Billing & Accounts Receivable Management
- Perform all billing services including charge entry to denial management.
- Analyze reimbursement and dispute/collect every dollar due to provider.
- Provide denial analytics and education to maximize revenue.
- Provide management reports and KPI benchmarks.
- Offer dedicated points of contact for office needs.
- Provider customer service.
- Provider billing software or use client’s software.
- Conduct pre-collection services.
- Analyze fee structure annually.
- Develop custom reports.
Coding & Audits
- Surgical and office visit coding (CPT and ICD-10) performed by multi-specialty AHIMA and AAPC credentialed coding team.
- Perform coding audits for revenue maximization and compliance.
- Comply with NCCI policies.
- Educate providers on coding and documentation.
- Provide annual CPT and ICD-10 updates.
- Review and appeal billing denials
- Communicate and educate practice on denials
Credentialing Services
- We apply to insurance companies for appropriate payer insurance enrollment.
- Maintain confidential files of all documents.
- Maintain CAQH.
- Correspond with all required entities.
- Respond to requests for additional information and/or clarification.
- Apply for National Provider Identifier (NPI).
Accounting & Financial Support
- Perform day-to-day financial services.
- Process accounts payable at least once per week.
- Provide cash management services, monitor cash balances, bank reconciliations, etc.
- Verify invoice accuracy
- Code to general ledger account
- Maintain all source documents
- Reconcile discrepancies
- Monitor daily deposits
- Reconcile bank statements
- Customized financial reporting
- Identification of trends in practice productivity
- Monthly productivity reports
- A strategic partner you can count on for superior service and results
- Detailed key metric tracking and business analytics reporting
- help optimize practice efficiency and minimize operating costs
- Ease administrative burdens and promote financial resilience
- Develop strategies for and analyze physician compensation packages.
- Perform cost/benefit analysis for new providers/services.
- Analyze and generate monthly financial statements.
- Assist in developing annual budgets.
- Coordinate with client tax accountant in preparation of year-end practice tax return.
- Process 1099 forms and file New York State sales tax, if applicable.
Payroll Services
- Access to Time & Attendance System
- Process payroll with annual W-2s and earnings statements.
- Manage insurance, retirement, and other deductions.
- Understand and adhere to NYS and federal regulations.
- Tracking vacation, holiday, and other time off.
Human Resources & Benefits Administration
- Placing employment ads, scheduling interviews, screening applicants and processing background checks.
- Overseeing new hire orientation and disclosure and reporting requirements
- Processing leave management paperwork (FMLA, PFL, DBL).
- Managing benefit insurance policy renewals, conducting annual open enrollment, administering COBRA and termination paperwork
- Updating policies or creating employee handbooks
- Managing risk – Let us keep your practice abreast of current federal, state and local labor laws.
- Offering web-based skills training and mandatory annual courses. We will even track annual training requirements.
- Handling delicate HR employee relations issues. We can facilitate that for you.
General Consulting
- Provide practice start-up assistance.
- Assessing practice profitability.
- Analyze physician productivity and compensation.
- Identifying gaps in the work-flow process.
- Perform financial analysis and planning.
Who We Work With
Hospitals
Our expert team delivers comprehensive billing solutions designed to meet the unique demands of hospital care. With specialized proficiency in inpatient, outpatient, emergency room (ER), and observation claims, we ensure accurate coding, regulatory compliance, and optimized reimbursements. By prioritizing timely claim submissions, even for complex case reviews, we help hospitals minimize denials and improve revenue cycle performance.
Nursing Homes
We specialize in accurate, compliant billing for nursing homes, with extensive knowledge of long-term care coding, skilled nursing facility (SNF) claims, and Medicare/Medicaid regulations. Our team ensures timely submissions, reduces denials, and helps facilities maintain financial health without sacrifices to quality resident care.
Rural Health Clinics
The experienced team at HCS specializes in providing support for Rural Health Clinics (RHCs), ensuring compliance with unique CMS guidelines and encounter-based billing requirements. We help clinics streamline claim submissions and optimize reimbursements, making it easier for them to maintain a team-based approach to community care.
Critical Care Hospitals
We deliver precise, compliant billing solutions for critical care services, including high-acuity encounters and time-based coding. Our team ensures accurate documentation, timely claim submissions, and maximized reimbursements, helping providers navigate complex regulatory requirements while focusing on life-saving care.
Providing Quality Services to Various Specialties
Healthcare Solutions has worked with many specialties including, but not limited to:
Our Track Record
Founded in 2003, our teams offer over 20 years of experience of providing support for services in billing, payer credentialing, payroll, human resources, network administration and more.
Contact Us
Have questions or need help navigating your practice challenges? Our team is ready to support you. Connect with us today to discover how we can strengthen your revenue cycle and streamline your administrative operations.
144 Genesee Street
Buffalo, NY 14203