Hospital Billing Services and Hospital Revenue Cycle Management

Hospital billing is one of the most complex areas of medical billing, covering inpatient admissions, outpatient services, observation care, consultations, discharges, and post-hospital follow-up visits. Each encounter touches multiple departments, CPT codes, ICD-10 diagnosis codes, and payer-specific rules.

We provide hospital billing services and end-to-end hospital revenue cycle management (RCM) for community hospitals, children’s hospitals, critical access hospitals, and multi-facility healthcare organizations across the USA. Our offshore delivery model supports U.S. hospitals from India while maintaining compliance, accuracy, and transparency.

Schedule Free Consultation

    Understanding Hospital Billing in Medical Billing

    Hospital billing differs from physician billing. While professional billing focuses on provider services, hospital medical billing includes facility charges, room and board, supplies, pharmacy, lab, imaging, and ancillary services.

    Hospitals rely on:

    • inpatient hospital billing
    • outpatient hospital billing
    • observation hospital billing
    • emergency and consult billing
    • discharge and follow-up billing

    A strong hospital billing process ensures clean claims, timely payments, and fewer denials.

    Hospital Revenue Cycle Management (RCM)

    What Is Hospital Revenue Cycle Management?

    Hospital revenue cycle management is the financial backbone of a hospital. It tracks the patient journey from registration to final payment.

    Key stages include:

    • patient access and eligibility
    • charge capture and coding
    • claim submission
    • denial management
    • payment posting and patient billing

    Understanding what is revenue cycle management in hospitals helps leadership improve margins without compromising care.

    Hospital Revenue Cycle Management Process

    Our hospital revenue cycle management process focuses on:

    hos-icon-1

    accurate coding at the point of care

    hos-icon-2

    faster claim turnaround

    hos-icon-3

    reduced AR days

    hos-icon-4

    improved patient payment workflows

    This approach supports both Medicaid and commercial payers while aligning with CMS rules.

    Hospital CPT Codes Used in Billing

    Hospital billing uses a wide range of CPT codes depending on the level of care.

    Admission and Initial Hospital Care CPT Codes

    These cover:

    • cpt code for hospital admission
    • initial hospital care cpt code
    • cpt code for inpatient hospital admission

    Subsequent and Follow-Up Hospital Care

    Daily rounding and continued care use:

    • cpt code for subsequent hospital care
    • subsequent hospital care cpt code
    • cpt code for hospital follow up visit

    Hospital Discharge CPT Codes

    Discharge billing includes:

    • cpt code for hospital discharge
    • cpt code for discharge from hospital
    • time-based discharge management codes

    Hospital Consultation and Observation CPT Codes

    Hospitals bill for:

    • hospital consult cpt codes
    • cpt code for hospital consultation
    • hospital observation cpt codes
    • cpt code for observation in hospital

    ICD-10 Codes Used in Hospital Billing

    Accurate diagnosis coding drives correct reimbursement.

    Common hospital ICD-10 use cases include:

    • icd 10 code for hospital follow up
    • icd 10 code for post hospital follow up
    • icd 10 code for hospital acquired pneumonia
    • icd 10 code for inpatient hospital admission
    • icd 10 code for hospital discharge follow up

    We ensure diagnosis codes fully support medical necessity and payer audits.

    Inpatient, Outpatient, and Observation Hospital Billing

    Inpatient Hospital Billing

    Inpatient billing covers:

    • room and board
    • inpatient procedures
    • hospital stay CPT codes
    • place of service and revenue codes

    Outpatient Hospital Billing

    Outpatient billing includes:

    • clinic visits
    • same-day procedures
    • outpatient hospital visit CPT codes

    Observation Hospital Billing

    Observation services follow strict CMS rules and require precise start and stop times for compliant billing.

    Hospital Place of Service and Facility Billing

    Correct hospital place of service codes are critical for:

    • inpatient hospital POS
    • outpatient hospital POS
    • hospital-based clinic billing

    Errors here often cause denials or underpayment.

    Hospital Billing vs Physician Billing

    Many providers struggle with the difference between hospital billing and physician billing.

    Key distinctions:

    • hospital billing = facility charges
    • physician billing = professional services
    • different claim forms and reimbursement logic

    Understanding professional billing vs hospital billing prevents duplicate or missing claims.

