We specialize in comprehensive hospital billing services designed to simplify complex processes, enhance cash flow, and ensure compliance across the entire revenue cycle.
We serve hospitals of all sizes, from community centers to large multi-specialty facilities, helping them eliminate administrative burdens and focus on delivering exceptional patient care. Our dedicated experts understand that in your high-demand environment, accuracy and efficiency are critical. That’s why we provide end-to-end RCM solutions that integrate advanced technology, transparent reporting, and process management to maximize your financial performance.
Our dedicated end-to-end RCM services ensure precision, compliance, and accelerated cash flow across your entire hospital system, from pre-service verification to final collections.
We proactively confirm every patient’s coverage, plan details, and pre-authorization requirements before service is rendered. This eliminates costly denials and delays at the very first step.
We manage all aspects of provider credentialing and payer enrollment, from document verification to ERA setup, ensuring your physicians and facilities maintain active payer relationships and faster approvals.
We cross-verify patient demographics and charge details, guaranteeing accurate, error-free data entry to maximize billing integrity and reduce claim rejections.
Our certified coders review all documentation (diagnostics, imaging, notes) to assign precise ICD-10, CPT, and HCPCS codes. This ensures coding compliance, prevents underpayments, and maintains a smooth claim submission process.
Our AR management team diligently follows up on every outstanding claim, reducing AR days and accelerating collections. We track, appeal, and resolve underpaid claims promptly to ensure you receive every dollar entitled to you.
We identify the root causes of denials, take immediate corrective action, and resubmit claims within filing limits. We perform detailed denial trend analysis to implement long-term solutions that strengthen your revenue stream.
We handle payment posting with precision, accurately recording and reconciling all payments (ERA/EOB) for transparent financial reporting. We also manage patient refunds and adjustments to ensure complete compliance in all financial transactions.
Our experienced negotiators secure fair reimbursement for complex out-of-network claims. Using data-driven models, we identify optimal payment rates while achieving significant savings and improved reimbursements through a balanced negotiation approach.
Getting providers properly credentialed and contracted with payers can feel like an endless maze of paperwork, follow-ups, and strict requirements. We simplify this critical process. Our credentialing and contracting support ensures that your practice is recognized by insurance networks, receives timely reimbursements, and avoids compliance pitfalls.
Whether you manage a large hospital, an urgent care, or a private specialty practice, our credentialing experts ensure providers are enrolled quickly, contracts are negotiated effectively, and renewals are never missed. We partner with you at every stage to keep your revenue cycle moving forward.
We follow a structured, technology-driven RCM process that aligns with hospital goals and payer regulations. Our process includes:
This streamlined workflow ensures hospitals experience reduced claim rejections, faster reimbursements, and improved revenue transparency.
We work with all major billing platforms, including eClinicalWorks, Medisoft, CollaborateMD, NextGen, AdvancedMD, Kareo, and Experity, among others. Our team integrates seamlessly with your existing EHR and billing systems, providing flexibility and efficiency without disrupting operations.
By leveraging the latest technologies and automation tools, Your Medical Billing Solutions delivers scalable, data-backed billing processes that adapt to your hospital’s evolving needs.
We are committed to being more than just a billing partner — we are your strategic financial ally, helping hospitals sustain long-term revenue health.
We service hospitals across the nation, helping them achieve measurable improvements in cash flow, claim accuracy, and administrative efficiency.
