Medical Billing Solutions for Healthcare Providers
Accurate medical coding services nationwide.
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Verify patient insurance coverage, benefits…
Tracking payments, invoicing , managing…
Improve collections by insurance claim denials.
Reliable, accurate, compliant, friendly billing…
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Manage patient records securely with EHR solutions.
Medical Billing Solutions for Healthcare Providers
Accurate medical coding services nationwide.
Reliable Credentialing Enrollment Across…
Verify patient insurance coverage, benefits…
Tracking payments, invoicing , managing…
Improve collections by insurance claim denials.
Reliable, accurate, compliant, friendly billing…
Efficient support with our Virtual Assistant services
Grow your brand, we handle your social media.
Boost your website traffic with expert SEO
Interactive e-learning to boost skills anytime, anywhere.
Get noticed online with Google Ads.
Manage patient records securely with EHR solutions.
Inpatient Billing Services by Revex Square is where you turn when your hospital admits, treats, and discharges patients, not to memorize whether a stay should be billed as type of bill 111 or 117, or whether revenue code 0250 or 0258 belongs on a pharmacy charge. Your day often ends with an interim claim that needs a frequency code changed, a 72-hour rule bundling question, and a Medicare Administrative Contractor portal that flags a claim for a reason nobody has time to decode. That's where inpatient billing services from Revex Square come in.
Hospitals get paid faster, cleanly, and predictably by engaging an inpatient billing partner that actually understands type-of-bill structure, revenue code selection, interim billing, and CMS bundling rules, not a generalist team applying outpatient or physician-office billing logic to a UB-04 institutional claim. No long meetings. No jargon-heavy reports. Just a partner who understands inpatient hospital billing completely, from a single admit-through-discharge claim to a multi-month interim billing sequence.
Imagine finishing your month knowing that every claim carries the correct type of bill and revenue codes, every 72-hour bundling requirement is met, and every claim is already moving through the payment stream instead of sitting in a rejection queue. That's the peace we bring to hospitals every day.
Complete billing & RCM overview for hospitals and health systems
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Focused, specialty-trained medical billing experience helping hospitals and health systems improve collections and protect revenue.
Our billing team focuses on accurate institutional claim submission, catching the small errors that can turn into major denials before they reach a payer.
We follow every claim from submission through payment, helping your hospital receive revenue faster and maintain a steadier cash flow.
Our team understands interim billing sequences, 72-hour rule bundling, discharge status coding, and the unique challenges of inpatient revenue cycle management.
We simplify every step of your revenue cycle so your hospital can focus on patient care.
We verify eligibility and confirm the admission meets inpatient status criteria, flagging cases that may need a Condition Code 44 review before billing.
Our team captures every billable revenue-code line from room and board through ancillary services, checking that pre-admission outpatient diagnostic services fall correctly under the 72-hour bundling window.
Certified coders assign accurate ICD-10-CM/PCS codes, select the correct revenue codes for each service line, and structure the type of bill correctly — including interim frequency codes when the stay spans a billing cycle.
Clean UB-04 claims are submitted electronically to Medicare, Medicaid, and commercial payers, with interim, replacement, or void claims sequenced correctly against the original claim number.
We monitor payments, track interim billing cycles through to the final claim, follow up on unpaid claims, and aggressively manage denials and outstanding accounts.
Every type of bill digit, revenue code, and discharge status is carefully reviewed to reduce coding errors, claim rejections, and lost revenue.
Our streamlined billing workflow helps move claims through the revenue cycle and improves your cash flow.
Comprehensive revenue cycle solutions designed specifically for hospitals — including the gaps most billing companies skip.
The three digits of a type of bill code identify the facility type, the bill classification, and the claim frequency. We make sure all three are set correctly for every claim, not just the first digit, since a wrong frequency digit is one of the most common — and most avoidable — causes of a rejected inpatient claim.
Every charge on a UB-04 needs the correct revenue code series — room and board, pharmacy, laboratory, radiology, emergency room, observation, or behavioral health — matched to the actual service rendered, not a default code reused across unrelated charges.
Long inpatient stays that cross a billing cycle require interim claims: a first claim, one or more continuing claims, and a final claim, submitted in sequence with the correct frequency code and prior claim reference. We track the entire interim billing chain so a missed or misordered interim claim doesn't hold up final payment.
Diagnostic and related non-diagnostic outpatient services provided within 72 hours before an inpatient admission at the same hospital generally need to be bundled into the inpatient claim rather than billed separately. We review pre-admission charges against this window before submission to prevent unbundling denials and compliance exposure.
When a patient's status changes from inpatient to outpatient/observation before discharge, Condition Code 44 and its supporting documentation requirements apply. We help ensure this is handled correctly and isn't used as a workaround after the fact.
The discharge status code affects payment, including post-acute transfer payment adjustments under IPPS. We verify the discharge status matches the actual disposition so a transfer isn't billed as a routine discharge, or vice versa.
Hospital (facility) billing and physician (professional) billing for the same inpatient stay run on separate claim forms and rules. We help hospitals keep facility-side UB-04 billing coordinated with, but distinct from, professional CMS-1500 billing for services during the same stay.
