Hospital Billing Services

No billing concerns should limit your hospital’s revenue. Learn how our full billing solutions improve operations cash and manage compliance needs.

About Our Hospital Billing Services for Optimal Revenue

Welcome to Rhode Island Medical Billing Services, where we provide comprehensive medical billing and coding services for hospital organizations. From inpatient and outpatient billing services to specialty claims and compliance, accuracy in your hospital’s revenue cycle is what Rhode Island Revenue Management provides. Our company works with a group of professionals that specialize in getting the highest rates of reimbursement, minimal denials, and detailed reports to increase hospitals cash flow and compliance without stress. Let our local knowledge manage the complexities of hospital billing while you concentrate on improving patient care.

Our End-to-End Solutions for Effective Hospital Billing

Our hospital billing services are very comprehensive and will address all your billing needs. We perform each process with unbending precision and adherence to regulation, from registration and charging to claim filing and denial. Key services include:

Patient Registration and Insurance Verification

It assists in verifying accurate patient information, including insurance coverage, to avoid any complications during admissions and billing.

Charge Capture & Coding

All services, procedures, and treatments must be thoroughly documented, with the option to capture any information that can be coded and charged to a patient.

Claims Preparation & Submission

The team guarantees the timely and high-quality preparation and submission of claims for specialized, costly, and advanced hospital services.

Payment Posting & Reconciliation

Prompt and accurate recording of payments received from third-party payers such as private insurance companies, Medicare, and Medicaid with proper matching to avoid overstatements

Denial Management & Appeals

We are tracking and analyzing hospital claims that have been denied, using appropriate appeal and resolution strategies to secure reimbursement from difficult cases.

Accounts Receivable Follow-Up

The management of unpaid claims and timely cash replenishment is crucial for monitoring AR days, particularly when dealing with high hospital billing volumes.

Patient Billing and Collections

Coordinates billing processes for patients and their treatments, including expensive services and long-term care with follow-up that preserves patient relations.

Compliance and Audit Support

Supports the evaluation of federal, state, and other regulatory compliance with regard to hospital paradigms such as HIPAA, CMS, and payers.

Prior Authorization Management

Coordinates pre-certification of treatment, operations, and other expensive services, avoiding delays in service delivery and claim rejections.

Service Coverage by Rhode Island Medical Billing Services

We provide a complete solution that encompasses billing services, payer management, as well as regulatory compliance for all the hospitals in Rhode Island.

Inpatient & Outpatient Billing – Complete support for all patient types.
ER & Trauma Billing – Fast billing services for emergency services.
Specialty Procedures – High-cost procedure billing, from surgeries to diagnostics.
Lab & Radiology Billing – Precise coding for the lab and radiological services.
Medicare & Medicaid Claims – Compliance-focused billing for public payers.
Ancillary Services – Covers physical therapy, respiratory, and dietary services.
Patient Collections – Patient-friendly billing and follow-up.
Denial Management – Fast resolution and appeals for denied claims.
Financial Reporting – Customized insights on revenue cycle performance.

Why Choose us for Your Hospital’s Billing Needs?

Here are some unique benefits that Rhode Island Medical Billing Services could highlight to set your hospital billing services apart.

By having more detailed knowledge of the Rhode Island health care laws and the different payers, we guarantee compliance and faster reimbursement relevant to your region.

To maintain maximum efficiency and precision, our team consists of dedicated professionals who handle hospital billing exclusively.

Special financial reports based on the hospital-specific KPIs and providing valuable information to achieve better financial and organizational objectives.

We assign a direct account manager to the hospital to give immediate solutions and concentrated devotion at all times.

Having strong and credible relationships with local insurance carriers in Rhode Island facilitates the handling of claims as well as payer relations, hence avoiding delays and enhancing successful reimbursements.

We oversee the entire process from registration to billing and collection in order to spare your staff the stress of worrying over the nitty-gritty of cost recovery cycles.

Partner with Rhode Island Medical Billing Services

Your hospital’s financial situation reflects the efficiency of billing. When you choose Rhode Island Medical Billing Services, you will also enjoy increased efficiency, well-coordinated management, and positive operational and patient outcomes for your practice’s monetary health.

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