Rated Hospital Billing Services

The team at Credex Healthcare has an industry leading plan to deliver an optimized transformation to hospital billing services. Our specialized approach addresses both inpatient and outpatient billing needs for smooth reimbursement and revenue recovery.

YOUR TRUSTED PARTNER

Features

What Sets Us Apart

12+ Years

Working with large hospitals and health systems for over a decade

7000+ Providers

Assisted thousands of providers in getting credentialed

120,000+ Applications Processed

Ability to work with claims adjudication demands across 50 states

99% Success Rate

Helping our clients get approved with their first-time submissions

Our Story

Powerful Medical Billing Services for Hospital

At Credex Healthcare, you get access to industry experts with the ability to handle medical billing services for hospitals. Our team has the expertise across leading software systems to deliver:

Patient Intake

All details are managed by our experts, including demographics and entries.

Claims Submission

The team ensures that all claims submitted adhere to the state regulations.

Denial Management

We will be working on the management of rejections and appeals.

AR Collection

Our team will manage your aging AR bucket, ensuring collections efficiency.

Billing Services

Services as a Hospital Billing Company

We believe in serving you with customized hospital billing services that help in meeting your organizational demands. Also, our team extends complete front and back-end support, which will eliminate any workflow loopholes.

Working on prebilling

All the responsibilities with patient scheduling, information documentation, benefits management, and others will be done by our team. We will ensure that all submissions are done properly.

Submission of clean claims

As a committed hospital billing company, we will ensure that the claims align with the requirements directed by your payer, as per Part A requirements for inpatient details or Part B with the outpatient requirements, if necessary.

Streamlined denial management

Working on all details, including the filing of appeals, developing a payment optimization plan and understanding the reason for repeated claims denials. Our team knows the stress of hospital billing services and delivers in accordance with the company’s requirements.

Accounts receivable collections

We have a dedicated team of AR experts who work with your current, aging accounts bucket and develop a plan according to the threshold. Our team can serve you with clear precision on difficult-to-recover accounts, regardless of dollar value.

Stats

Our Success Story

97% AR collection rates

97 %

30% shrink in AR bucket

30 %

70% cost cutting

70 %

95% cllaim submission

95 %

Benefits

Competitive edge with billing solutions for hospitals

Dedicated account manager

Consistent communication on a daily, weekly, and monthly basis.

Highest AR collections

We have a 99% collection rate with aging accounts.

Focus on Patient

We help you with all relevant administrative tasks so that you can focus on working with patients.

Top References

The best in the healthcare industry trust our hospital billing services.

Strategic Insights

Your Growth Partner

We have a comprehensive revenue cycle management plan in place to help you eliminate all the hassles that come with recovering your accounts receivable. We offer the best hospital billing services nationwide, which will help you avoid any billing errors.

First Pass

We have the expertise to achieve the highest approval rate for claims.

Expertise

Seasoned AR experts will be working only for your account.

Customized

Our solutions are designed to meet your unique business processes

Collections

Our collections' performance is amongst the most optimized in the industry.

Communication

Resources available at your preferred time and convenience.

Transition

Seamless, interruption-free transition of your RCM activities .

Our specialties

Specialties We are Offering

70%

operational cost decrease

99%

collection ratio

97%

first pass rate

What Makes Credex Healthcare Different from the Competition

20%

revenue increase in the first three months

100%

HIPAA compliance

Clients Value us

Hospital billing Services

“I was confused about working with patients and finding a way to manage my AR bucket. That’s when Credex Healthcare came into the picture. They helped reduce my work burden, and now the collections are flowing.”

“Having aging AR’s and the huge amount of paperwork was overwhelming for my team. Credex Healthcare has allowed me to focus on my core responsibilities of treating my patients and not worry about anything else.”

Alex CEO “The team at Credex Healthcare has boosted the confidence of my hospital. Now I can allocate my resources to enhance patient experience while the Credex team works with all details, submitting and recovering money for my claims.”

“Credex Healthcare initiated a streamlined process with accounts receivable recovery and a perfect plan to work on my aging bucket. There was a significant reduction of about 30% in aging AR within the first month.”

“The best part of working with Credex Healthcare is their extensive knowledge of RCM processes and understanding of the adjudication demands of the insurance. They offer a dedicated point of contact for transparent communication at each step.”

Process

Hospital billing process

Step 1

Patient intake and demographics entries

Capture accurate patient details and demographic information

Step 2

Claims are submitted post-coding

Claims are carefully coded and verified before submission

Step 3

Denial management and AR recovery

Identify claim denials, file timely appeals, and recover outstanding reimbursements

Key Differentiators

Why trust our services

Our team has extensive, end-to-end knowledge of hospital billing services. We are a next-gen RCM services company in the healthcare space.

No write-offs

There will be no write-offs done on any of your accounts without consent.

Reduce cost and time

Payment cycles will be shortened with fewer denials and more reimbursements.

Account Management

Experts with proven knowledge of aging AR will be managing your accounts.

Clear Communication

Experienced professionals working during critical business hours to provide clear and comprehensive support.

Get Started

Begin your RCM story with us

Our expert team provides professional hospital billing services in the USA. Let our team work as your ideal guide and make sure that no payment remains pending.

Reach out to us and know how we intend to serve and help you stay ahead of the market competition. We would love to share our success stories with you anytime.

FAQs

Frequently Asked Questions

What do hospital billing services include?

Hospital billing services include patient scheduling, coding, claims submission, denial management, AR collections, and payment posting. All of these services are an integral part of the entire process.

How do hospital billing companies improve reimbursement rates?

They improve rates by recovering aging accounts, following up with the payer, and appealing against denials. Denials get reduced with robust fact-checking at the front-end and filing appeals for errors.

What’s the difference between in-house and outsourced hospital billing?

The key difference lies in the experience of working with multiple payers and providers simultaneously. An in-house team may lack the experience of dealing with different insurance payers, unlike an outsourced team.

How do outsourced billing services help reduce denials in hospitals?

The company will implement checks to find out the reason for denials and then file appeals. It gives a comprehensive understanding of where the errors lie, which will allow claims to be cleared.

What role does revenue cycle management play in hospital billing?

Everything revolves around the collection of revenue and its management, which is the key to a successful billing cycle. Recovering aging AR and working on the challenges is the gateway to effective revenue cycle management processes.

Are hospital billing services compliant with HIPAA and other regulations?

Of course, they must comply with PHI and maintain HIPAA compliance in all activities. A quality vendor in hospital billing assists in integrating compliance, which supports collections.

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