Hospital & Physician Billing (UB-04 & CMS-1500)

We support both institutional and professional billing with precision and compliance. For hospitals and outpatient facilities, we ensure accurate revenue codes, bill types, occurrence codes, condition codes, and charge capture that reflect all services delivered. For physicians, we align CPT/HCPCS codes, modifiers, and diagnoses with documentation and payer rules to ensure clean CMS‑1500 submissions. We manage edits, rejections, and payer-specific requirements across Medicare, Medicaid, commercial plans, and managed care organizations. Our team understands the differences between facility and professional billing, including global periods, split/shared rules, POS requirements, and outpatient vs. inpatient nuances. By bridging clinical, coding, and billing workflows, we reduce rebills, accelerate payments, and ensure compliant reimbursement.