Home Specialities Health Systems
Pro + facility
one unified revenue cycle
Every entity
hospital + all clinics, one team
Single source
of truth, live for leadership
100 → 1,000+
FTE-scalable delivery
Revenue leaks in the gap between facility and professional.
When your hospital's technical billing and your clinics' professional billing run on separate teams, queues, and reports, the seams become leaks: duplicate eligibility and prior-auth work, site-neutral compliance exposure, underpayments no one reconciles across contracts, and patients who receive two confusing bills.
Unifying the revenue cycle closes those seams — and gives leadership one financial picture across every site of service.
Unify your revenue cycleWhere fragmentation leaks revenue
One revenue cycle, across every entity
A centralized RCM layer that bridges hospital technical and physician professional billing — on top of your existing EHR.
Professional + facility reconciliation
Hospital technical and physician professional charges reconciled to prevent duplicate billing and ensure site-neutral compliance.
Site-neutral & OPPS compliance
Outpatient PPS and site-neutral payment rules applied correctly across every site of service.
Consolidated patient billing
Facility and professional charges combined into a single, patient-friendly statement.
Centralized prior authorization
One workflow across the hospital and clinics, eliminating delays for outpatient procedures and imaging.
Cross-contract underpayment recovery
Commercial contract deviations identified at the claim level and recovered across payers and entities.
Enterprise dashboard reporting
Real-time visibility across the hospital and all clinics, in one source of truth for leadership.
How a hospital-and-clinics health system recovered $650K — and unified its billing.
A regional community health system — one critical access hospital and six rural health clinics, 42 providers, approximately 180,000 encounters a year — with professional and facility billing fragmented across sites.
The challenge
- Revenue leaking between disjointed hospital (technical) and clinic (professional) billing.
- Compliance risk around hospital outpatient PPS and site-neutral payment rules.
- Separate hospital and physician bills confusing patients.
- Siloed A/R teams duplicating eligibility and prior-auth work.
- No underpayment tracking across local commercial contracts; fragmented board reporting.
What OneMed did
- Deployed a centralized RCM layer bridging hospital technical and professional lines — no EHR replacement.
- Reconciled professional and facility charges for strict site-neutral compliance.
- Consolidated hospital and physician charges into a single patient-friendly bill.
- Pursued commercial underpayments at the claim level against contract terms.
- Gave leadership one enterprise-wide dashboard across the hospital and all six clinics.
| Revenue cycle metric | Before | After | Industry benchmark |
|---|---|---|---|
| First-pass claim acceptance | 88% | 95% | 93% |
| Average days in A/R | 55 days | 38 days | 42–48 days |
| Overall denial rate | 11.8% | 6.1% | 5–8% |
| Cost to collect | 4.6% | 3.3% | 3–4% |
| Net collection rate | 93.5% | 97.8% | 95–98% |
| Underpayments recovered | Minimal | $450,000 / yr | — |
$650K
in previously written-off aged A/R recovered in the first year
+ $450,000 / yr in underpayments recovered+ Cost to collect cut to 3.3%
+ 30% fewer patient billing calls
“Managing the revenue cycle across our hospital and six clinics was creating massive blind spots and confusing our patients with multiple bills. OneMed unified our professional and facility billing, enforced strict compliance, and gave our executive team a single source of truth for our financial performance. They operate like a true extension of our leadership team.”— Chief Financial Officer, Community Health System
Results measured over the first year of engagement. Benchmark ranges are industry references. Figures reflect this client's outcomes; results vary by facility mix, payer mix, and baseline.
One dashboard across every entity
Most systems reconcile their numbers at month-end, one entity at a time. Our enterprise dashboard gives leadership real-time visibility across the hospital and every clinic — professional and facility together — so the board sees the full financial picture, not fragments.
- Professional and facility revenue in one view
- Underpayments flagged against contract terms
- Denial trends across every site of service
- A/R prioritized by financial impact
- One source of truth for the board
From two revenue cycles to one.
A structured rollout that centralizes billing across the hospital and clinics — without replacing your EHR.
Assessment
We map your hospital and clinic billing, payer contracts, and where professional and facility revenue leaks between them.
Centralized RCM layer
We deploy a unified revenue cycle layer bridging hospital technical and professional fees — on top of your existing EHR.
Reconciliation & compliance
Professional and facility charges reconciled for site-neutral and outpatient PPS compliance.
Consolidated billing & recovery
One patient statement across entities, plus claim-level underpayment recovery against contracts.
Enterprise reporting
Real-time KPIs across the hospital and all clinics, in one dashboard for leadership.
Who We Serve?
One revenue cycle for organizations running a hospital and its clinics.
Community health systems
A hospital and employed clinics that need one revenue cycle instead of two.
Critical access hospital networks
Rural CAHs and their clinics navigating cost-based reimbursement and site-neutral rules.
Hospital + employed physician groups
Systems integrating physician practices that need professional and facility billing unified.
Integrated delivery networks (IDNs)
Multi-entity systems that need enterprise-wide reporting and consistent standards across sites.
Enterprise-grade by default
Patient and financial data handled inside a controlled, auditable environment across every entity.
Request a health-system revenue risk review.
A claim-level review of where revenue leaks between your facility and professional billing — with findings in a live dashboard across the hospital and every clinic.
- Professional + facility reconciliation and site-neutral compliance
- Underpayment review across your commercial contracts
- No EHR replacement — a centralized layer on top of your system
- HIPAA-compliant, with a BAA executed before any data moves
Request your review
We'll reply within one business day to scope it with your team.
Common questions.
Do you handle both professional and facility (hospital) billing?
Yes. We unify hospital technical and physician professional revenue cycle across every entity, reconciled for site-neutral compliance.
Can you consolidate our hospital and physician bills for patients?
Yes. We combine facility and professional charges into a single, patient-friendly statement, which typically reduces billing confusion and call volume.
Do you handle site-neutral and OPPS compliance?
Yes. We apply outpatient PPS and site-neutral payment rules correctly across every site of service.
Do you recover underpayments across our commercial contracts?
Yes. We identify commercial contract deviations at the claim level and recover across payers and entities.
Do we have to replace our EHR?
No. We deploy a centralized RCM layer on top of your existing EHR across the hospital and clinics.
Can you give leadership one view across all entities?
Yes. Our enterprise dashboard provides real-time visibility across the hospital and every clinic in a single source of truth.
See your full financial picture across every entity
Request a health-system revenue risk review and unify professional and facility billing under one dashboard.