Increase Billing Accuracy and Reduce Denials with Workflow Automation.
Resolve Billing Issues, Payer Rejects, and Denials in a Timely Manner.
Drive Accountability for Billing Errors and Lost Revenue.
TO GOVERNMENTAL, MANAGED CARE, COMMERCIAL PAYERS, AND THIRD-PARTY LIABILITY
We utilize leading-edge claims scrubbing technology to electronically screen claims for the most current payer edits to clean claims for payment. Our flexible, web-based billing application accepts 837I/837P in addition to other file formats – including print images and non-standard formats – and converts them into an 837 compliant format for submission.
Billing secondary carriers can be both time and labor intensive. That’s why we automate and expedite the process by combining electronic claims with a national standard explanation of benefits, where appropriate. With our technological approach, we can begin billing the secondary payer as soon as the primary payer has adjudicated the claim, resulting in expedited cash collections and reduction of accounts receivable.
Workers’ Compensation and Motor Vehicle Accident claims often result in slow reimbursement or lost revenue for healthcare providers. The unique character of these accounts requires your staff to devote significant manual effort to resolving these claims.
Whether you’re currently outsourcing Workers’ Compensation and Motor Vehicle accounts, or handling them in-house, HBCS can optimize reimbursement and reduce days in A/R. Not only do we send third party liability claims electronically, but we also submit the required supporting documentation in a secure, HIPAA compliant format.
HBCS is fully compliant with HIPAA version 5010 electronic transaction code set. Our billing application transmits 837I and 837P claim files, and retrieves 835 payment remittance files in 5010 format.
A Unique Blend of Technology and Talent
“HBCS has exceeded our performance expectations with their EDI Claims Management & Insurance Follow-Through services.”
Gene Reyes, Executive Director, Revenue Cycle – Riverside University Health System
Yes, HBCS claims edits are customizable and can be interfaced back to almost all patient accounting systems.
Yes. Not only do we send third party liability claims electronically, but we also submit the required supporting documentation in a secure, HIPAA compliant format.
HBCS utilizes Direct Data Entry (DDE) software to communicate directly with Medicare for expedited claims processing. Secondary claims are also created through the Automated Secondary Billing (ASB) process within the DDE application, which automatically triggers a secondary claim to be created with the required attachments, shortening the payment cycle on a claim.