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Revenue Cycle Management for Hospital-Based Groups

Revenue cycle management built for large hospital-based physician groups.

Iris Health helps hospitalist groups, nephrology groups, rehab physician groups, and infectious disease groups increase collections, reduce charge leakage, and bring more control to the hardest parts of billing. We combine specialty-specific operational expertise with a customizable technology stack, intuitive physician charge capture, AI-powered workflow automation, qualified MIPS registry services, and strong human follow-through where hospitals, payers, and patients require it most.

Hospitalist Command Center

A single operating view for billing, coding, MIPS, and patient collections.

24 hrstarget claim filing turnaround on clean charges
100%eligibility workflow before submission
AI + Humancoding and queue-based operating model
Year-roundMIPS capture and submission readiness
Large Hospitalist Groupsbuilt for multi-hospital coverage, rotating schedules, and complex rounding models
AI Workflow Enginereconciles encounters, prioritizes work, and surfaces exceptions early
Human + AI Codersimage-based chart review support with expert oversight
Pre-Visit + MIPSpatient readiness, quality reporting, and cleaner reimbursement
Focused Expertise

Built for the realities of hospital-based medicine.

Hospital-based billing is not simply office billing in a different setting. Patients move across hospitals and units. Providers rotate on and off service. Records arrive late. Facesheets are incomplete. Insurance changes mid-stay. Revenue is lost when those operational realities are ignored. Iris Health is built to create order inside that complexity.

Hospitalist Groups

Multi-hospital billing, rotating physician schedules, encounter capture, and documentation follow-up at scale.

Nephrology

Complex hospital-based workflows with recurring patient management and documentation depth.

Rehab Medicine

IRF, SNF, and acute-care coordination that requires stronger workflow control and reimbursement discipline.

Infectious Disease

Consult-heavy hospital-based work where documentation and follow-through directly affect collections.

What Makes Iris Different

A smarter operating model than a generic billing vendor.

Many billing companies still operate like staffing vendors. They add people, submit claims, and respond to problems after they are already costly. Iris Health blends technology, AI, structured workflow queues, and skilled human teams to create a more accountable revenue operating model.

Customizable technology stack

Built to adapt to specialty, facility, provider workflow, reporting needs, and growth stage.

AI + human workflow model

AI agents accelerate triage and pattern detection. Skilled human teams own the work that requires judgment and persistence.

Hospital-based operational depth

We solve the problems generic billing vendors ignore: facesheets, records, incomplete insurance data, and missed encounters.

Broader reimbursement support

From MIPS to patient financial readiness, Iris Health supports more than clean claim submission.

Core Capabilities

Capabilities designed to work together.

Your platform, workflows, and service model should reinforce each other. Iris Health brings that system together around the needs of hospital-based physician groups.

Charge Capture

Easy physician charge entry built for fast-moving hospital-based workflows with claim status visibility after submission.

Explore the platform →

AI + Automation

AI-assisted census reconciliation, coding support, queue prioritization, and AR workflow automation.

See the AI model →

Pre-Visit + Patient Collections

Eligibility, estimates, reminders, patient communication, and payment workflows that improve collections earlier.

View patient financial workflows →
Operational Fluency

We solve the problems hospital-based groups cannot ignore.

  • Updated insurance and demographic follow-up when hospital registration is incomplete or outdated
  • Consistent pursuit of facesheets and records needed for coding, filing, and appeals
  • Eligibility verification for all claims to reduce preventable denials
  • Fast, predictable AR automation that improves collection velocity
Workflow Snapshot
Census mismatch detected and reconciledResolved
Chart image reviewed for coding supportCoder Queue
Prior authorization / referral itemIn Progress
MIPS measure captured in workflowValidated
Proof

Proof for the groups most likely to need us.

Lead with a featured hospitalist example and support it with broader specialty proof so buyers can quickly see where their environment fits.

Featured hospitalist proof

See how large hospitalist groups use Iris Health to reduce missed encounter risk, tighten coding workflows, and improve operational control across multiple facilities.

View case studies →

MIPS and reimbursement proof

Explore how Iris Health supports year-round quality capture, submission readiness, and cleaner quality reporting workflows.

See MIPS support →
Let’s Talk

If your group needs tighter control over billing, coding, patient collections, and quality reporting, let’s talk.

We will review your current challenges, show you how Iris Health is designed for complex hospital-based groups, and outline where we believe the biggest opportunities exist.