At HealthClaim Partners, we understand the complex billing needs of hospitals and large medical facilities. With 30+ years of experience, our expert team delivers precise, transparent, and compliant revenue cycle solutions. From denial management to custom reporting, we streamline workflows, reduce administrative burden, and optimize reimbursements—so your team can focus on exceptional patient care.
Medical Billing and Coding
We provide full-service billing and coding support for hospitals across multiple specialties. Our certified coders are experienced in inpatient and outpatient coding, including ICD-10, CPT, and HCPCS codes, and remain current with evolving coding guidelines and payer requirements. We ensure all claims are submitted accurately and promptly to reduce denials and accelerate reimbursements. Our experts also perform regular audits and compliance reviews to identify and correct errors before they impact revenue.
Denial Management and Appeals Support
Hospitals often struggle with high volumes of denied or underpaid claims, which can create cash flow disruptions. Our team provides proactive denial management services, including detailed tracking, root cause analysis, and custom reporting to identify recurring issues. When claims are denied, we act quickly to file comprehensive appeals with supporting documentation. For post-service disputes, we also offer arbitration preparation and work closely with legal partners to support your hospital through the entire resolution process.
Accounts Receivable Recovery and Insurance Collections
Outstanding A/R can burden even the most efficient hospital systems. HealthClaim Partners provides aggressive A/R recovery services to ensure no revenue is left uncollected. We pursue unpaid claims through persistent follow-ups, accurate resubmissions, and payer escalation when necessary. Our team manages the entire insurance collection cycle, allowing your internal staff to focus on delivering care without being distracted by administrative inefficiencies.
Compliance Support and Regulatory Guidance
Large medical facilities must stay compliant with a wide array of federal and state regulations, including the No Surprise Act, HIPAA, and CMS requirements. Our compliance team offers policy reviews, process audits, and real-time updates on regulatory changes. We help you implement procedures that protect your organization from financial penalties and reputational risk, ensuring your practices remain aligned with the latest industry standards.
Custom Reporting and Data Analytics
Data-driven insights are essential for strategic decision-making. We offer customized reporting to deliver clear, actionable analytics for hospital leadership teams. From reimbursement trends and payer performance to claim denial rates and departmental productivity, our reports help you identify revenue opportunities and areas for operational improvement. We tailor each report to the needs of your finance, compliance, and administrative teams.
Seamless Software Integration and Workflow Support
We work within your existing hospital systems, offering seamless integration with EMRs, EHRs, and practice management software. Our team is trained across a wide range of platforms, which allows us to maintain accuracy while enhancing interoperability and minimizing disruptions. Whether you’re transitioning to new systems or optimizing current workflows, we provide the technical and operational support needed to ensure a smooth billing process.
Request a No-Obligation Consultation
Discover how HealthClaim Partners can support your hospital or medical facility with tailored billing solutions. During your free consultation, we’ll review your current billing challenges, explore opportunities for improved reimbursement, discuss compliance needs, and answer questions about software integration and reporting.
Let’s explore how we can streamline your revenue cycle and enhance operational efficiency. Request your consultation today to explore your options for optimizing your billing process.
