Consolidated RCM oversight across service lines, facilities, and employed physician groups — with the diagnostic tools and managed services to drive measurable improvement across your entire network.
Hospital systems face a fundamentally more complex revenue cycle than independent practices. You're managing professional billing, facility billing, and technical component billing — often across multiple EHRs and PM systems — while navigating employed physician groups, employed vs. contracted provider mix, and value-based payment arrangements alongside traditional fee-for-service.
Standard RCM tools designed for physician groups don't address the full hospital billing context. VLMS Software's enterprise toolkit and managed services team are built specifically for this complexity.
Challenges that cost health systems millions annually — and the VLMS solutions that address them.
High-cost hospital procedures require payer pre-authorization. Failures here create significant write-offs and patient satisfaction issues.
Underdocumented DRG assignments result in lower facility payments and increased audit risk under Medicare.
Post-merger integration of Epic, Cerner, and other platforms creates billing workflow inconsistency and reporting blind spots.
Health systems employing physicians need consistent productivity benchmarking to manage comp plans and justify continued employment.
Hospitals must balance financial assistance obligations with maximising self-pay collections — a high-volume, low-yield billing challenge.
Hospital outpatient coding under OPPS and inpatient DRG coding carry significant RAC and OIG audit risk if documentation is inconsistent.
Run any of these free assessments to benchmark your current performance against top-quartile hospital peers.
Comprehensive 8-dimension assessment
Run free →MGMA wRVU benchmark comparison
Run free →Medicare Advantage risk adjustment gap
Run free →Full financial leak detection
Run free →Denial analysis by category
Run free →Identify underbilled encounters
Run free →Our enterprise team specialises in health system RCM. Schedule a free assessment and we'll benchmark your performance across all 8 dimensions within 48 hours.