    Children’s Hospital and Community Hospital Billing

    We support:

    • children’s hospital billing
    • children’s hospital billing departments
    • community hospital billing offices

    Pediatric hospital billing requires special attention to age-specific CPT and ICD-10 rules.

    Hospital Billing Denials and Compliance

    Common causes of hospital billing denials include:

    • incorrect CPT selection
    • missing medical necessity
    • POS mismatches
    • incomplete discharge documentation

    Our team focuses on strategies to reduce denials in hospital revenue cycle management through proactive audits.

    Hospital Billing Outsourcing (USA to India)

    Many hospitals choose to outsource hospital billing services to reduce costs and improve accuracy.

    Our offshore hospital billing model offers:

    • U.S. payer expertise
    • India-based certified coders
    • HIPAA-aligned workflows
    • scalable RCM support

    We act as an extension of your hospital billing department.

    Hospital Billing Systems and Automation

    We work within existing:

    • hospital billing systems
    • hospital management systems
    • automated medical billing solutions

    This avoids workflow disruption while improving efficiency.

    Why Hospitals Choose Our Billing Services

    Hospitals partner with us because we provide:

    • complete hospital RCM services
    • CPT and ICD-10 accuracy
    • inpatient and outpatient expertise
    • children’s and community hospital experience
    • offshore scalability with U.S. compliance

    Why is Offshore Medical Billing Necessary to Drive Success?

    Offshore Medical Billing has become increasingly demanding for healthcare providers
    across the globe to drive steady success. Let’s dive in. Why?

    Significant Cost Reduction

    Endured Professionals

    Strong Security Measures

    More Results & Faster issues

    100 HIPAA biddable

    Lower Claim Denials in 48 hrs

    Flexible US Working Windows

    Who We Are?

    Optimizing Revenue via Quality Medical Billing Services

    We’re a team of Indian grounded experts streamlining medical billing
    services to US-based healthcare professionals for more than 10 years. We strategise specialty-specific conditions and are available 24/7 throughout the year, offering customized services alongside enhancing your profit by at least 30%.

    Common Challenges in Medical Billing

    Understanding the Hidden Risks

    Medical Billing frequently faces various issues that may slow down the billing
    process. They include

    Regulatory Complexity

    Navigating to the continuously upgrading healthcare rules, payer programs, and rendering guidelines frequently leads to a chain in the medical billing process.

    High Denial Rates

    Incomplete patient information or late forms can lead to rejected claims, forcing time consuming fixes.

    Delayed Payments

    Missing information can delay remittances, disrupting cash inflow and day-to-day operations.

    Staffing Limitations

    Internal brigades might not have the technical knowledge to keep up with evolving regulations and payer conditions, which can lead to functional inefficiencies.

    Administrative Burden

    The redundant burden of billing liabilities can overload healthcare workers, reducing the time and focus available for patient care.

    Lack of  Transparency

    Lacking access to real-time data makes it difficult for providers to pinpoint backups or assess how well their profit cycle is performing.

    Our Custom Solutions

    Customized Offshore Solutions Built for You

    Our approach to these challenges involves substantiated, budget-friendly strategies.

    • Expert Team

      Hiring Infohub for medical billing can cut your billing and executive costs by up to 40% due
      to cheaper labor and more efficient processes.

    • Minimized Denials

      By enforcing quality checks throughout the process, we minimize rendering miscalculations and
      help prevent claim rejections. Our effective operation ensures optimal profit recovery.

    • Transparent Communication

      You will receive regular updates and substantiated account assistance. We ensure you stay
      streamlined throughout each phase of the billing process.

    • Clean Claims and Faster Payments

      We aim to file correct claims from day one. Our smooth system speeds up payments and reduces
      the need to follow up later.

    • Flawless Integration

      Our results seamlessly connect with EHR platforms similar to AdvancedMD, Athenahealth, Kareo,
      and others. We build our approach to fit your current workflows.


    Speak to our Experts on

    +1 888-502-0537

    End-to-End Medical Billing Services provider across entire US.

