Maximize Revenue for
Your Entire Health System
Managing a hospital's revenue cycle is infinitely more complex than a private practice. We provide end-to-end hospital billing, DRG optimization, and institutional A/R management to protect your bottom line.
UB-04 & CMS-1450 Mastery
From precise inpatient DRG assignments to complex outpatient APC coding, our certified experts handle massive claim volumes seamlessly.
Handling Complexity at Scale
Hospitals face unique billing challenges: multiple departments, complex payer contracts, stringent compliance audits, and massive A/R backlogs. Our infrastructure is built specifically to conquer these institutional hurdles.
Inpatient & Outpatient
Deep expertise in both inpatient (DRG, ICD-10-PCS) and outpatient (APC, CPT) prospective payment systems to maximize institutional reimbursement.
CDI Integration
We offer Clinical Documentation Improvement (CDI) feedback to physicians, ensuring medical records fully support the highest legitimate level of care.
Aggressive A/R Recovery
Hospitals often write off millions in aged A/R. We deploy dedicated teams to aggressively chase down, appeal, and recover large-dollar denied claims.
A Flawless Revenue Cycle
From Admission to Payment
We deploy certified institutional coders (CIC) who work hand-in-hand with your clinical staff to ensure every service provided is captured, coded, and billed flawlessly.
Pre-Registration & Auth
We streamline the front-end by verifying benefits, confirming demographics, and securing prior authorizations before the patient is even admitted.
Coding & Charge Capture
Certified institutional coders review every chart, applying correct DRGs and capturing all billable services, supplies, and room charges.
UB-04 Claim Scrubbing
Claims run through our advanced institutional scrubbing engine to catch missing data, NCCI edit conflicts, and payer-specific rule violations.
Remittance & Denial Mgmt
Payments are posted immediately, and any denials are instantly routed to our specialized appeals team for rapid correction and resubmission.
Protect Your Hospital's
Financial Health
Don't let inefficient billing drain your institutional resources. Partner with Valeria Healthcare Solutions for a comprehensive RCM audit and discover your true revenue potential.