Hospitalist Billing Services

Optimize Your Practice Revenue & Billing Efficiency

Getting Started

Managing hospital billing requires deep expertise in capturing the complexity of inpatient care—from initial admission and daily evaluations to advanced procedures and discharge coordination. At Gedeihen Healthcare, we deliver structured revenue cycle strategies that support hospitalists and healthcare systems in navigating this multifaceted landscape.

Hospital Billing Services

Maximizing claim efficiency and compliance for superior revenue management

Hospitalist billing demands a mastery of intricate inpatient coding structures, critical care documentation, and dynamic reimbursement methodologies. Our elite hospital billing services are engineered to navigate these complexities with precision—maximizing revenue integrity while upholding the highest standards of compliance.


We empower hospitalist groups and facilities to strengthen revenue outcomes while focusing on exceptional inpatient care.

  • End-to-End Revenue Cycle Oversight
  • High-Acuity Documentation Expertise
  • Integrated Billing for Multispecialty Encounters
  • Compliance-Centered Optimization


As a trusted leader in medical billing, our team brings deep expertise in hospitalist medicine revenue cycle management. With advanced certifications and a strong command of evolving care models, we provide dependable support across diverse healthcare environments.


  • Certified professionals with focused experience in hospital-based billing
  • In-depth knowledge of inpatient workflows and regulatory frameworks
  • Long-standing payer collaboration built on consistency and accuracy
  • Demonstrated success in managing bundled care and value-driven billing strategies

Our commitment to precision, transparency, and integrity ensures your billing operations are in capable hands—so you can focus on patient care while we safeguard your financial performance.


Our clinical documentation experts specialize in aligning hospital billing with the latest compliance standards and clinical accuracy, ensuring every detail supports appropriate coding and optimal reimbursement.


  • Targeted documentation strategies to support medical necessity and defensible audits
  • End-to-end management of time-based services, including prolonged and critical care billing
  • Specialized coding insights for complex conditions such as multi-organ system failure
  • Integrated support for risk adjustment and quality reporting metrics aligned with value-based initiatives


With our advanced documentation solutions, your hospitalist group is empowered to capture the full scope of care delivered—seamlessly and compliantly.

 

Mastering Every Code for Hospitalist Specialty

Our expertise spans the full code range, ensuring precision and compliance in every claim we process

Inpatient & Observation Initial Care

99221

Low complexity

99222

Moderate complexity

99222

Moderate complexity

Subsequent Care Services

99231

Low complexity follow-up care

99232

Moderate complexity follow-up care

99233

High complexity follow-up care

Same-Day Admission/Discharge

99234

observation/inpatient stay < 8 hours

99235

observation/inpatient care

Up to

27%

More cash collected

Up to

23%

Outstanding A/R collection

Up to

29%

Patient collections

Up to

$80 M

Charges billed last year

Medical Billing At A Glance

Explore key figures that highlight our commitment to seamless coding and optimized reimbursement.

Claims Processing Metrics

96%

First Pass Resolution Rate

Percentage of claims paid on the first submission.

23-40 Days

Average Days to Payment

Average number of days it takes for claims to be paid.

First-Pass Claim Acceptance Rate (FAR):

We consistently maintain a >96% first-pass acceptance rate, reducing delays and ensuring faster reimbursements.

Days in Accounts Receivable (AR):

Our optimized workflows help keep AR days well below the industry benchmark, improving cash flow predictability.

Clean Claim Rate:

With robust coding accuracy and claim scrubbing tools, we achieve a clean claim rate of over 95%, minimizing rework and denials.

Financial Metrics

90%

Net Collection Rate

Percentage of total charges that are collected.

30 Days

Average Denial Resolution Time

Average number of days taken to fix and resolve a denied claim.

Operational Metrics

94%

Average Claims Submitted Per Month

Volume of claims submitted.

97%

Volume of claims submitted.

Claims processed per biller per day.

Aged A/R Clearance Rate:

Measures the percentage of aged receivables (especially over 90days or above)

Reflects the effectiveness of backlog reduction efforts.

A faster resolution time means improved collections and cleaner aging reports

Unbilled Claims Backlog:

Goal: Minimal backlog—claims should be submitted within 24–48 hours of service. Impact: Directly affects cash flow and delays reimbursement.

Denial Resolution Rate:

Tracks the number of denied claims that were appealed, corrected, and successfully reimbursed. Benchmark: 63–79% resolution rate. Denial management efficiency and recoverable revenue.

Reach Us

Address

3/1159, water tank road, choolaima nagar, Thoraipakkam, Chennai - 600097.

© 2023 Gedeihen Healthcare.