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Revenue Cycle Management
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Care settings & support
Specialties
We handle hospital billing and coding from inpatient admissions to outpatient encounters, so your team can spend its time on patient care, not payer disputes.
Inpatient and outpatient facility billing, coded and followed up by AAPC/CPC Certified Coders and Billers.
MedixCode offers comprehensive hospital revenue cycle management services that show you where revenue is being lost. Our professional RCM services for hospitals include:
Reports by payer, provider, location and CPT.
Review of reimbursement rates against contracted allowables to identify systematic underpayments.
Follow-up on aged claims before timely filing deadlines pass. See Accounts Receivable Management.
Supporting provider enrollment and credentialing processes that directly affect your facility’s ability to bill and collect.
Periodic audits of your CDM to check revenue codes, procedure codes and charge amounts. See Chargemaster Management.
You get reports by payer, provider, location and CPT, so you can see what's changing.
We cover the revenue cycle from charge capture through payment posting. There's no one-size-fits-all setup: we start by looking at your current billing performance, payer contracts and denial patterns, then agree with you on what we'll handle.
Hospital administrators and CFOs weigh the cost of building and maintaining an in-house billing department against the risk of revenue leakage, compliance exposure, and staffing instability. For many facilities, outsourcing to a specialized partner is the more cost-effective option. Here is why hospitals consider outsourcing to MedixCode:
Hospital billing requires specialized skills that are in short supply. Staff turnover in billing departments is costly and disruptive. Outsourcing takes that risk off your payroll: coverage doesn't depend on one or two people staying.
CMS updates, payer policy changes, and coding guideline revisions occur continuously. We track CMS and payer updates, such as the 2026 changes above, and apply them to your billing.
Volume swings, seasonal surges, facility expansions, and new service lines are easier to handle with MedixCode, because you’re not limited by the size of your internal team.
You don't need new software. We work inside your existing EHR/PM system and clearinghouse, including Epic, athenahealth, eClinicalWorks, NextGen, Tebra and AdvancedMD, and you keep ownership of your data.
When your administrative leadership is not managing billing complexity, they are free to focus on quality improvement, patient experience, and strategic growth.
Unlike internal departments, where performance data can be difficult to surface, we report results to you on a regular schedule, so performance is easy to see.
Under the CY 2026 OPPS final rule, drug administration services at excepted off-campus hospital outpatient departments are paid at a site-neutral, physician fee schedule–equivalent rate (rural sole community hospitals are exempt). The rule also expanded hospital price transparency: when a payer-specific negotiated charge is based on a percentage or algorithm, machine-readable files must now report the 10th percentile, median and 90th percentile allowed amounts, and the file must include an attestation naming a senior official. These requirements took effect January 1, 2026, with enforcement from April 1, 2026.
Source: CMS, CY 2026 OPPS/ASC Final Rule (CMS-1834-FC), released November 21, 2025.
Our inpatient and outpatient billing solutions are designed to manage the full complexity of hospital revenue cycle operations with precision and scalability. For inpatient encounters, that means charge capture checks, condition codes and coordination of benefits. For outpatient services, it means APC coding, modifiers, medical necessity checks and same-day procedure billing.
Our AAPC/CPC Certified Coders and Billers work with UB-04 requirements, CMS rules including IPPS, observation status and payer-specific billing rules. We bill for emergency departments, surgical services, rehabilitation units, diagnostic imaging, infusion services and more.
Don’t let your revenue drain due to missing modifiers, incorrect codes, missing documentation, and weak follow-ups. Tell us about your facility, payers and system, and we'll walk you through the handoff.
Common hospital billing questions we hear from healthcare facilities and health systems.
Didn't find your question?
Contact usHospital billing services involve the management of inpatient and outpatient claims, medical coding, insurance verification, payment posting, denial management, and revenue cycle processes to help healthcare facilities receive accurate and timely reimbursements.
Hospital billing and coding services typically include facility coding, claim submission, charge capture, insurance follow-up, denial resolution, payment reconciliation, compliance monitoring, and complete hospital revenue cycle management support.
Yes. Both can run through one billing workflow, so they follow the same rules and the same reporting.
Hospitals often outsource billing services to reduce staffing pressure and get AAPC/CPC Certified Coders and Billers without adding headcount.
We support it with careful coding, clean claim submission, denial management and steady follow-up on unpaid facility claims.
Book a free consultation to talk through your facility's billing.
Send facility questions to info@medixcode.com, or use our contact page.