Provider Services
Hospital billing that reconciles professional and facility revenue
MedValue handles the complexity of hospital billing — UB-04 and CMS-1500 coordination, DRG validation, charge capture and denial management — so your revenue cycle team can focus on cash flow, not paperwork.
How MedValue solves hospital billing
Hospital billing combines facility claims, professional claims, payer-specific rules and strict documentation requirements. We bring the people, process and AI-enhanced review to keep every dollar moving.
The challenges we hear from hospitals
These are the pain points that slow collections and increase compliance risk in hospital billing. Our audit quantifies the impact and our team builds the fix.
- Professional and facility claims split across UB-04 and CMS-1500 forms
- DRG mismatches and medical necessity denials
- Charge capture gaps between departments and systems
- Prior authorization and concurrent review delays
- Compliance exposure from documentation and coding gaps
Professional + facility coordination
We reconcile professional CMS-1500 claims with facility UB-04 claims so split encounters don't slip through the cracks. Our team validates DRG assignments, medical necessity documentation and payer-specific requirements before submission.
Compliance built in
Hospital billing carries high compliance exposure. Our process includes HIPAA-aligned access controls, documentation reviews, coding accuracy checks and audit logging so your revenue cycle stands up to scrutiny.
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See exactly what your practice is leaving on the table
Our billing assessment team reviews a sample of your claims, denials and aging AR, then walks you through the findings. Most practices are surprised by the first slide.
- A claim-level look at what is being denied and why
- Aged AR you can still recover, quantified in dollars
- Coding and fee schedule gaps costing you per visit
- A plain-English action plan you can keep either way
Prefer to talk first? Call 630-430-1040
Get your free billing audit
Takes 2 minutes. No commitment, no obligation to switch.
Questions first? Read the billing FAQ or build a custom quote.