    Benefits of Offshore Medical Billing Services with ICS

    Streamlining Your Revenue, Offshore and On-Point

    Outsourcing medical billing overseas, particularly to India, provides substantial benefits. Many US
    healthcare providers have found that partnering with Indian medical billing enterprises leads to
    successful outcomes, regardless of their practice size.

    Cost Savings

    Outsourcing medical billing to Infohub can reduce your billing and executive charges by as much as 40%. The combination of lower pool costs and streamlined procedures makes medical billing in India a cost-effective option.

    Skilled Professionals

    We boast a large pool of certified billing professionals who retain in-depth knowledge of U.S. healthcare regulations, rendering norms, and insurance procedures.

    Cost Savings

    Outsourcing medical billing to Infohub can reduce your billing and executive charges by as much as 40%. The combination of lower pool costs and streamlined procedures makes medical billing in India a cost-effective option.

    Why Choose Us?

    Experience the ICS Advantage

    We’re one of the leading medical billing enterprises, delivering reliable and HIPAA-compliant services
    customized for healthcare providers across the United States. That’s what makes us the favored choice
    for many practioners.

    HIPAA Security

    HIPAA Security

    Specialty Knowledge

    Specialty Knowledge

    Personalized Assistance

    Personalized Assistance

    Adaptable Pricing

    Adaptable Pricing

    Individualized Workflows

    Individualized Workflows

    spec-we-serv-left

    Specialties We Serve

    We offer medical billing services that feed to different types of medical practices.

    Ambulance

    Cardiology

    Radiology

    Family Practice

    Ophthalmology






       

      Whether you operate as an individual practitioner or manage a healthcare association with multiple sites, we offer a solution tailored to your requirements.

      States We Serve

      With over a decade of experience serving diverse specialties and provider groups across the U.S., we ensure you get local-quality support, regardless of location.

      • Trusted by 140+ Providers in All 50 States
      • HIPAA-Compliant Offshore Billing Experts
      • Specialized Teams for State-Specific Billing Needs

      Select your location below to learn how we support practices like yours.






         

        Tools and Technology We Use

        To ensure top-notch service delivery, we use premier industry platforms similar to

        Also, we offer support for custom APIs and integrations with customer systems, streamlining data synchronization and billing operations.

        Maximize Profits, Minimize Costs

        Reach out to us now for a complimentary discussion and explore how we can help you boost your profit & minimize functional costs. Experience the benefits of connecting with estimable medical billing professionals.

        Frequently Asked Questions

        What CPT codes are used for hospital visits?

        Hospital visits use admission, subsequent care, discharge, consultation, observation, and outpatient CPT codes.

        What is hospital revenue cycle management?

        It is the process of managing hospital finances from patient registration to final payment.

        Can hospital billing be outsourced?

        Yes. Many U.S. hospitals outsource billing to reduce denials and operational costs.

        What is the role of ICD-10 in hospital billing?

        ICD-10 codes support diagnosis, medical necessity, and payer reimbursement.

          What People Say About Us

          “ Partnering with ICS transformed our revenue cycle. Claim approvals are faster, denials have dropped significantly, and we finally have clear visibility into our billing performance. ”

          Dr. Asha Kulkarni,

          Founder, Sunrise Family Clinic

          “ The ICS team is knowledgeable, responsive, and deeply committed to helping our practice grow. Their customized dashboard gives us real-time insights we never had before. ”

          Dr. Vivek Nair,

          Orthopedic Surgeon, CareAxis Hospital

          “ We were drowning in paperwork and delays before ICS stepped in. Their team streamlined everything, from eligibility checks to patient billing, and gave us time to focus on care. ”

          Meera S.,

          Practice Manager, Lotus Women's Health Center

          “ ICS is more than a billing service—they’re a strategic partner. Their compliance-first approach gives us confidence, and their results speak for themselves. ”

          Dr. Arjun Deshmukh,

          Pulmonologist, Airway Specialty Clinic

          “ With ICS, we saw a 35% increase in collections within the first quarter. Their billing accuracy and follow-up on aging claims are unmatched. ”

          Dr. Neha Jain,

          Dermatologist, ClearSkin Clinic

          For Enquiry

          Business:

          +1 (888) 694-8634 (US Office),

          +91 93459 12455 (India Office)

          Landline:

          0422 4212 455