Consider outsourcing medical billing if your hospitalist practice’s denial rates exceed 5%, claim rates are consistently below 97%, or your workforce is overstretched. Experienced medical billers audit and manage your processes to ensure they’re aligned with industry standards. This maintains accuracy and compliance, while denial rates. Outsourcing also gives hospitalists more time to spend with patients, demonstrating your commitment to their welfare.

Yes, medical billing services help hospitalist groups reduce claim denials by identifying root causes and designing personalized solutions. They ensure inpatient and discharge codes are accurate and aligned with industry standards, avoiding unnecessary denials and verifying patient eligibility to reduce documentation gaps. They also manage appeals for denied or underpaid claims to recover revenue and minimize your accounts receivable days.

Outsourcing hospitalist billing and revenue cycle management generally costs 5-10% of collections. However, PMN’s competitive billing rates start at just 3% for qualifying hospitalist practices, with no setup fees. This includes full revenue cycle management, denial appeals, patient collections, and A/R follow-up.

Find the best hospitalists billing services by looking for certified coders that can demonstrate direct hospital medicine experience. Ask for evidence of their A/R day benchmarks, billing accuracy, and denial rate reductions on inpatient E/M claims before committing. You should also check that they have a clear credentialing process for hospitalists and APPs.

Hire a hospitalist billing service that effectively handles credentialing by confirming they manage services such as Medicare PECOS enrollment and commercial payer applications for physicians and APPs. Ask for their payer-specific performance data and denial rate benchmarks, too. PMN manages the full credentialing process for hospitalist groups, including ongoing revalidation, with claim denial rates less than 0.02%.