Services

HMR provides a very cost effective billing service by utilizing in-house computer systems and its own proprietary software to automate the medical billing process. The company has always maintained an in-house programming staff to provide analysis, design and coding of all software. This also facilitates very rapid response to changes in regulations, forms and client requests.

Services include:

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Medical Billing

Our staff reviews both the primary and secondary insurance information. If any information is missing or incorrect, we do whatever is necessary to have complete and accurate data. Claims are reviewed before they are electronically sent to our clearinghouse where they are distributed to their respective payers, and then followed up regularly by our staff to ensure the claims are paid.

Track and refile all unpaid claims

Unpaid claims are tracked in our system and followed up.

Patient & Carrier communication

Our staff facilitate communication between patients, the insurance carriers, and you or your office staff regarding billing.

Payments & Remittance

Clients are setup to receive ERA (Electronic Remittance Advice) and EFT (Electronic Funds Transfers) for all payers with those available options. Payments are set to be automatically deposited into a specified account, and ERA are received through our clearinghouse - to which clients are provided access.

Imports

Our system can import HL7 data, or our in office programming staff can create custom imports for your office/hospital charge data.

HMR Cloud

Clients are given access to the HMR Cloud, where they can upload charge, demographic, or other files, and also view current and prior Month End Reports.

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Bill patients monthly

We send patient's monthly statements until their account balance is paid in full or resolved. Patients with unpaid balances after a certain amount of statements can be sent to collections (per Client preference).

Monthly Statistical Reports

A month end report containing that month's statistics is sent to Clients. The report includes graphs depicting charge and payment totals by insurance, provider, and facility. The report also contains links to spreadsheets that list individual line item detail for:

Claim Denials (By denial type)
Patient Credit Balances
Aged Claims
AR Reports
Patient Balances
Charges
CPT Counts
Payments
Month End Summary

Other Reporting

Common and custom reports can be generated per request.

Credentialing

Our in house credentialing specialist can assist with or complete insurance credentialing applications, and/or hospital/facility initial and reappointment applications.