At HealthClaim Partners, we understand the unique challenges private medical practices face. With 30+ years of experience, our billing solutions streamline operations, reduce denials, and maximize reimbursements. We integrate seamlessly with your workflow so you can focus on delivering exceptional care while we handle the complexity of your revenue cycle.
Physician Billing and Coding
Our physician billing and coding services fit each practice’s unique workflows. We integrate directly with your existing EHR or billing software to ensure seamless operations and real-time data exchange. Our certified coding specialists stay current with the latest coding updates and payer policies to minimize errors and prevent denials. Through thorough charge capture and timely claim submission, we help providers get paid quickly. Every claim is reviewed for completeness, and we include detailed documentation to support proper reimbursement.
Custom Reporting and Analytics
We go beyond standard billing by offering customized reporting and in-depth revenue analysis. Our reporting tools allow practices to track key performance indicators like claim acceptance rates, reimbursement trends, denial reasons, and outstanding balances. These insights empower providers to make informed operational decisions and identify opportunities for growth. Whether you want a snapshot of financial performance or a deep dive into payer behavior, our reports are built to meet your specific needs.
Compliance Support for the No Surprise Act
Our compliance support services help private practices stay aligned with the No Surprise Act, which protects patients from unexpected medical bills and holds providers accountable for clear cost communication. We begin with a comprehensive compliance assessment to identify gaps in your billing practices. From there, we review and update your internal policies, ensuring your team is equipped to comply with federal requirements. We also monitor regulatory updates and provide timely guidance to keep your practice protected from penalties and fines.
Insurance A/R Collections and Follow-up
Unpaid claims can significantly impact cash flow. Our insurance accounts receivable (A/R) collection services help private practices recover revenue consistently. We manage all aspects of the follow-up process, including denied or underpaid claims, and apply persistent, data-driven strategies to resolve issues. Our team conducts proactive outreach to payers, ensures timely resubmissions, and provides transparent updates through detailed A/R reports. By managing your claims, we allow your in-house team to focus on patient care.
Workers’ Compensation and No-Fault (PIP) Insurance Claims
Handling personal injury claims requires in-depth knowledge of legal and payer processes, especially in New Jersey and New York. We specialize in managing Workers’ Compensation (WC) and No-Fault (PIP) Insurance claims from start to finish. Our team supports providers through post-service appeals, arbitration preparation, and legal coordination. We gather and organize all necessary documentation, including medical records and treatment notes, and collaborate with experienced attorneys to strengthen your case when needed. This end-to-end support maximizes reimbursement while reducing administrative burdens.
Request a No-Obligation Consultation
Curious how HealthClaim Partners can support your private practice? Schedule a no-obligation consultation with our medical billing specialists to explore your billing setup, identify areas for improvement, and discuss customized solutions tailored to your needs. Whether you’re facing claim denials, compliance concerns, or A/R challenges, we’re here to help.
This is your opportunity to ask questions, gain clarity, and discover how we can enhance your revenue cycle—reach out today to request your consultation.
