Visit-ready
Keep authorization and coverage aligned before the appointment is booked.
Master inpatient E/M coding, discharge management, observation status billing, and TCM follow-up. See why hospitalists practices choose Unlimited Systems for practice management and RCM software.
Hospitalist groups bill an enormous volume of inpatient encounters every day, each requiring precise determination of admission, subsequent care, and discharge E/M levels, accurate observation versus inpatient status classification, and seamless coordination with transitional care management billing after discharge. Generic outpatient-oriented billing platforms struggle with the daily rounding cadence and status-based billing rules unique to inpatient medicine. Unlimited Systems is built around the daily rhythm of hospital medicine, from admission through discharge and into the post-acute follow-up window.
A hospitalist's daily workflow involves admitting new patients, rounding on existing patients with subsequent care visits coded based on time or medical decision-making complexity, and discharging patients with discharge day management codes that vary based on time spent. Observation status patients are billed under a different code set than inpatient status, and a status change mid-stay must be reflected accurately in billing. After discharge, transitional care management billing requires a specific sequence of patient contact within 2 business days and a face-to-face visit within required timeframes.


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Our connected workflows are built to make you and your work easier to do and increase your revenue.
Keep authorization and coverage aligned before the appointment is booked.
Validate hospitalists codes, modifiers, and documentation before submission.
Give teams one view of denials, margin, and A/R priorities.
Routine hospitalists work clears itself. Your team sees only what needs their judgment.
Specialty practices describe, in their own words, what changed after moving to Unlimited Systems.

“As I look back at the transition, the support and the collaboration with the folks at Unlimited really helped make us feel at ease. We had a partner that really wanted us to be successful.”
- CEO
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Every hospitalists capability, grouped around the way your practice works.
Register, schedule and clear patients before the visit.
Turn documented care into clean claims and work denials.
Post payments, collect patient balances and work open AR.
Measure performance, report it and manage quality programs.
Automation, workflow, integration and the platform underneath.
That's putting it nicely based on what we hear every day.
A support line that never picks up. An overseas call center that's never heard of your account. Errors nobody catches until the denial shows up. We're Midwest-based, not offshore, and the team that answers already knows your account. Practices that switch tend to wish they'd done it sooner.

“I would recommend Unlimited Financials to other specialty practices.”
Michelle LeandriCEO, NEPA
“We transitioned to Unlimited Financials in 2024... the team and platform are absolutely amazing.”
GinaAdministrator, FOUR
“We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.”
Renee BernacchiAccounts Receivable Coordinator, COAS
Each module is configured for the codes, modifiers, and payer rules hospitalists teams work with, not adapted from generic billing software.
These are the places hospitalists practices most often lose revenue when their billing platform wasn’t built for the work. Unlimited Systems closes each one with rules configured for your specialty.
Review your workflowCommon hospitalists revenue leaks
The work that generic platforms leave to your staff is the work hospitalists margin actually turns on.

