Comprehensive Medical Billing Services:

• Complete End-to-End Medical Billing Solutions

• Persistent Advocacy with Insurance Companies for Claim Processing

• Commitment to Revenue Recovery:

  • Accurate Coding

  • Detailed Documentation

  • Prior Authorization

  • Diligent Claim Submissions

  • Rigorous Follow-Up on Denials

• Resubmission of Outstanding and Backdated Claims Using Hospital-Grade RCM Technology

Advanced Technology Integration:

• Advanced AI Utilization for Data Support, Explanations, and Documentation

• Innovative Medical Billing AI Dashboards for Comprehensive Reporting

• Time-Saving AI Automation for Enhanced Efficiency

Tailored Customer Engagement:

• Tailored Contracts with a Focus on Results

• Cultural and Language Alignment in Healthcare Domains

• Dedicated Support Specializing in Multiple Medical Specialties

• Expertise in Medicare, Medicaid, and Various State Regulations

Global Support Infrastructure:

• Offshore Teams with 24/7 Availability

• Customized Service Offerings to Meet Diverse Needs

HiPaaS RCM offers seamless integration with a broad range of EHR platforms, including:

• Epic, eClinicalWorks, Change Healthcare, CureMD, Athenahealth

• Optum360, McKesson, Availity, TriZetto

• Waystar, Glace EMR, Brightree

• pMD, Healthnautica, Kareo, AdvancedMD

• iPatientCare, Practice Fusion, Point Click Care (PCC)

Epic is a trademark of Epic Systems Corporation.

Harness the power of Generative AI to decipher reason and denial codes, offering solutions from an extensive knowledge base. HiPaaS delivers configurable automation for addressing and resubmitting routine denials.

Our comprehensive workflow facilitates the entire denial management process—reception, analysis, correction, and resubmission—tailored to align with your internal procedures. This includes seamless integration with real-time eligibility verification and prior authorization checks

Streamline your medical coding process and minimize errors with our AI technology. It automatically adjusts coding, ensures code accuracy, and recommends modifications. Our system facilitates adherence to intricate coding rules and performs automatic data corrections, thereby decreasing claim rejections and denials while boosting coding efficiency.

Our platform offers interfaces for eligibility verification with clearinghouses, insurance companies, CMS, and DDE, ensuring patient eligibility is confirmed prior to claim submission and during denial investigations.

• 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

• Occupational Health: Workers' Compensation

Enhance your financial foresight by predicting aging, denials, and payment outcomes as soon as claims are submitted. Utilize procedure codes to forecast payments and optimize revenue by concentrating on high-performing procedures and insurers. Proactively anticipate denial and prior authorization scenarios before submission. Gain comprehensive insights with over 10 revenue reports, including aging, top errors, best-performing procedures and insurers, denials, and more.

Our system manages extensive communications with insurance companies, saving you time for patient care. Our AI-driven approach efficiently automates work queue creation and task allocation based on usage. HiPaaS Payment Posting streamlines the automation of routine payment entries and corrects persistent data inaccuracies.

Automatically match 837 claims, 835 payments, ERAs, and self-pay transactions with ease. The system allows for immediate comparison and loading of claims data. Simplify self-pay and lockbox payment processing with our automated posting feature.

Ensuring that prior authorizations are submitted with all necessary information and documentation is essential. HiPaaS delivers a comprehensive workflow for managing prior authorizations, from submission through to follow-up, including the provision of supporting data.