Hospitals lose millions yearly to claim denials, coding errors, and inefficient billing. Yours doesn’t have to. Running a hospital is hard enough outdated billing systems, rising claim denials, and shrinking reimbursements shouldn’t drain your revenue.
RevenueES specializes in hospital billing services and end-to-end RCM solutions designed to maximize collections, reduce administrative burden, and keep your cash flow healthy.
Between rising claim denials, staffing shortages, and declining reimbursements, today’s hospitals are fighting an uphill battle just to get paid what they’re owed. At RevenueES, we’ve built our hospital-focused medical billing and RCM services to tackle these exact pain points.
Every day, we see how coding errors, late filings, and inefficient follow-ups drain millions from health systems while increasing compliance risks. That’s why our solutions go beyond basic billing to deliver measurable revenue recovery, AI-powered claim accuracy, and transparent analytics because you shouldn’t have to choose between financial health and operational efficiency.
Our expert team crafts bespoke billing approaches, optimizing your revenue cycle and adapting to the distinct requirements of your medical practice.
Our team ensures every billable service is properly documented and coded, eliminating missed revenue opportunities.
We implement rigorous claim scrubbing to reduce errors and prevent costly denials before submission.
Our experts analyze denial patterns and aggressively appeal unjustified rejections to recover your revenue.
Certified coders verify ICD-10, CPT, and HCPCS accuracy to ensure compliance and optimal reimbursement.
We proactively track unpaid claims and resolve payer issues to accelerate your cash flow.
Our transparent patient statements and payment plans improve collections while enhancing patient satisfaction.
You receive actionable insights into your revenue cycle performance with our detailed KPI dashboards.
We keep your billing practices current with ever-changing Medicare, Medicaid, and commercial payer rules.
Our team transforms your claims management with AI-powered scrubbing that catches errors before submission. We specialize in high-volume claim processing that maintains 98%+ first-pass acceptance rates for hospital systems.
Beyond basic coding, we provide surgical coding, infusion therapy coding, and other complex specialty coding that hospitals often struggle to keep in-house. Our CDI team concurrently reviews charts to prevent costly documentation gaps.
From initial credentialing to contract negotiations with commercial payers, our medical credentialing services secure optimal reimbursement rates and prevent credentialing-related claim rejections that delay revenue.
Our proprietary underpayment recovery system audits every payment against contract terms, identifying an average of 12-18% in additional revenue for partner hospitals.
Our technology seamlessly connects with your EHR, PM system, and clearinghouse to create a frictionless revenue cycle without costly IT overhauls.
We proactively adapt your workflows to evolving requirements like price transparency rules, No Surprises Act compliance, and CMS updates – before they impact your revenue.
We exclusively serve hospitals, clinics, and private practices. Our entire system is built for your unique billing complexities.
Clients recover 18-27% in lost revenue within 12 months through our denial prevention and underpayment audits.
Every team member holds hospital-specific certifications (CPC-H, COC, CDEO) and averages 12+ years in acute care billing.
