Optimized Revenue Solutions for Inpatient, Post-Acute, and Multi-Site Care Teams
At MedConverge, we specialize in managing the complex billing and coding needs of hospitalist groups—whether you’re embedded within health systems, operating independently, or delivering post-acute care across multiple facilities. With a deep understanding of inpatient workflows, documentation nuances, and payer-specific billing rules, we help hospitalist providers focus on patient care while maximizing revenue and compliance.
Why MedConverge for Hospitalist Revenue Cycle Management?
- Experience Across Settings: We’ve supported large internal medicine and hospitalist groups practicing across acute hospitals, SNFs, LTACHs, and post-acute care settings in multiple states.
- Multi-Site Coordination: Our workflows accommodate diverse facility affiliations, ensuring smooth credentialing, EDI enrollments, and location-specific billing requirements.
- Inpatient & Transitional Care Expertise: From initial admission through discharge and transitional care management (TCM), our team understands the full scope of documentation and billing across care episodes.
- Proven Track Record with High-Volume Groups: We work with groups of 100+providers managing 100+ service locations—with consistent performance in clean claims, reduced denials, and faster cash flow.
What We Offer
Billing & Coding for Hospital-Based Services
- Daily rounding, H&P, discharge summaries
- Critical care and prolonged service billing
- Split/shared visits (MD and APP)
- Observation codes and TCM billing
- Medicare, Medicare Advantage, and commercial payer billing
Credentialing & Enrollment Services
- Facility and payer-specific credentialing
- Hospital privileging coordination
- Multi-entity group enrollments with delegated or centralized NPIs
Denial Management & Compliance
- Real-time rejection resolution
- Root cause analysis for denial trends
- Chart audits for medical necessity and documentation accuracy
Analytics & Reporting
- Daily charge and encounter reconciliation
- Weekly KPI dashboards (AR aging, CPT usage, top payers)
- Compliance audit trails and provider scorecards
Support for Post-Acute & Transitional Care Providers
- Accurate coding of SNF/NF visits, home visits, and care coordination codes
- Payer-specific rules for billing in post-acute settings
- Workflow optimization for APP-heavy groups
Let’s Talk
Whether you’re expanding your hospitalist footprint or consolidating revenue operations, MedConverge brings the right blend of scale, technology, and deep domain expertise. Contact us for a discovery call and learn how we can optimize your hospitalist revenue cycle.
