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Accredited Expertise Conquering Every Stage of Hospital Billing
Hospital billing can feel like an uphill battle. Between managing over 1,600 unique insurance plans, contending with constantly evolving regulations, and ensuring accurate coding for diverse procedures and diagnoses, it's no wonder that revenue gets lost in the shuffle.
We are an HFMA and AHIMA-accredited billing company, signifying our commitment to the highest standards in healthcare financial management and medical information management. With a decade of experience and a proven track record, we offer comprehensive revenue cycle management (RCM) solutions designed to streamline your processes.
With our accredited expertise, you gain the peace of mind that comes with knowing your RCM partner adheres to the highest ethical and compliance standards. We continuously invest in ongoing education and training for our staff, ensuring they possess the most up-to-date knowledge and skills to navigate the ever-changing healthcare landscape.
Call UsResolve Biggest Hospital RCM Hurdles with Efficient Medical Billing Services For Hospitals
Thousands of dollars are lost annually due to incomplete claims, denials, and inaccurate coding. These challenges, combined with the complexities of insurance verification, emergency room billing, and managing accounts receivable, create a significant RCM burden for hospitals.
Why go it alone? Hospitals often believe in-house staff can handle billing, but the truth is, experienced professionals and specialized tools are needed to navigate the intricacies of RCM. Many hesitate to outsource due to concerns regarding:
HMS USA LLC prioritizes data security with robust measures in place to ensure information remains confidential.Our partnership empowers you, providing transparency and ongoing communication throughout the process.While upfront costs exist, outsourcing often leads to increased revenue through improved efficiency and reduced claim denials.
Contact UsOur Streamlined Hospital Billing Process
HMS USA LLC takes a meticulous approach to ensure efficient and accurate hospital billing.
Registration & Pre-Authorization
We gather accurate patient information, verify insurance coverage, and obtain pre-authorizations for upcoming services.
Charge Capture & Coding
Our specialists meticulously capture all charges related to patient encounters and assign accurate medical codes for reimbursement.
Claim Submission & Follow-Up
We become your virtual billing department, ensuring HIPAA compliance and keeping you updated on regulations.
Payment Posting & Denials Management
We ensure accurate posting of received payments and implement a strategic approach to appeal denied claims.
Account Receivables Management
We proactively manage outstanding balances, including sending statements and coordinating with patients and insurance companies.
Credit Balance Management
We efficiently identify and process any patient credit balances, ensuring timely and accurate returns.
Why Choose HMS USA LLC
Our approach to hospital billing is holistic, addressing every stage of the RCM process with precision and efficiency. Why we have been a trusted choice for providers is as follow
Expert Hospital Billing Team: Our team comprises industry-certified professionals with deep expertise in medical billing, coding, and compliance, ensuring that every claim is handled with precision.
Same-Day Transition:Streamlined onboarding ensures a smooth transition with minimal disruption to your operations, enabling us to start delivering results from day one
Zero A/R Backlog in >20 Days:Our aggressive yet strategic approach to accounts receivable management significantly reduces backlog, often clearing it entirely within 20 days.
99% First-Pass Acceptance Rate:Leveraging advanced technology and expert review, we achieve a first-pass claim acceptance rate of 99%, minimizing delays and denials
Monthly Financial Health Reports: Clients receive detailed monthly reports offering insights into billing performance, trends, and areas for improvement.
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What Clients Say About Us
Below, you will find feedback from some of our cherished clients. We are proud to have helped them reach their business goals, and we appreciate the kind words they have shared about our services.
North Ocean Medical Group, P.C
North Orchard Medicine PC
Dr. Bryant Medical Practice PC
Advanced Medical Office, PC