Medical controlling / Revenue assurance
Provider
Increasing requirements in medical controlling often clash with limited personnel resources.
Specialized knowledge is frequently concentrated among a few employees—absences, turnover, or vacancies can jeopardize revenue protection, process stability, and liquidity.
Hospitals today operate in a highly regulated environment.
Stricter audit mechanisms, increasing documentation requirements, and increasingly complex billing regulations are putting more pressure on providing services that are both economically viable and legally compliant. A central lever is the quality and speed of case coding, length-of-stay management, and hospital billing. Incorrect or incomplete coding, unclear documentation, or formal discrepancies can result in services already rendered not being fully reimbursed. At the same time, structural audits by the Medical Service (MD) are becoming increasingly important. For numerous services, hospitals must prove that defined personnel, organizational, and infrastructural requirements are permanently met. The requirements for evidence, documentation, and deadlines are high and continuously evolving.
For clinics, this means that revenue protection begins long before the actual billing.
It requires clear processes, reliable coding and documentation, and strategically positioned medical controlling. Professional revenue management creates transparency, reduces audit risks, and ensures that medical services are also fully reflected from an economic perspective. Many hospitals lack the specialized resources to cover the entire range of medical controlling tasks consistently and with high quality.
We support you in mastering your challenges!
Our solution:
Medical controlling from a single source
Interim management for medical controlling
Assumption of leadership in medical controlling
Primary Coding
Case coding support during staff shortages, remotely or on-site
Coding Review
AI-supported coding review before case closure
Inpatient Billing
Analysis of the billing process as well as consulting and support for process changes. Management of inpatient billing
Coding Process
Introduction/support in establishing case-accompanying coding and case management
MD Management
Processing MD requests up to litigation, creation of reporting systems
Process Optimization
Consulting and support during process changes
Establishing Performance Management
Creation of DRG performance reports including conducting discussions with physicians
Quality Assurance
Timely processing of QA forms
Our services for providers (hospitals)
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