Hospital Medical Billing & Revenue Cycle Management
Hospital billing services and full revenue cycle management for facilities that need cleaner claims, fewer denials, and faster cash. AMS Solutions is a physician-founded hospital billing company that has handled institutional and professional claims since 1992, with AAPC-certified coders on staff.
Full-Service Hospital Revenue Cycle Management
From patient access to final payment, we manage the institutional revenue cycle end to end so your team can focus on care, not claims:
- UB-04 / institutional claims — accurate facility claim submission and scrubbing
- DRG & APC coding and review — AAPC-certified coders, inpatient and outpatient
- Chargemaster (CDM) review — close pricing gaps and capture missed charges
- Denial management & appeals — root-cause fixes, not just rework
- A/R follow-up & underpayment recovery — bring down days in A/R
- Eligibility, authorization & charge capture — fewer front-end errors
- Reporting & KPIs — clean claim rate, net collection rate, denial rate, days in A/R
Hospital Billing Services, by the Name Your Business Office Uses
Hospitals describe the same work in different ways. Whichever of these you are looking for, it is handled by one dedicated team working inside your existing patient-accounting system.
Hospital billing and collection services
Claim submission, payer follow-up and patient-balance work under one process: UB-04 and CMS-1500 claims scrubbed before release, statement cycles and payment options agreed with your business office, and self-pay balances worked in-house. Accounts move to an outside agency only when you direct it, never by default.
Hospital accounts receivable services
A/R is worked by aging bucket and payer, with underpayments checked against contracted rates and appealed, not written off. Legacy A/R is included in the transition plan, so balances that pre-date the engagement are followed rather than abandoned.
Hospital RCM services
End-to-end revenue cycle management for the facility: eligibility and authorization, charge capture, DRG and APC coding review, chargemaster maintenance, claim submission, denial management and reporting. You see the same KPIs we work from — clean claim rate, denial rate, net collection rate and days in A/R.
Critical access hospital billing services
Critical-access hospitals bill differently from PPS facilities, and the engagement is scoped to that from day one: cost-based Medicare reimbursement, Method II professional billing on the institutional claim where the facility has elected it, swing-bed and outpatient claims, and the reporting your cost report depends on.
Facility billing services
Outpatient departments, provider-based clinics, ambulatory surgery and other facility settings where the split between institutional and professional claims causes denials. Both claim types are handled by the same team, so split-billed encounters do not fall between two vendors.
Outsourced hospital billing: how the handoff works
No system migration. We bill from your existing HIS, EHR and patient-accounting platform, a BAA is executed for covered services before any data is exchanged, and the transition plan names who works which aging buckets during the changeover. Pricing is a percentage of collections, set out in writing before anything is signed.
Why Hospitals Choose AMS Solutions
- Physician-founded, since 1992
- AAPC-certified coders & BAA for covered services — institutional and professional billing under one roof
- Nationwide — serving facilities across the U.S.
- Transparent reporting — you see every KPI that moves cash
Built for Hospitals, Health Systems & Critical-Access Facilities
Whether you run a critical-access hospital, an outpatient facility, or a multi-site system, our team scales to your volume and integrates with your existing EHR/PM system. We work as an extension of your business office — not a black box.
Ready to recover more of what your facility earns?
Request a free hospital revenue cycle analysis above, or contact our team to talk through your facility’s billing.
Working inside the systems your business office already uses
We bill from your existing HIS, EHR and patient-accounting system rather than asking the facility to migrate. Institutional (UB-04) and professional (CMS-1500) claims are handled by the same team, so split-billed encounters do not fall between two vendors. See the systems we support.
Questions hospitals ask before they start
What does the free A/R and revenue cycle analysis actually review?
Denials grouped by CARC/RARC reason code, A/R by aging bucket and payer, payments compared against contracted rates to surface underpayments, and chargemaster line items that are missing or priced inconsistently. You get the findings whether or not you engage us.
Do you work with critical-access hospitals?
Yes. Critical-access, outpatient facilities and multi-site systems all bill differently, and the analysis is scoped to the facility type before any work starts.
How is hospital billing priced?
As a percentage of collections. The included scope, any optional services and any separate fees are set out in writing before an agreement is signed.
What happens to our existing accounts receivable?
Legacy A/R is worked alongside new claims rather than abandoned at handover. The transition plan, including who works which aging buckets, is agreed with your business office up front.
Is patient data protected?
A BAA is executed for covered services before any patient data is exchanged.
