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FOR HOSPITALS

Revenue cycle software for hospitals

Facility billing and professional billing don't reconcile themselves. Unlimited Financials produces UB-04 institutional claims, applies hospital outpatient department rules, and captures the technical component of specialty services on the same ledger as your professional fee claims, so one infusion visit doesn't become two disconnected revenue streams.

★★★★★4.8/5G2★★★★★5/5Gartner★★★★★5/5
6,500+ specialty providersSOC 2 certified
Hospital ward with a row of freshly made beds

Built around the work your organization actually handles

Trusted payer & EHR integration partners

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Designed around how you operate

Purpose-built workflows configured around the priorities, pressures, and decisions this organization handles every day.

UB-04Institutional claims, native
HOPDFacility and professional, one ledger
98%+First-pass clean claim target

Core solutions for Hospitals

One connected system supports the work from the first patient touchpoint through the final payment.

UB-04 and 837I claim generation

Institutional claims built from revenue codes, HCPCS, and occurrence data with payer-specific institutional edits validated before submission.

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Facility and professional reconciliation

Technical and professional charges for the same encounter matched to each other, so split-billing gaps surface before submission rather than at the remit.

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Hospital outpatient department rules

Provider-based status, PO and PN modifiers, and site-of-service differentials configured per location and applied at charge entry.

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Service line financial reporting

Contribution by service line, department, and payer on one ledger, with drill-down from the rollup to an individual claim line.

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Built around the work your organization actually handles

Facility billing and professional billing don't reconcile themselves. Unlimited Financials produces UB-04 institutional claims, applies hospital outpatient department rules, and captures the technical component of specialty services on the same ledger as your professional fee claims, so one infusion visit doesn't become two disconnected revenue streams.

Review your workflows
Clinic team member reviewing a scheduling workflow at the front desk

Legacy workflows vs. Unlimited Systems

See what changes when revenue-cycle rules and operational priorities are built directly into the platform.

Facility and professional split apart

The technical and professional components of the same encounter are billed by different teams in different systems, and nobody can state what the visit actually collected.

One encounter, both claims

Institutional and professional claims are generated from the same encounter data and reconciled against each other before either one leaves the building.

HOPD rules applied from memory

Provider-based billing, PO and PN modifier assignment, and site-of-service differentials depend on staff remembering where a service was rendered.

Provider-based rules enforced

Place of service, PO and PN modifiers, and site-of-service payment differentials are applied automatically from the location where the service was rendered.

Outpatient volume, inpatient tooling

Hospital billing systems are organized around inpatient DRGs, leaving outpatient infusion, oncology, and procedural billing to workarounds.

Outpatient specialty depth

Hard-coded oncology, infusion, and procedural rule libraries run against HOPD volume, including J-code dosage limits, NCCI edits, and drug waste capture.

Calculate your revenue-cycle opportunity

Estimate the revenue this organization could recover by reducing preventable denials, write-offs, and manual rework.

See your recovery estimate

Enter your work email to unlock your estimated annual recovery.

See Your Results ImmediatelyGoogle5/5Gartner5/5G24.8/5

Directional estimate only - bring your own payer mix and we'll model it properly.

Frequently asked questions for Hospitals

Yes. 837I and UB-04 claims are generated natively with revenue code, HCPCS, and occurrence code validation, and payer-specific institutional edits run before submission. Professional 837P claims from the same encounter are produced on the same ledger and reconciled against the institutional claim.

Trusted by specialty practices

What Our Clients Say

"I'd love to set up a call to talk about SCOA, and the success we've had with Unlimited Financials."

SW
Sam Wheeler
CFO
SCOA

"The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials."

ED
Ernelita Dacumos
Billing Manager
SHOM

"Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do."

MS
Melissa Shook
Medical Biller
SHOM

"I'd love to set up a call to talk about SCOA, and the success we've had with Unlimited Financials."

SW
Sam Wheeler
CFO
SCOA

"The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials."

ED
Ernelita Dacumos
Billing Manager
SHOM

"Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do."

MS
Melissa Shook
Medical Biller
SHOM

GET STARTED

See facility and professional billing reconciled

Walk through your exact workflows with an RCM expert who already understands the priorities of Hospitals.

★★★★★4.8/5G2★★★★★5/5Gartner★★★★★5/5
6,500+ specialty providersSOC 2 certified