Intelligent Revenue Cycle Solutions
INSURANCE FOLLOW-THROUGH
THE HBCS ADVANTAGE
Increased Cash Flow and Reduced Denials
with Business Intelligence Reporting.
DENIAL MANAGEMENT
HBCS’s cloud-based Denial Management solution provides health systems advanced tools to identify, measure, resolve and prevent denials. It improves key financial and operational performance metrics (collections, cash flow, accounts receivable days outstanding, denial rate, and bad debt write-offs), driving initial denial rates below the industry best practice of 4%.
- Data capture from payer remittance and claim status.
- Denial qualifying using payer claim status, adjustment group codes and reason codes.
- Denial categorization.
- Denial reporting to measure and manage denials.
- Root cause analysis and decision support for denial prevention.
- Workflow tools to drive assignment, follow-up, and resolution.
LOW BALANCE OR AGED A/R MANAGEMENT
HBCS provides an “extended business office” approach to insurance follow-through. Aged and low balance claims are collected and adjudicated quickly and accurately, regardless of account age or financial class.
- Advanced technology including payer website automated claim status.
- Innovative workflow protocols designed to optimize collections on low balance and aged insurance claims.
- Business Intelligence reporting with root cause analysis and decision support.
- Highly skilled revenue cycle staff with expertise in all government and non-government financial classes.
Benefits
- Improved collections, cash flow, accounts receivable days outstanding, denial rate, and bad debt write-offs.
- Increased productivity of your follow-up staff.
- Reduced cost to collect.
THIRD PARTY LIABILITY A/R MANAGEMENT
HBCS provides our skilled specialists with advanced technology to optimize Workers’ Comp, motor vehicle accident insurance, and general liability claim accounts receivable.
- Advanced technology including enhanced document management & claims management.
- Claims management converting bills to payer’s specified format.
- Business Intelligence reporting with decision support.
- Highly skilled revenue cycle staff with expertise in all third-party liability claims.
Benefits
- Improved collections, cash flow, and accounts receivable days outstanding with enhanced claims management.
- Increased productivity of your follow-up staff.
- Reduced cost to collect on highly specialized accounts.
PATIENT ACCOUNTING CONVERSION SUPPORT
HBCS provides skilled staff and leading-edge technology to optimize cash flow and accounts receivable as you change patient accounting platforms.
- Advanced technology to efficiently work high volumes of aged accounts.
- Innovative workflow protocols designed to optimize collections during patient accounting conversions.
- Business Intelligence reporting with decision support.
- Highly skilled revenue cycle staff with expertise in Epic and all healthcare technology systems.
Benefits
- Recover uncollected revenue and reduce future denials.
- Increased productivity of your follow-up staff on new patient accounting system.
- Improved cash flow to support your bond rating or maintain financial performance.
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
FREQUENTLY ASKED QUESTIONS
Does HBCS utilize off-shore staff?
HBCS does not utilize any off-shore staff. All work is performed by staff located in the continental United States from our operating locations in New Castle, Delaware and Wakefield, Massachusetts.
Does HBCS have a unique process for managing low dollar claims?
Our automated claims status technology triages these claims to retrieve payer status directly from the payer websites, and then routes the claims by status to the appropriate HBCS specialist for follow-through.
Does HBCS offer assistance during conversions to new patient accounting systems?
Yes, HBCS is prepared to handle and liquidate legacy system accounts receivable. We serve as the financial bridge during the conversion by continuing to follow-through on billed claims while your team transitions to the new system.
Does HBCS have national or regional billing and follow-through expertise?
HBCS is national in scope and local in service. We have experience with Medicare, Medicaid, Managed Care, commercial, Workers’ Compensation and auto insurance follow-through throughout the country, working all payers at Day One or any other point in time. Our experience includes billing and follow-through to MAC jurisdictions and Medicaid state agencies across the country. Our team includes seasoned Medicare and Medicaid specialists who utilize the FISS system to reprocess claims and obtain account status.
