Outsource your
Medical Billing
and RCM

HiPaaS can help save time and money on Medical Billing and RCM.

Try our outsourcing Services now.

Speed & HIPAA Security

Gen AI Plugins

Scale and Flexibility

HiPaaS Inc. Leads the Way in Healthcare AI Agents

We're thrilled to announce our strategic commitment to developing cutting-edge AI agents across our entire product line.

Solve real healthcare problems. Join HiPaaS team

We are hiring for various AI roles in India and Manila

HiPaaS Donates Supplies to Ma Niketan Orphanage

We are proud to announce our partnership with Ma Niketan Orphanage, a Thane-based organization dedicated to providing shelter, education, and a nurturing environment for over 100 young girls.

Outsource your Medical Billing to us

HiPaaS has a team of Billing experts with extensive experience in medical billing and coding. We customize based on the needs of your practice and use AI technology to streamline the billing process and provide transparency.

We can customize your RCM for your needs

HiPaaS RCM Services can help with customizing your RCM workflows to optimize processes and save time and money. We have expertise in integrating all RCM related processing including eligibility, prior authorizations, billing, payments and business operations.

Outsource your Business Processes to our team

We streamline and optimize your business proceses from invoicing to payroll, call center, customer support and all back-office business processes. Outsource to HiPaaS team of qualified experts to save time and money and enable your organization to be competitive.

We can Customize your RCM

Claims Submission

ICD Code Prediction based on case notes
Create Claim from case notes or basic visit info
Validate before submission
End-to-end claims workflow
GenAI and AI LLMs for Claims

Eligibility Management

Integrate eligibility with claims workflow
Ensure eligibility before claims creation and submission
GenAI for Eligibility
Real-time and batch eligibility handling

Prior Authorization Handling

Integrate Prior Auth with Eligibility and Claims workflows
Ensure eligibility before prior auth
GenAI and AI LLMs for Prior Auth

Entire RCM Simplified

Claims, Payments including Treasury/Bank payments compared
Payment Posting integrated
Rules Engine for compares and other rules to reduce manual effort
Functional and technical expertise

Denial and Fraud Management

AI analyses metrics and patterns of historic data and provides denial predictions
Identify fraudulent claims including opioid misuse using AI
Integrated reports

Request Demo

Our Comprehensive Medical Billing Outsourcing Services

HiPaaS offers a wide array of services tailored to meet the unique needs of various medical specialties, including:

Specialties:

Primary Care: Internal Medicine, Pediatrics, General Practice.
Women’s Health: Obstetrics & Gynecology.
Specialty Care: Otolaryngology (ENT), Gastroenterology, Allergy & Immunology, Nephrology, Orthopedic, Podiatry.
Mental Health: Psychiatry, Psychology, Mental Health Services.
Ancillary Services: Radiology, Durable Medical Equipment (DME).
Eye Care: Ophthalmology.
Dental Services.
Extended Care: Nursing Homes, Home Health, Hospice.
Pharmaceutical/Pharmacy: Support for drug distribution and dispensing companies.
Occupational Health: Workers' Compensation.

Comprehensive Support:

New Patient Onboarding: Eligibility verification and prior authorization management.
Medical Billing and Coding: Expert coding services and AI-powered automation.
US Hours Coverage: Offshore staff working during US hours for seamless communication.
Revenue and Payment Posting: Claims submission, payment reconciliation, and denial management.
Advanced Technology: AI-driven dashboards and automation for enhanced efficiency.
Tailored Customer Engagement: Results-focused contracts and culturally aligned support.
Global Support Infrastructure: 24/7 availability and multi-specialty expertise.
Revenue Prediction (A/R): Forecast aging, denials, and payment outcomes.
Automated Payment Processing: Streamlined communication and AI-driven automation.
Prior Authorization Management: End-to-end prior authorization workflow management.