Inpatient Billing Services

Inpatient Billing Services by Revex Square exist because hospital billing runs on an entirely different form, an entirely different code set, and an entirely different set of rules than physician billing. You trained your staff to manage patient care through admission, treatment, and discharge, not to sequence interim bills, chase revenue code and HCPCS mismatches, or reconcile discharge status codes that quietly cut a DRG payment in half. That's where inpatient billing services from Revex Square come in.

Hospitals and health systems get paid faster, cleanly, and predictably by working with an inpatient billing partner who actually understands institutional claims, not a physician-billing team applying CMS-1500 logic to a UB-04 form. No long onboarding calls. No jargon-heavy reports you have to decode. Just a team that treats your admission-to-discharge episode the way institutional billing actually requires.

Picture closing out a discharge knowing the claim already reflects the correct type of bill, the correct revenue codes paired with the right HCPCS entries, and a discharge status code that won't trigger a post-acute transfer payment reduction. That's what we build for hospitals and health systems.

Schedule Free Consultation






    Inpatient Billing Service Specifications

    Complete billing & RCM overview for hospitals and health systems

    Inpatient Billing Service Specifications

    Service Type
    Inpatient Hospital Billing & Revenue Cycle Management
    Provider
    Revex Square, Full-Service Medical Billing Company
    Facilities Served
    Acute Care Hospitals Critical Access Hospitals Inpatient Psychiatric Facilities Long-Term Acute Care Hospitals Skilled Nursing Facilities Multi-Hospital Health Systems
    Service Areas Covered
    Type of Bill Structuring Revenue Code Assignment Interim Billing 72-Hour Rule Bundling Condition Code 44 Review Discharge Status Code Accuracy Hospital vs. Professional Billing Coordination
    Coding/Claim Systems
    UB-04/CMS-1450 Institutional Claims — ICD-10-CM/PCS, Revenue Codes, Type of Bill (TOB), and Discharge Status Codes per NUBC/CMS standards.
    Service Price
    As low as 2.75% of your monthly collections — no hidden fees
    Software Compatibility
    Epic Cerner Meditech Most Major Hospital Billing Platforms Major HIS Platforms
    Availability
    Nationwide in the United States, with Medicare Administrative Contractor (MAC) expertise across all jurisdictions, including Noridian
    Compliance
    HIPAA-Compliant, encrypted, auditable, and secure HIPAA-Compliant HIPAA-Compliant
    Key Metrics
    99% Clean Claim Rate
    <25 Days in A/R
    <6% Denial Rate
    48hr Claim Turnaround

    Want to improve your inpatient hospital collections? Get a free demonstration.

    Schedule a Free Demo

    Why Hospitals Choose Our Billing Service

    We handle the billing so you can focus on your patients.

    5+ Years in Billing

    Focused, specialty-trained medical billing experience helping hospitals and health systems improve collections and protect revenue.

    99% Clean Claim Rate

    Our billing team focuses on accurate claim submission, catching the small errors that turn into big denials before they ever reach a payer.

    $

    Faster Payments

    We follow every claim from submission through payment, so your facility sees revenue faster and keeps a steadier cash flow.

    Work With an Inpatient Billing Specialist

    Our team understands interim billing sequences, 72-hour rule bundling, discharge status coding, and the unique challenges of inpatient revenue cycle management.

    Our Inpatient Billing Process

    We simplify every step of your revenue cycle so your facility can focus on delivering exceptional patient care.

    01

    Patient Registration & Admission Verification

    We verify patient demographics, insurance information, and admission status, confirming the correct Type of Bill from the outset of the stay.

    02

    Charge Capture

    Our team captures every billable component of the stay, from room and board and ancillary services to pharmacy, lab, and procedures, mapped to the correct revenue codes.

    03

    Institutional Coding

    Certified coders assign accurate ICD-10-CM/PCS codes, pair revenue codes with the correct HCPCS entries where required, and apply condition, occurrence, and discharge status codes correctly on the UB-04.

    04

    Claim Submission

    Clean claims are submitted electronically on the UB-04/CMS-1450 format to Medicare, Medicaid, and commercial payers for faster processing and reimbursement.

    05

    Payment & A/R Follow-Up

    We monitor payments, follow up on unpaid or partially paid claims, and aggressively manage denials, interim billing sequences, and outstanding accounts.

    Accurate Institutional Coding

    Every revenue code, HCPCS pairing, and discharge status entry is carefully reviewed to reduce coding errors, claim rejections, and lost revenue.

    Faster Reimbursement

    Our streamlined billing workflow helps move claims through the revenue cycle and improves your facility's cash flow.

    Inpatient Billing Services We Provide

    Comprehensive revenue cycle solutions designed specifically for hospitals and health systems.

    01

    Institutional Medical Coding

    Accurate ICD-10-CM/PCS and revenue code assignment for every inpatient stay. Our certified coders make sure revenue codes in Form Locator 42 are correctly paired with the matching HCPCS entry in Form Locator 44, a mismatch that's one of the fastest ways to trigger an automatic line-item denial.

    02

    Type of Bill & Interim Billing Structuring

    For long stays that require interim billing, we sequence the Type of Bill correctly, first claim, continuing claim, or final claim, so a multi-part inpatient stay doesn't get processed as a series of disconnected, conflicting bills.

    03

    72-Hour Rule Bundling

    We correctly bundle outpatient services provided within 72 hours of an inpatient admission into the inpatient claim where required, a rule that's easy to miss and a common source of post-payment recoupment when it's overlooked.

    04

    Condition Code 44 Review

    When a patient's status changes from inpatient to outpatient before discharge, we apply Condition Code 44 correctly and confirm the utilization review documentation that supports it, protecting the claim from denial on both sides of the status change.