Our team identifies the root cause of denials, corrects billing issues, and follows up with payers to recover lost revenue, including denials tied to bundling errors, frequency code mismatches, and discharge status disputes.
We monitor outstanding accounts, prioritize aging balances, and actively follow up to accelerate reimbursement.
Detailed reports and performance insights help you understand collections, denials by claim type, A/R, and the overall health of your inpatient revenue cycle.
Let Revex Square handle your billing while you focus on patient care.
Every hospital's billing needs differ. A short-stay acute care hospital handling mostly single-claim admissions has different requirements than a long-term acute care hospital managing months-long interim billing sequences, or a health system coordinating hospital and professional billing across the same encounters.
Revex Square provides specialized inpatient billing services designed around a category of billing that runs on rules general medical billing companies often only partially understand: type-of-bill and frequency code structuring, revenue code series selection, interim billing sequencing, and CMS bundling rules that most outpatient-focused billing teams never deal with in depth.
Accurate ICD-10-CM/PCS, type of bill, and revenue code assignment matched precisely to the inpatient stay and services rendered.
Experienced handling of Medicare across MAC jurisdictions, Medicaid, and commercial payers, each with its own bundling, interim billing, and discharge status payment rules.
From admission review and charge capture to coding, claims, denials, and A/R follow-up, covering the full path from admission to final reimbursement.
Your hospital deserves more than a general medical billing company. You need a revenue cycle partner that understands the complexities of inpatient billing.
Our billing professionals understand type of bill structuring, revenue code series, interim billing, and the compliance requirements that make inpatient billing fundamentally different from outpatient or office-visit billing.
Simple, transparent pricing with no unnecessary hidden fees, allowing you to understand exactly what you are paying for.
Work with experienced billing specialists who become an extension of your hospital and remain focused on your financial performance.
From patient registration and eligibility verification to coding, claims, denials, and A/R follow-up, we manage the complete cycle.
From claim denials to bundling disputes, Revex Square helps identify the problems affecting your revenue and provides practical solutions.
Denial rates rise quickly when type of bill, revenue code, or bundling rules aren't managed carefully. We identify denial patterns, correct billing errors, and follow up with payers to recover revenue.
Our team actively tracks outstanding claims and follows up with insurance companies to accelerate reimbursement.
A missed or misordered interim claim in a long inpatient stay can hold up the entire episode's payment.
Failing to bundle related pre-admission outpatient diagnostic services — or over-bundling unrelated ones — is a common source of both denials and compliance risk.
Coding a transfer as a routine discharge (or the reverse) can trigger post-acute transfer payment adjustments and recoupment.
We prioritize aging accounts and maintain consistent follow-up to keep your accounts receivable under control.
Let our inpatient billing experts identify opportunities to improve your revenue cycle.
Get answers to common questions about inpatient hospital billing, coding, Medicare rules, interim billing, and revenue cycle management.
A type of bill is a three-digit code on the UB-04 claim form that identifies the facility type, bill classification such as inpatient or outpatient, and claim frequency such as an original, interim, or replacement claim.
The 72-hour rule generally requires outpatient diagnostic services, along with certain related services, provided within 72 hours before an inpatient admission at the same hospital to be bundled into the inpatient claim rather than billed separately.
Interim billing is used for inpatient stays that extend beyond a single billing cycle. Instead of submitting one claim for the entire stay, the hospital submits an initial interim claim, continuing interim claims when appropriate, and a final claim using the correct frequency codes.
Condition Code 44 is used when a hospital changes a patient's status from inpatient to outpatient, including observation, before discharge after the required physician concurrence and documentation process. This helps ensure the claim reflects the corrected patient status.
The discharge status code identifies where the patient went after the inpatient stay, such as home or another facility. Certain discharge codes can trigger post-acute transfer payment adjustments under Medicare's inpatient prospective payment system, potentially reducing reimbursement compared with a routine discharge.
Hospital or facility billing covers the institutional charges associated with an inpatient stay and is generally submitted on a UB-04 claim form. Professional billing covers physician and other professional services and is submitted separately on a CMS-1500 claim form. The two types of billing follow different rules even when they relate to the same patient encounter.
Noridian is one of several Medicare Administrative Contractors (MACs) that process Medicare claims on behalf of CMS for specific jurisdictions. Because billing and processing guidance can vary by MAC jurisdiction, hospitals should confirm the applicable Medicare requirements for their location.
Yes. Revex Square can support the complete inpatient billing workflow, from admission review and charge capture through coding, type of bill structuring, claim submission, denial management, payment posting, and A/R recovery. Hospitals can also outsource specific portions of the revenue cycle based on their needs.
Yes. Our team can work with the hospital information systems and billing platforms your organization already uses, including systems such as Epic, Cerner, and Meditech, helping reduce disruption to existing daily workflows.
Revex Square's inpatient billing services can start as low as 2.75% of monthly collections, with transparent, no-hidden-fee pricing. The exact rate depends on factors such as claim volume, average length of stay, and the level of interim billing involved. These details can be reviewed during a free consultation.