Hospitals & Surgery Centers
Your AR Department Just Got Bigger. Without Adding a Single FTE.
Hospital accounts receivable means higher volumes, more payer complexity, and aged AR that piles up faster than your team can work it. Named specialists take ownership of those accounts and report to you like staff, not like a vendor.
Hospital AR Is a Different Kind of Problem
A physician practice with $2 million in outstanding claims is a crisis. A hospital with $20 million is a Tuesday.
Scale That Compounds
At $20 million in outstanding claims, the payer complexity and regulatory layers stack up. When your billing team is already stretched thin on daily operations, the aged accounts pile up and denials compound faster than anyone can work them.
Revenue Everyone Wrote Off
One hospital had $4.7 million sitting in aged AR that everyone else had written off, and most of it was recoverable. They just needed people who wouldn't let go. That is the revenue most firms leave behind.
Built to Step Into the Gap
We embed into your workflow, work inside your systems, and take personal accountability for every account we manage. We don't replace your staff. We make them more effective by taking the hardest accounts off their plate.
How We're Different From the Last Firm You Fired
Named Team Members, Not a Call Center
You’ll know every person working your accounts by name. They’ll know your facility, your payers, and your CFO’s reporting preferences. Questions get answered the same day by someone who actually knows the answer.
A Documented 84% Collection on AR >90 Days
A documented engagement, not a projection: 375 accounts averaging 224 days old, $241K placed, more than $200K recovered, including claims everyone else stopped working.
We Work Inside Your Systems
No new portals, no data migration, no extra steps. We log into your EMR and billing system and work accounts the way your team does. You can verify anything we report at any time.
Workers’ Comp Expertise
Hospital workers’ comp requires specific knowledge most billing teams don’t have. Ours does. Dedicated specialists who handle nothing else.
Radical Transparency
Weekly dashboards, monthly reviews, quarterly trend analysis. Our reporting shows you everything: what we worked, what we collected, what’s pending, and what’s at risk. No black boxes.
Flexible Engagement
Full AR management, recovery-only projects, targeted payer-specific work, or a backlog that needs clearing yesterday. We fit your need, not a template.
84%
Collection on AR >90 Days (documented case)
52 → 31
Days in AR (~40% reduction, top-quartile)
50%
Denial Reduction in 90-120 Days
Documented results; improvements are measured against your own baseline. See how we measure
Full Hospital Revenue Cycle Management
KeyMed provides revenue cycle management for hospitals and surgery centers, from the first scheduled appointment to the final payment. Take the full cycle, or the AR pieces you need. Our hospital revenue cycle management services sit alongside the team you already have, with named specialists working your accounts at every stage.
Front End: Before the Visit
- Credentialing and Payer Enrollment
Enrollments, re-credentialing, and privileging applications tracked to approval, with every effective date confirmed so a new provider’s work is billable.
- Scheduling
Appointments booked with clean patient and insurance data, so errors don’t turn into denials later.
- Pre-Registration
Demographics and coverage confirmed before the patient arrives, not corrected after the claim goes out.
- Eligibility & Benefit Verification
Copays, deductibles, coinsurance, and authorization requirements captured before the visit.
- Prior Authorizations
Authorizations obtained, tracked, and managed so your clinical team stays clinical.
Mid-Cycle: Coding the Claim
- Charge Entry
Charges entered from your documentation and reconciled against the schedule, so services performed are services billed.
- Medical Coding
Certified coders review and sign off on every claim before it goes to the payer.
- Coding Audits
Reviews that find undercoded and miscoded revenue and flag compliance gaps before a payer does.
Back End: Getting Paid
- Claim Submission & Scrubbing
Claims scrubbed against payer-specific edits before they go out, then filed and tracked, with rejections worked rather than left to age.
- Payment Posting
Automated ERA processing with line-by-line human review, so your AR reflects what was actually paid.
- Underpayment Review
Every payment checked against your contracted rates to catch the shortfalls that post as paid.
- Patient Collections
First-party, patient-friendly outreach, with every conversation handled by a person.
