RCM Solutions for Hospitals
Maximizing Efficiency & Revenue forLarge Healthcare Institutions
Hospitals operate on a much larger scale than smaller practices, managing thousands of patient interactions, complex billing processes, and a wide array of services daily. At One Hive, we provide specialized Revenue Cycle Management (RCM) solutions designed to address the unique challenges hospitals face, ensuring financial stability and operational efficiency.
RCM Services
For Hospitals
Comprehensive Revenue Cycle Optimization
We offer end-to-end RCM services that cover everything from patient registration to final payment collection. Our goal is to streamline every step of the revenue cycle, reducing delays, minimizing claim denials, and maximizing reimbursements.
Advanced Claim Management
Managing the sheer volume of claims in a hospital setting requires precision and efficiency. Our claim management solutions ensure that claims are processed quickly and accurately, with automated tracking and follow-ups to prevent revenue loss.
Customized Solutions for Diverse Departments
Hospitals consist of multiple departments, each with its own billing needs. We provide customized RCM solutions that cater to the specific requirements of different departments, ensuring that each one operates smoothly within the broader hospital system.
Regulatory Compliance and Audit Preparedness
Hospitals must navigate a complex web of federal and state regulations. Our team ensures that your hospital remains compliant with all applicable laws, reducing the risk of audits and penalties, and keeping your operations running smoothly.
Patient Financial
Services
Providing clear and transparent billing information is critical for patient satisfaction. We help hospitals implement patient financial services that improve communication, reduce billing confusion, and facilitate easier payment processes.
Data-Driven Insights and Reporting
Large-scale operations require robust data analytics. Our RCM services include comprehensive reporting tools that provide real-time insights into your hospital’s financial health, helping you make informed decisions to optimize revenue and reduce costs.
Revenue Optimization
Optimize Your Hospital's Revenue Cycle with One Hive
In the fast-paced environment of a hospital, efficient Revenue Cycle Management is crucial to maintaining financial health. Partner with us to ensure that your hospital’s revenue cycle is optimized, allowing you to focus on delivering the best possible care to your patients.
Case Studies
Popular Use Cases
Medical Coding
(5.8K +)
Cardiology Case Study
Client: A large cardiology practice struggling with claim denials for complex cardiac procedures.
- Challenge: The practice was facing a high denial rate for procedures like cardiac catheterizations and echocardiograms due to coding errors and insufficient documentation.
- Solution: We implemented a tailored RCM solution focused on accurate coding (CPT and ICD-10) and pre-authorization workflows. Our team provided specialized training to ensure cardiologists and staff understood the importance of detailed documentation for these high-value procedures.
- Result: Denial rates dropped by 30%, and overall collections increased by 20% within six months.
Medical Billing
(5.8K +)
Oncology Case Study
Client: A multi-location oncology clinic experiencing slow reimbursements from payers.
- Challenge: The clinic’s complex chemotherapy billing, along with frequent coding errors, resulted in delayed payments and denials.
- Solution: We optimized their billing processes, ensuring accurate coding for drug administration, therapies, and supportive care. We also developed a system for monitoring claims and tracking prior authorizations to minimize delays.
- Result: Claims processing times were reduced by 40%, and their accounts receivable over 90 days decreased by 25%.
Transcription
(5.8K +)
Orthopedics Case Study
Client: An orthopedic group facing issues with high patient balances post-surgery.
- Challenge: Many patients were unaware of their out-of-pocket costs, leading to a high volume of unpaid bills after surgeries.
- Solution: We created a patient financial engagement plan that provided upfront cost estimates based on insurance benefits and out-of-pocket requirements. Our RCM team also implemented automated payment plans for patients.
- Result: The practice saw a 35% increase in patient collections and a 20% reduction in the time it took to receive payments from patients.
Medical Coding
(5.8K +)
Pediatrics Case Study
Client: A pediatric practice with a high rate of claim rejections due to coding inconsistencies.
- Challenge: The practice struggled with frequent rejections on well-child visits and immunizations, which affected their revenue stream.
- Solution: We worked with the pediatricians to ensure proper coding for preventive care and vaccinations, while also enhancing their billing software to identify errors before submission.
- Result: The claim rejection rate dropped by 45%, and the practice experienced a 15% increase in monthly revenue.
Medical Billing
(5.8K +)
Behavioral Health Case Study
Client: A behavioral health clinic dealing with denied mental health service claims.
- Challenge: The clinic faced constant challenges from payers regarding the medical necessity of services, which led to claim denials.
- Solution: Our team provided detailed training on the necessary documentation to establish medical necessity. We also revamped their claim appeals process and set up follow-up procedures for denied claims.
- Result: The clinic reduced their denial rate by 50% and increased collections by 18%.
Testimonial
What Our Clients Say
Our doctors’ testimonials showcase how OneHive’s RCM solutions have streamlined billing, improved cash flow, and enhanced patient care. Their feedback underscores our commitment to efficiency and exceptional support.
4.9 Rated
Partnering with OneHive Billing Solutions has been a game-changer for my practice. Their team handles everything from billing to denial management with incredible efficiency, allowing me to focus solely on my patients. My revenue has never been this consistent!
Dr. Sarah Mitchell
@Family Medicine
5.0 Rated
What sets OneHive Billing Solutions apart is their personalized approach and commitment to excellence. From the moment we signed on, they’ve been proactive in resolving billing issues, improving cash flow, and keeping us compliant. They’re a fantastic partner!
Dr. Angela Lee
@Dermatologist
4.9 Rated
I used to spend hours dealing with billing errors and insurance claims. Since we started working with OneHive Billing Solutions, I’ve seen a 30% improvement in collections, and my claims are getting paid faster than ever. Their expertise is unmatched.
Dr. James Carter
@Cardiologist
4.8 Rated
I’ve worked with other RCM companies in the past, but none have matched the level of service and results we’ve experienced with OneHive Billing Solutions. Their attention to detail and quick follow-up on denied claims have been essential in growing my practice’s revenue.
Dr. Michael Brown
@Neurologist
5.0 Rated
Before OneHive Billing Solutions, we struggled with delayed payments and high denial rates. Their streamlined process has transformed our revenue cycle, and I no longer worry about unpaid claims. They truly understand the needs of physicians.
Dr. William Harris
@Orthopedic Surgeon
4.9 Rated
The team at OneHive Billing Solutions is highly professional and knowledgeable. They’ve significantly reduced our claim rejection rates, and their reporting tools provide valuable insights into our financial health. I highly recommend their services to any medical practice!
Dr. Emily Rodriguez
@Pediatrician