Frequently Asked Questions
HCMBS has an average collection rate of 99%.
Yes, when you contract with HCMBS, we will work all outstanding balances on your AR regardless of age, up to the timely filing limit of each payer.
HCMBS will use information from the remittance advice, the payer portal, and phone calls and take appropriate action to file a corrected claim, reconsideration, dispute, or appeal. We will continue processing claims through all available channels until a final claim disposition is received.
Does our agency have to purchase new software or another EMR for you to perform our billing and revenue cycle management?
No, HCMBS uses whatever EMR your currently use to generate and submit claims and post payments.
HCMBS will use whatever Medicare portal the agency is currently using, such as myAbility, with our own DDE IDs.
HCMBS will submit all claims electronically if possible, using the agency’s clearinghouse of choice, or directly to the payer portal, or by paper if there are no electronic options.
HCMBS will add your agency to our clearinghouse for electronic claims submissions.
Yes, HCMBS will download any remits we can retrieve on your clearinghouse or on the payer portals to which you give us access, and paper remits received in the agency can be forwarded to your billing manager.
HCMBS will create any reports from your EMR and follow the EMR closing process each month upon request.
HCMBS will provide a detailed AR report generated from your EMR with all outstanding balances, and notes outlining all action taken to collect funds, current status and location of each claim, and any action items needed from the agency. HCMBS will also request a monthly AR review call with the agency team to discuss claim balances, payer trends, and any ongoing challenges.
HCMBS will never write off claim balances without written permission from the agency. Some balances may be billed to the patient as copay or deductible, to a secondary payer, or may be considered indigent or charity. Those accounting decisions are made solely by the agency.
HCMBS is able to start billing as soon as we have access to your EMR, clearinghouses, and permission to connect our DDE IDs to your NPI- all can be completed within a matter of a few days.