and validated against facility-specific requirements.
Professional and facility coordination
Both claim types for one encounter tracked together to avoid duplication or gaps.
Revenue code and charge master review
Charges validated against revenue codes before submission.
DRG coding support
DRG assignment reviewed against documentation for accurate facility reimbursement.
Payer-specific facility edits
Claims scrubbed against edits specific to facility billing, not professional claims.
Ancillary service billing
Ancillary and observation services reflected accurately within the encounter's claim.
Complete Hospital Billing Services
Facility claims are billed on their own form and logic, distinct from professional fee claims for the same encounter, and both have to be coordinated so neither is duplicated and neither is missed. Revenue codes, DRG assignment and charge master accuracy all feed into whether the facility side of a claim is paid correctly.
Volume changes what matters operationally: at hospital scale, a small error rate still produces a meaningful number of denied claims, so consistency and payer-specific edits carry more weight than they do for a single office claim.
Coordination across departments matters as much as the billing logic itself — ancillary services, observation status and transfers all have to be reflected accurately in the same claim they belong to.
Why Practices Choose RevaxisMD for Hospital Billing
Measurable improvement across the financial metrics that decide whether a practice can plan.
Facility and professional coordinated
Both sides of an encounter are billed in step, so neither half is dropped or duplicated.
Correct patient status
Inpatient, outpatient and observation status is billed as documented, which is among the highest-value determinations in hospital billing.
DRG and APC accuracy
Grouping is validated against the record so reimbursement reflects the care actually delivered.
High-dollar claims protected
Large claims receive proportionate attention, because a single stalled account can distort a whole month.
Payer contracts enforced
Payments are compared against negotiated terms and variances are pursued rather than absorbed.
Reporting across departments
Performance is visible by service line, so you can see which department is carrying the denial rate.
Our Hospital Billing Process
Every stage is defined, so you always know which claims are moving and what is being done about the ones that are not.
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01
Facility and professional coordination
Facility and professional claims for the same encounter are tracked together so neither is duplicated or dropped.
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02
Charge master and revenue code review
Charges are validated against revenue codes and the facility's charge master before a claim is built.
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03
DRG and coding validation
DRG assignment and coding are checked against documentation to support accurate facility reimbursement.
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04
Claim scrubbing and submission
Claims are scrubbed against payer-specific facility edits, which differ meaningfully from professional-claim edits, before submission.
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05
Volume-scaled follow-up
Denials and aging claims are worked with a structured process built to handle facility-scale claim volume.
Trusted by Practices Nationwide
Healthcare providers across the country trust RevaxisMD with their revenue cycle operations.
★★★★★
As a solo practitioner I was drowning in administrative work and losing money on uncollected claims. Handing over the billing operation transformed our finances — revenue is up meaningfully in the first year and I can focus on patients instead of insurance paperwork.
★★★★★
Switching was the best decision we made for our practice. Within the first month we saw significant improvement in cash flow. The team is responsive, knowledgeable, and genuinely invested in our success — our collection rate improved sharply in just six months.
★★★★★
The transition was seamless and the ongoing support has been outstanding. They reduced our days in A/R dramatically and improved our cash flow. Their credentialing team also helped us get contracted with three major payers we had been trying to join for over a year.
Bring structure to facility-scale billing.
We will review how your facility and professional claims are handled today and where volume is creating avoidable denials.
Hospital Billing — Common Questions
Do you handle both UB-04 and professional claims?
Yes. Facility and professional claims for the same encounter are billed correctly on their respective forms and coordinated so neither is duplicated or missed.
Can you support multiple departments or service lines?
Yes. Facility billing across departments is coordinated within one workflow, with reporting broken out by department where that is useful.
How is facility billing different from office billing?
It runs on different forms and logic entirely — revenue codes, DRG assignment and charge master accuracy — and at a volume where a small error rate has a much larger absolute impact.
Do you review DRG assignment?
Yes, DRG coding is checked against documentation to support accurate reimbursement, though final coding decisions remain a clinical and compliance matter for your organization.
What reporting is available at this scale?
Claim volume, denial causes and DRG or revenue code performance, broken out by department or service line where your structure calls for it.
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Request a call back
Tell us about your practice and a member of the team will call you to talk through your hospital billing workflow.