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Hospital Medicine

Capture more than $500K/year in additional revenue† 

When Medicare observation cases that are eligible for inpatient status are identified too late, your hospital can lose the opportunity to correct patient status and receive the appropriate reimbursement. 

Built into our Hospital Medicine program, Sound Two-Midnight Monitoring identifies cases for review while the patient is still in the hospital. Hospitalists receive real-time physician advisor support, and our team follows through to help ensure the correct order is entered. 

See how the model works

How Sound helps your team capture additional revenue

Sound Two-Midnight Monitoring uses technology-enabled automatic case selection to flag Medicare cases for review while the patient is still in the hospital. We then combine clinician-led teams, on-site leadership, physician advisor support, and real-time review. 

Identify

Potential Medicare observation cases are surfaced while there is an opportunity to review status.

Review

Hospitalists receive real-time support from physician advisors while the case is active.

Act

Your team can address status questions, ensure the correct order is entered, and keep discharge plans moving.

Together, this approach helps your hospital:

  • Reduce late chart fixes, back-end appeals, and discharge surprises 
  • Take payer calls and appeal work off hospital teams’ plates when needed 
  • Give hospitalists direct physician advisor support 
  • Create more clarity for patients and families 

No other hospital partner offers this same integrated Two-Midnight Monitoring process as part of its Hospital Medicine program. 

Explore Two-Midnight Monitoring

†Based on Sound internal data: $244,862 per hospital per year for Traditional Medicare; $298,239 per hospital per year for Medicare Advantage. Past performance not a guarantee of future results.

Choose the path that fits your hospital

Explore how to improve care, strengthen performance, and protect financial stability. 

Build a stronger program

See how local leadership, stable teams, and national support align around your goals. 

Maintain your clinician model

Improve operational and financial performance without changing who employs your clinicians. 

Hear our physician-led vision

Dr. Mihir Patel explains how we build tailored programs for sustainable results. 

See proof in practice

Explore results in staffing, length of stay, subsidy spend, and quality. 

What sets us apart

You want a Hospital Medicine program that works for your hospital and your community. Our clinician-led teams are embedded on-site, backed by national resources. Together, we design to your goals—not a template—launch predictably, and share risk. Our stable, salaried teams and continuous, focused improvement across data, automation, and telemedicine free your clinicians to focus on patients.

  • Driving better throughput

    We know how to streamline workflows, tighten communication, and treat patients with efficiency and empathy. Our patient-first, physician-led approach bears that out in quality and outcomes.

  • Keeping costs stable

    Our average subsidy increase lands within 0.5% annually—compared with the industry standard 4.2% to 5.7%*. We tie clinician pay to outcomes, focus on accurate collections, and mitigate temp labor with our own float pool.

  • Building intentional leaders

    From onboarding and dedicated on-site local support to ongoing coaching and mentorship, we’re committed to developing our leaders. Our medical directors thrive with ready access to resources.

*PwC Health Research Institute, “Medical Cost Trend: Behind the Numbers 2024,” July 2024. Definitive Healthcare, “U.S. hospital revenue and expense trends,” July 2024

Improve performance. Keep your current clinician model.

 Sound Practice Solutions works alongside your leaders and clinicians to strengthen clinical performance, streamline operations, and protect financial stability, without changing who employs your clinicians.  

Our managed partnership (employed) model offers: 

Hear from our physician CEO of Sound Hospital Medicine

“We embed clinician leaders and design custom programs that strengthen clinical performance and financial sustainability—without compromise.”

—Dr. Mihir Patel, CEO of Sound Hospital Medicine

  • Who we are

    Dr. Mihir Patel shares Sound’s 25-year track record in Hospital Medicine—2,000+ clinicians across 186+ programs in 45 states—built on local leadership, strong teams, and a culture that puts patients first.

  • 4 key differentiators

    Hear how stable, salaried teams (≈92%) and ~0.5% average annual hospital support growth come from right-sized staffing, clinician-led management, and better documentation and throughput.

  • Transforming care

    See how Sound moves beyond Hospital Medicine to improve the full acute-care episode through daily, on-unit routines and hourly dashboards that prompt clear next steps.

  • What to expect

    Expect sustainable costs and a clear return on investment. What we commit to in planning is what we do on the units—plus an invitation to take a deeper dive.

Explore a partnership

Provide the care your patients deserve

Let’s connect

Proof in practice