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Comprehensive Hospital Revenue Cycle Services
YBE Solutions provides end-to-end revenue cycle management services designed exclusively for hospitals and health systems. Whether you need support across the full revenue cycle or targeted assistance in specific areas, our flexible engagement models adapt to your facility’s unique needs.
All services are delivered by certified professionals and fully integrated with your existing EHR system, including Epic, Cerner, MEDITECH, Allscripts, athenahealth, and others.
Medical Coding
- ▶Inpatient and outpatient ICD-10-CM/PCS coding
- ▶CPT and HCPCS Level II professional fee coding
- ▶DRG validation and optimization
- ▶Coding audits and compliance reviews
- ▶Coder education and training programs
- ▶Specialty coding (ED, surgery, radiology, cardiology)
Front-End Revenue Cycle
- ▶Patient scheduling and pre-registration
- ▶Insurance eligibility and benefits verification
- ▶Prior authorization and pre-certification
- ▶Financial counseling and patient estimates
- ▶Registration accuracy and quality assurance
- ▶Point-of-service collections optimization
Charge Capture & CDM Management
- ▶Charge capture review and reconciliation
- ▶Chargemaster (CDM) maintenance and updates
- ▶Revenue integrity assessments
- ▶Charge description master optimization
- ▶Pricing transparency compliance support
- ▶Late charge identification and recovery
Claims Management & Submission
- ▶Clean claim scrubbing and validation
- ▶Electronic and paper claim submission
- ▶Clearinghouse management and optimization
- ▶Claim status tracking and follow-up
- ▶Secondary and tertiary billing
- ▶Coordination of benefits resolution
Denial Management & Appeals
- ▶Root cause denial analysis
- ▶First-level and second-level appeals
- ▶Clinical and technical denial resolution
- ▶Denial prevention strategies and trending
- ▶Payer-specific denial pattern identification
- ▶Denial recovery and write-off reduction
Accounts Receivable Management
- ▶Aged A/R recovery and work-down
- ▶Insurance follow-up and collections
- ▶Patient balance management and statements
- ▶Bad debt reduction strategies
- ▶Cash acceleration programs
- ▶A/R performance benchmarking
Compliance & Audit Services
- ▶HIPAA compliance assessment and monitoring
- ▶Coding accuracy audits (prospective and retrospective)
- ▶OIG Work Plan alignment reviews
- ▶RAC, MAC, and ZPIC audit support
- ▶Compliance program development
- ▶Staff compliance training and education
Reporting & Analytics
- ▶Monthly KPI dashboards and scorecards
- ▶Revenue cycle performance benchmarking
- ▶Denial trend analysis and reporting
- ▶Payer performance and contract analysis
- ▶Executive summary and board-ready reports
- ▶Custom reporting to meet facility needs
EHR Compatibility
Our team is trained and experienced in all major EHR platforms used by hospitals today. We work within your system — no migrations, no new software, no disruption.
| EHR Platform | Integration Level | Experience |
|---|---|---|
| Epic | Full Integration | 15+ years |
| Cerner (Oracle Health) | Full Integration | 18+ years |
| MEDITECH | Full Integration | 20+ years |
| Allscripts | Full Integration | 12+ years |
| athenahealth | Full Integration | 10+ years |
| NextGen Healthcare | Supported | 8+ years |
| eClinicalWorks | Supported | 7+ years |
| Evident (CPSI) | Supported | 10+ years |
Flexible Engagement Models
Full Outsource
Complete end-to-end revenue cycle management. We manage the entire process from patient access through final payment.
Co-Source / Staff Augmentation
Supplement your existing team with our certified professionals. Ideal for covering backlogs, vacancies, or specialty needs.
Project-Based Consulting
Targeted engagements for audits, assessments, CDM reviews, denial recovery projects, or process improvement initiatives.