What's the difference between professional and facility billing?

Professional billing (CMS-1500) covers physician services using CPT/HCPCS codes. Facility billing (UB-04) covers institutional resources — beds, equipment, nursing — using MS-DRG codes for inpatient and APC codes for outpatient. Hospitals need both.

Medicare Severity Diagnosis-Related Groups are the classification system Medicare uses to pay hospitals for inpatient stays. Accurate assignment requires complete ICD-10-PCS coding and thorough documentation — areas where our coders deliver precision.

Hospital Billing Services & Health System RCM Outsourcing

Hospital-Grade Capabilities

MedTaskly's hospital billing team handles thousands of claims daily across all departments and specialties with consistent accuracy and full CMS compliance — all within your existing hospital information system via HL7/FHIR integration.

High-Volume Processing

We handle thousands of claims daily across all departments and specialties with consistent accuracy and compliance.

Complex Coding

Our team manages UB-04 forms, MS-DRG coding, ICD-10-CM/PCS, and facility-specific billing requirements.

System Integration

Direct integration with hospital information systems via HL7/FHIR protocols — Epic, Cerner, Meditech, and more.

Regulatory Compliance

Full compliance with CMS guidelines, CDI standards, and payer-specific rules across Medicare, Medicaid, and commercial plans.

Hospital Services We Handle

Inpatient & Outpatient Facility Billing (UB-04)
MS-DRG & APC Coding
Emergency Department Billing
Observation Status Coding
Surgical & Procedural Coding
Imaging & Lab Coding
Charge Description Master (CDM) Maintenance
Clinical Documentation Improvement (CDI) Support

Enterprise-Grade Billing for Hospital Networks