Plus hospital AR recovery, denials, credit balances, and workers’ comp, detailed in the section below. Many hospitals start here, and for some it is the whole engagement.
See our hospital billing servicesHospital Billing Services
Aged AR Recovery
The accounts your team has written off or stopped working are exactly where we start. We recover revenue from claims aged 90, 180, even 365+ days; in our documented aged-AR engagement we collected 84% of balances placed. Not because we have some secret, but because we put experienced people on every account and don’t let go until there’s a resolution.
Read the aged AR case study (home health)Denial Management & Appeals
Every denial gets investigated, not just resubmitted. We identify denial patterns, build appeals with clinical documentation, and track every case through resolution. Clients typically see a 50% reduction in denial rates within the first 90-120 days.
More on Denial ManagementInsurance A/R Follow-Up
Persistent, systematic follow-up on every outstanding claim. We work payer hold queues, track appeal timelines, and escalate when needed, so nothing ages out silently.
More on Insurance A/R Follow-UpWorkers’ Comp Billing
From first report of injury through final payment, we handle the unique documentation, fee schedules, and state-specific requirements that make hospital workers’ comp billing its own discipline.
More on Workers’ Comp BillingCredit Balance Review
Unresolved credit balances create audit risk and tie up cash. We identify, research, and resolve them, refunding where required and recouping where possible.
More on Credit Balance ReviewCoding Review & Audits
Our certified coders review charts and claims for accuracy before submission and audit existing patterns to catch revenue leakage. 99% coding accuracy across 30+ specialties.
More on Coding AuditsSpecial Projects
System conversions, staffing gaps, claim backlogs, payer transitions: when your team hits a wall, we step in with experienced staff who can be productive immediately. Not in months. In days.
More on Special ProjectsHow We Start Working Together
No long discovery phase and no disruption to your team. We assess, onboard into your systems, and start working accounts within two weeks, with a named project lead you can call from day one.
Assessment
We review your current AR aging, denial trends, payer mix, and workflow. No generic pitch. We build a picture of what’s actually costing you money and where we can make the biggest impact first. You’ll see the full picture before we start.
Implementation
We onboard into your systems, meet your team, and start working accounts within two weeks. You’ll have a named project lead, a clear communication cadence, and full visibility from day one.
Ongoing Management
Regular reporting, monthly reviews with your leadership team, and continuous process improvement. We don’t just work claims. We surface the patterns causing them and help you fix the root issues. If something isn’t working, we fix it. We don’t explain it away.
Frequently Asked Questions
What does KeyMed’s revenue cycle management for hospitals include?
It can cover the whole cycle. On the front end, before the visit: scheduling, pre-registration, eligibility and benefit verification, and prior authorizations. Mid-cycle, coding the claim: medical coding and coding audits. On the back end, getting paid: payment posting, insurance AR follow-up, denial management and appeals, underpayment review, credit balance review, patient collections, workers’ comp billing, and aged AR recovery. Hospitals and surgery centers choose the full cycle or only the pieces they need, and named specialists work every account.
Can you take only our aged AR or a claims backlog?
Yes. Recovery-only projects, targeted payer-specific work, and backlog clean-up are all standard engagements, and you don’t have to hand over the full revenue cycle to use them. Experienced people work the aged accounts your team has stopped working and stay on each one until it is resolved.
Do you work inside our systems?
Yes. We log into your EMR and billing system and work accounts the way your team does. There are no new portals and no data migration, and you can verify anything we report at any time.
How does an engagement start?
With an assessment of your AR aging, denial trends, payer mix, and workflow. We then onboard into your systems, meet your team, and start working accounts within two weeks, with a named project lead you can call from day one. From there you get regular reporting and monthly reviews with your leadership team.
Who Else We Serve
How Much Revenue Is Sitting in Your Aged AR Right Now?
A 30-minute conversation is all it takes to find out. We'll review your AR aging and tell you exactly what's recoverable: no pitch decks, no pressure, no obligation.