Professional billing that matches the facility side
Billing & RCM for Hospital-Based Physician Groups
Professional fee billing for anesthesia, hospitalist, emergency, and radiology groups — coordinated with facility billing, not duplicated against it.
Hospital-based groups bill professional fees in parallel with a facility's technical billing — and getting the coordination wrong means duplicate billing, compliance exposure, or missed revenue. We specialize in professional fee billing for hospital-based specialties, with the modifier and global-vs-professional expertise these groups depend on.
Common Challenges
What we see across hospital-based groups
Professional vs. facility billing coordination is high-risk
Billing the global fee when the facility already billed the technical component creates compliance exposure. Hospital-based groups need billing partners who understand this boundary precisely, every time.
High-volume, low-margin-per-case billing demands efficiency
Anesthesia and hospitalist billing especially depend on high case volume with thin per-case margins — billing inefficiency at that volume compounds into real revenue loss quickly.
Coverage-based staffing models complicate credentialing
Hospital-based groups often rotate providers across facilities and shifts, meaning credentialing has to track a moving roster against multiple facility and payer requirements simultaneously.
What's Included
Built for how
hospital-based groups actually operate.
A dedicated implementation team, standardized processes, and executive reporting — tailored to how hospital-based groups actually run.
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