    05

    Discharge Status Code Accuracy

    We assign the correct patient discharge status code, routine discharge, transfer to another facility, or otherwise, since an incorrect status code, particularly one that misses a qualifying post-acute transfer, can quietly reduce a DRG payment without ever triggering an obvious denial.

    06

    Hospital vs. Professional Billing Coordination

    We coordinate the facility (UB-04) claim with any separately billed professional (CMS-1500) services from the same encounter, so the two sides of the same patient stay don't create conflicting or duplicate claims.

    07

    Denial Management

    Our team identifies the root cause of denials, corrects billing issues, and follows up with payers to recover lost revenue, including denials tied to revenue code mismatches, condition code errors, and Type of Bill sequencing.

    08

    Accounts Receivable Management

    We monitor outstanding accounts, prioritize aging balances, and actively follow up to accelerate reimbursement across your full inpatient claim volume.

    Need a Complete Inpatient RCM Solution?

    Let Revex Square handle your billing while you focus on patient care.

    Get Started
    INPATIENT-SPECIFIC EXPERTISE

    Inpatient Billing Services Tailored to Your Facility

    Every hospital or health system is different. A critical access hospital billing under its own cost-based reimbursement structure has different needs than a large acute care system managing multi-part interim billing across long stays, or an inpatient psychiatric facility navigating its own distinct per-diem payment rules.

    Revex Square provides specialized inpatient billing services built around a genuinely different claim form and rule set than physician billing. The UB-04 captures an entire episode of institutional care, room and board, ancillary services, revenue codes, and discharge disposition, and getting each field right the first time is what keeps a hospital's clean claim rate high.

    Specialty-Specific Coding

    Accurate ICD-10-CM/PCS coding, correct revenue code and HCPCS pairing, and precise Type of Bill and discharge status code assignment across the full inpatient stay.

    Payer Expertise

    Experienced handling of Medicare, Medicaid, and commercial payers, including MAC-specific requirements across jurisdictions and the documentation payers expect when a claim is reviewed against the 72-hour rule or a status change.

    Complete Revenue Cycle

    From admission verification and coding to claim submission, denials, and A/R follow-up, covering the full path from registration to final reimbursement.

    $
    Monthly Collections Revenue Growth
    Clean Claims 99%
    Denial Rate <6%
    Days in A/R <25
    Accurate Institutional Coding
    $
    Faster Reimbursement
    Complete Inpatient RCM
    WHY REVEX SQUARE

    Why Choose Revex Square for Inpatient Billing?

    Your facility deserves more than a general billing company. You need a revenue cycle partner that understands the complexities of institutional billing.

    Inpatient-Specific Expertise

    Our billing professionals understand UB-04 structuring, revenue code and HCPCS pairing, condition and discharge status codes, and the institutional rules that make inpatient billing fundamentally different from physician billing.

    Transparent Pricing

    Simple, transparent pricing with no unnecessary hidden fees, allowing you to understand exactly what you are paying for.

    Dedicated Billing Team

    Work with experienced billing specialists who become an extension of your facility and remain focused on your financial performance.

    Complete Revenue Cycle Management

    From patient registration and eligibility verification to coding, claims, denials, and A/R follow-up, we manage the complete institutional billing cycle.

    Talk to an Inpatient Billing Specialist

    Turn Your Inpatient Billing Challenges Into Results

    From claim denials to discharge status errors, Revex Square helps identify the problems affecting your revenue and provides practical solutions.

    01

    High Claim Denials

    We identify denial patterns, correct billing errors, and follow up with payers to recover revenue.

    Solution Denial Management
    02

    Slow Insurance Payments

    Our team actively tracks outstanding claims and follows up with insurance companies to accelerate reimbursement.

    Solution A/R Follow-Up
    03

    Revenue Code & HCPCS Mismatches

    When a revenue code in Form Locator 42 doesn't align with the HCPCS entry in Form Locator 44, the line item is denied outright, a common and entirely preventable error.

    Solution Institutional Coding Review
    04

    Incorrect Discharge Status Codes

    An incorrect discharge status code, especially one that misses a qualifying post-acute care transfer, can quietly reduce a DRG payment without generating a clear denial to flag the problem.

    Solution Discharge Status Accuracy Review
    05

    Interim Billing & Type of Bill Sequencing Errors

    Long inpatient stays requiring multiple interim bills need the correct Type of Bill sequence, and getting this wrong creates conflicting or rejected claims for the same encounter.

    Solution Type of Bill Structuring
    06

    Lack of Billing Visibility

    Clear reporting gives you better visibility into collections, denials, A/R, and overall revenue performance across your full inpatient volume.

    Solution RCM Reporting

    Stop Leaving Revenue on the Table

    Let our inpatient billing experts identify opportunities to improve your revenue cycle.

    Get a Free Billing Assessment
    GOT QUESTIONS?

    Frequently Asked Questions About Internal Medicine Billing

    The answers to the questions most frequently asked by internal medicine practices regarding billing, coding, and revenue cycle management.

    Internal medicine billing includes eligibility verification, coding, claim submission, payment posting, denial management, A/R follow-up, and patient billing.

    E/M coding is based on medical decision-making, including the complexity of conditions, data reviewed, and patient risk.

    TCM billing covers follow-up and care coordination services provided to patients after discharge from a hospital or healthcare facility.

    Common reasons include incorrect E/M coding, missing documentation, diagnosis linkage issues, and patient registration errors.

    Our internal medicine billing services start as low as 2.75% of monthly collections, depending on your practice's billing needs.