Hospital billing is at the heart of financial performance. Yet, despite its critical importance, hospitals continue to face revenue leakage, delayed reimbursements, and compliance risks due to inefficiencies in their billing cycle. According to HFMA, U.S. hospitals lose over $262 billion annually to denied claims, and on average, 25–30% of hospital claims require rework before being paid.
As a leading Hospital Billing Company, Finnastra ensures hospitals don’t just manage these challenges—they overcome them. With proven workflows, payer expertise, and compliance-first processes, we help CFOs and administrators transform billing into a strategic advantage.
Here are the top 7 hospital billing challenges—and how Finnastra solves each one.
The Challenge:
Even minor coding mistakes—like incorrect DRG assignments or missing modifiers—can result in claim denials or underpayments. AHIMA reports that up to 80% of medical bills contain errors, leading to costly delays.
Finnastra’s Solution:
Our Hospital Billing Services are designed to simplify coding workflows. Our certified coders use advanced software checks and payer-specific edits to reduce errors before submission. We also provide documentation feedback loops to clinical teams, ensuring cleaner claims from the start.
Executive Insight: How confident are you that your coding processes are fully audit-ready?
The Challenge:
Hospitals nationwide experience denial rates of 10–12% on average, with some facilities facing even higher rates due to payer policy changes and staff shortages.
Finnastra’s Solution:
Rather than chasing denials, Finnastra focuses on denial prevention. By analyzing denial trends specific to each hospital and payer, we implement custom edits that cut denials by 25–40% within the first six months.
Example: A regional hospital system reduced its denial-related revenue loss by $4.1 million annually after adopting Finnastra’s structured denial management workflow.
The Challenge:
Slow claim turnaround times disrupt cash flow. Industry benchmarks show the average hospital A/R days range from 50–60 days.
Finnastra’s Solution:
When you work with a dedicated Hospital Billing Company like Finnastra, claims move faster. Our real-time claim scrubbing, automated submission, and proactive payer follow-ups consistently lower A/R days to 30–35, giving hospitals greater cash predictability.
The Challenge:
Missed charge capture and unbilled services account for 1–3% of lost revenue in most hospitals. Often, these gaps occur because clinical documentation doesn’t sync with billing workflows.
Finnastra’s Solution:
We integrate tightly with your EHR and clinical systems to ensure every service is accurately captured and billed. Charge audits and reconciliation processes guarantee that no service is overlooked.
Revenue Reality Check: How much revenue is your hospital losing simply from unbilled services?
The Challenge:
Payers often reimburse below contracted rates—and hospitals don’t always catch it. Studies estimate hospitals lose 3–5% of expected revenue annually to underpayments.
Finnastra’s Solution:
As a trusted Hospital Billing Company, Finnastra ensures every claim is benchmarked against payer contracts. Our underpayment recovery protocols track discrepancies, appeal shortfalls, and secure the revenue you’re owed.
The Challenge:
With evolving CMS, Medicaid, and commercial payer rules, compliance lapses can trigger audits and penalties. Even inadvertent errors expose hospitals to legal and financial risk.
Finnastra’s Solution:
Compliance is built into our workflows. Our teams stay current with ICD-10, CPT, DRG, and NCCI guidelines, ensuring every claim is audit-ready. By maintaining documentation accuracy and coding compliance, we reduce audit risk while protecting your revenue.
The Challenge:
Many CFOs and administrators lack real-time visibility into billing performance. Generic reports don’t show denial patterns, payer inefficiencies, or A/R bottlenecks.
Finnastra’s Solution:
We provide transparent, CFO-ready dashboards and monthly analytics reviews. Key metrics include:
This visibility empowers executives to make faster, data-driven financial decisions.
Billing inefficiencies don’t just slow down operations—they jeopardize financial stability.
When you work with a dedicated Hospital Billing Company like Finnastra, you gain a partner that proactively addresses coding, denials, underpayments, and compliance—while giving leadership full transparency into financial performance.
Every challenge is an opportunity—if you have the right partner.
Our Hospital Billing Services are designed to simplify complexity, protect compliance, and deliver predictable revenue outcomes for hospitals of all sizes.
Schedule a free consultation today and see how Finnastra can solve your billing challenges and strengthen your hospital’s bottom line.
Finnastra – Precision in Process. Power in Performance.
Explore More: https://finnastra.com/hospital-billing/