See why hospitalists practices move off general-purpose billing platforms.
You don't have to be actively replacing your current system to have a useful conversation with Unlimited Systems. Many specialty practices talk with us months before a contract renewal, system evaluation, or operational change so they can understand where revenue leakage, denial risk, prior authorization delays, and reporting gaps may already be showing up.
You don't have to wait until your contract is up to start evaluating your options. The best time to assess your revenue cycle technology is before renewal pressure begins. Unlimited Systems can help you understand where your current workflows may be creating avoidable denials, manual work, charge capture gaps, or reporting limitations, so you're better prepared for renewal, replacement, or future planning.
That concern is valid, specialty practice operations are too important to disrupt. A conversation with Unlimited Systems doesn't mean an immediate rip-and-replace. We help teams evaluate workflows, identify gaps, and build a realistic path forward based on specialty, volume, payer mix, locations, integrations, and internal readiness.
Most specialty teams are already stretched thin. That's why the evaluation should focus on where the largest operational burden exists today, prior authorization, denials, charge capture, reporting, manual reconciliation, or payer-specific follow-up. The goal isn't to add work. It's to understand where better systems can remove it.
“Good enough” can still hide revenue leakage. Many practices aren't losing revenue because claims aren't being submitted, they're losing it through preventable denials, underpayments, missed modifiers, incomplete documentation, delayed authorizations, manual workarounds, and limited visibility into payer performance.
Unlimited Systems isn't designed to replace the expertise of your billing team. It's designed to give them better tools, cleaner workflows, better visibility, and fewer manual workarounds. Strong teams still need technology that helps them prioritize the right work, catch issues earlier, and reduce preventable rework.
Cash flow continuity is one of the biggest reasons to evaluate carefully and early. Unlimited Systems can help practices understand potential risk areas before a transition plan is ever built, including claim flow, authorizations, charge capture, payer rules, reporting, and operational dependencies.
Change management matters. The right platform should simplify daily work, not create unnecessary complexity. Unlimited Systems focuses on specialty workflows that align with how teams already manage authorizations, charges, denials, documentation, and financial follow-up.
Reporting is often the first visible symptom of a deeper workflow issue. If leadership can't clearly see denial trends, underpayments, authorization delays, payer behavior, or staff workload, it's harder to know what to fix. Unlimited Systems combines workflow tools with Power BI analytics to help leaders see where performance is improving and where revenue is still at risk.
That's a smart approach. A conversation with Unlimited Systems can help identify the financial case before a buying decision. Common areas to evaluate include denial reduction, staff efficiency, underpayment detection, charge capture improvement, prior authorization turnaround, and reduced manual reconciliation.
Specialty practices often depend on EHRs, clearinghouses, payment tools, drug workflows, and reporting systems. Unlimited Systems is designed to act as a connected financial workflow layer that helps reduce fragmentation, not add more disconnected work.
That caution is healthy. Automation should make decisions easier to see, not harder. Unlimited Systems is designed to surface why a claim is flagged, which payer rule applies, and where a human should step in, so your team stays in control while routine work is handled for them.
You don't need to be ready to buy to have a useful conversation. Many practices start by comparing their current workflows against what specialty-specific revenue cycle technology can support. That gives leadership a clearer view of what to fix now, what to plan for, and what questions to ask before the next renewal.
Specialty rules and connected data keep your team focused on the exceptions that need judgment.
Coverage and authorization stay tied to the order.
Code, unit, and modifier checks happen before filing.
Denials and A/R are ranked by value and filing risk.
The same connected system handles the operational work that sits either side of billing.
Digital intake, eligibility, and demographic capture before the visit.
Explore Patient IntakeSmart calendars and resource scheduling across providers and locations.
Explore Patient SchedulingAutomated eligibility checks and prior authorization management.
Explore Financial ClearancePre-claim scrubbing for coding, modifiers, and compliance accuracy.
Explore Charge ValidationEight stages, one record. Nothing is rekeyed between systems, so a detail captured at the front desk is still there when the claim goes out, and when the remittance comes back.
Walk the workflow with usPart of Multi-Specialty
Family Medicine RCM SoftwareBilling and practice management for family medicine
Internal Medicine RCM SoftwareBilling and practice management for internal medicine
Primary Care RCM SoftwareBilling and practice management for primary care
Geriatrics RCM SoftwareBilling and practice management for geriatrics
Urgent Care RCM SoftwareBilling and practice management for urgent care
General Surgery RCM SoftwareBilling and practice management for general surgery
Ambulatory Surgery Center RCM SoftwareBilling and practice management for ambulatory surgery center
Hospital Outpatient RCM SoftwareBilling and practice management for hospital outpatient
Emergency Medicine RCM SoftwareBilling and practice management for emergency medicine
Trauma RCM SoftwareBilling and practice management for trauma
Telehealth RCM SoftwareBilling and practice management for telehealth
Home Health RCM SoftwareBilling and practice management for home health
Hospice RCM SoftwareBilling and practice management for hospice
Chronic Care RCM SoftwareBilling and practice management for chronic care
Population Health RCM SoftwareBilling and practice management for population health
Occupational Medicine RCM SoftwareBilling and practice management for occupational medicine
Clinical Research RCM SoftwareBilling and practice management for clinical research
Oral & Maxillofacial Surgery RCM SoftwareBilling and practice management for oral & maxillofacial surgeryEach daily rounding note is evaluated for the complexity of problems addressed and medical decision making, or alternatively the total time spent on the unit/floor that day, with the system recommending the appropriate level (99231, 99232, or 99233) based on whichever methodology yields documentation support.
Observation patients are billed using observation care codes which differ from inpatient subsequent care codes. Our system tracks the patient's official status for each date of service and applies the corresponding code set, automatically adjusting if a mid-stay status change from observation to inpatient (or vice versa) is documented.
Discharge day management is billed as 99238 (30 minutes or less) or 99239 (more than 30 minutes) based on total time spent on discharge-related activities including final exam, discussion with the patient and family, prescription writing, and coordination of post-discharge care. Our system prompts providers to document total discharge time to support the correct code.
After a qualifying inpatient discharge, our system opens a TCM tracking record requiring documented patient contact (phone, electronic, or in-person) within 2 business days of discharge and a face-to-face visit within either 7 or 14 days depending on medical decision-making complexity, generating the TCM claim (99495/99496) only once both requirements are met.
Yes. Co-management arrangements where a hospitalist manages medical issues for a surgical patient are tracked with documentation supporting medical necessity for the hospitalist's involvement separate from the surgeon's global surgical package, ensuring claims aren't denied as duplicative of the surgical global period.
Initial hospital care codes (99221-99223) are determined based on the complexity of the admission documentation, with our system validating that the level selected aligns with the documented problems, data reviewed, and risk, consistent with current E/M guidelines for initial hospital visits.
Yes. When a hospitalist provides critical care services to a deteriorating inpatient, the system supports critical care time-based coding (99291/99292) alongside the standard subsequent care workflow, ensuring the critical care encounter is billed instead of, not in addition to, a routine subsequent visit for the same date.
Our system flags same-day, same-specialty visits to the same patient and consolidates documentation to ensure only one E/M service is billed per day per group (per Medicare's same-specialty group billing rules), preventing duplicate billing denials while preserving each provider's documentation for the medical record.
New to revenue cycle terminology? Browse our healthcare RCM & billing glossary.
Practices like yours, on what changed after moving to Unlimited Financials.
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.
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.
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
Unlimited Financials has allowed us to extend our workforce in some areas due to the workflow efficiencies and given a better patient experience.
Knowledge of the patient's coverage has been a game changer. The ability to verify benefits before the patient comes in has saved us on time and denials, so there is no delay in treatment.
Using Unlimited Systems has allowed us to get a much better handle on our AR and claim management.
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.
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.
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
Unlimited Financials has allowed us to extend our workforce in some areas due to the workflow efficiencies and given a better patient experience.
Knowledge of the patient's coverage has been a game changer. The ability to verify benefits before the patient comes in has saved us on time and denials, so there is no delay in treatment.
Using Unlimited Systems has allowed us to get a much better handle on our AR and claim management.
Connect with a specialized Hospitalists RCM expert for a personal workflow walkthrough, and see where your current setup is creating avoidable revenue risk.