Industries / Hospitals
Hospitals
Institutional billing at hospital scale — UB-04s, DRGs, and denials with real money on them.
Where the revenue leaks.
DNFB quietly stacks up
Discharged-not-final-billed days grow while coding and documentation lag — revenue earned but frozen.
High-dollar denials
One inpatient denial can outweigh a hundred clinic claims — and payers know most appeals never come.
Auth on admissions
Inpatient stays and procedures without airtight authorization become payer leverage later.
How GetMax runs it.
Institutional billing, run clean
UB-04 claims built and scrubbed against payer rules, submitted first-pass across your payer mix.
Denials fought at hospital stakes
High-dollar denials triaged by recoverable value, appealed with documentation, root-caused upstream.
A/R that never goes quiet
Every open claim statused automatically; aging worked by dollar risk, not queue order.
Questions, answered.
Do you handle institutional (UB-04) claims?+
Yes — institutional billing across commercial, Medicare, and Medicaid, with payer-specific rules applied at claim build, not after rejection.
Can you work our existing A/R backlog?+
Yes. Backlog cleanup is a common starting point: we status everything, work what's recoverable by dollar priority, and report honestly on what isn't.