Healthcare Revenue Cycle, Credentialing & Payer Solutions
You Care for Patients. We Care for Revenue.
From medical billing and coding to credentialing, payer contracting, denial recovery and federal IDR disputes, HMT helps healthcare organizations strengthen their revenue cycle and recover more of the revenue they’ve earned.
- Medical Billing
- Credentialing
- Contracting
- IDR
The difference
One Team Across the Whole Revenue Cycle
Credentialing, billing and disputes are three different disciplines, usually bought from three different vendors. We run all three, so a denial caused by a credentialing gap is fixed where it started rather than appealed every month, and an underpaid out-of-network claim is caught by the same team that submitted it.
Medical Billing & Revenue Cycle
Complete medical billing support designed to improve collections, reduce denials and keep your revenue cycle moving. From eligibility and charge entry to coding, claim submission, denial management and A/R follow-up, we manage the process from start to finish.
Get a Free Billing AuditCredentialing & Payer Contracting
Get your providers enrolled, credentialed and connected with the right health plans. We manage payer credentialing, CAQH maintenance, contracting, fee schedules, rate negotiations, product and plan additions, and ongoing payer management.
Request Credentialing SupportFederal IDR & Out-of-Network Disputes
When out-of-network claims require dispute resolution, our team manages the federal IDR process from eligibility and submission through negotiation and determination.
Review Your OON Claims
Why HMT
Why Healthcare Organizations Choose HMT
Healthcare reimbursement is more complicated than submitting a claim. We combine revenue cycle expertise, payer knowledge, credentialing and contracting support, and federal dispute resolution to help providers protect and improve their revenue.
Healthcare Expertise
Our team understands the operational and reimbursement challenges behind healthcare claims.
Revenue-Focused Approach
We focus on collections, denial reduction, A/R recovery and reimbursement: not simply claim volume.
Dedicated Account Support
You work with a named contact who understands your organization.
Flexible Engagements
Use HMT for complete RCM or only the services you need.
Payer & IDR Expertise
Billing doesn’t stop when a payer underpays or a claim goes out-of-network.
The complete picture
HMT = Healthcare Revenue + Payer Solutions
Reimbursement is decided at four separate points, and a problem at any one of them arrives looking the same: a payment that never came. We cover all four.
Before Care
Credentialing & Contracting
Providers enrolled and contracted with the right plans, so a claim is payable before it is ever written.
During Care
Eligibility & Revenue Cycle
Coverage verified and charges captured correctly at the point of service.
After Care
Billing, A/R & Denial Recovery
Claims submitted, denials worked by cause, and A/R followed up on a schedule.
When Payment Is Disputed
IDR & Out-of-Network Recovery
Underpaid out-of-network claims taken through the federal dispute process to determination.
Out-of-network disputes
What That Has Come To
- 42,000+
- Federal IDR Claims Submitted
- 98%
- Determinations in Which Our Offer Was Selected
Source: Federal IDR portal records. Figures as of August 2026.
Where we aim
Industry Standard, and What We Work To
Ranges commonly cited in revenue cycle reporting. Figures vary by specialty, payer mix and source.
| Metric | Industry | Our target |
|---|---|---|
| Clean Claim RateClaims accepted on first submission, without reworkEvery point below this is a claim someone has to touch twice, and rework costs more than the scrub that would have prevented it. | 75–85%Commonly cited range | 98%Our target |
| Denial RateClaims rejected or denied by the payerReaching this depends on fixing causes at source rather than appealing the same denial every month. | ~10–12%Commonly cited average | 2–4%Our target |
| Days in A/RAverage time from date of service to paymentDriven far more by whether claims are worked on a schedule than by how fast any single claim moves. | 30–40 daysGenerally accepted range | Under 15 daysOur target |
| A/R Over 90 DaysShare of the balance that has aged past ninety daysThe clearest single indicator of whether follow-up is systematic or occasional, which is why we report it monthly. | 15–25%Commonly cited range | Under 10%Our target |
Industry figures are shown for context. Targets are what we work to, not guaranteed outcomes, and results vary by practice and payer mix.
Start here
A Free Revenue Cycle Audit, Before Anything Is Agreed
We review a sample of your recent claims and your current A/R aging, and report where revenue is being lost: denial patterns, aging accounts, and out-of-network underpayments nobody is pursuing. The report is yours whether or not you engage us.
Why outsource
What Changes When Billing Is Not a Side Job
In-house billing competes with everything else the front office has to do that day. When a claim can wait and a patient cannot, the claim waits, and the cost of that shows up six weeks later as a denial nobody has time to appeal.
Claims Go Out on a Daily Cycle
Submission does not queue behind a busy waiting room, so the clock on every payer deadline starts sooner.
Denials Get Worked by Cause
Classified by CARC code and payer, so the ones with a process fix behind them stop recurring instead of being appealed forever.
Coding Stays Current
Code sets, payer edits and modifier rules change constantly. Keeping up is a full-time job, and here it is somebody's.
Cover Does Not Depend on One Person
Holiday, illness and turnover in a one-person billing office translate directly into aging A/R.
You See the Numbers That Matter
Denial causes by payer, A/R movement by bucket, dispute outcomes. Not a claims-submitted count.
Fixed Cost Becomes Variable
Salary, benefits, software seats and training are replaced by a cost that tracks what is actually collected.
By setting
Built for How Your Practice Actually Runs
Complete revenue cycle management, specialised for the setting you work in.
Emergency
ER Billing Services
Emergency department revenue cycle: high volume, high out-of-network exposure, unpredictable payer mix.
Read MoreUrgent Care
Urgent Care & Clinic Billing
Walk-in volume, mixed payers and thin admin capacity, billing built for how urgent care actually runs.
Read MoreEverything
End-to-End Revenue Cycle Management
Every service we offer, run as one engagement, from registration through to disputes.
Read More
Also available: Hospital & Facility Billing.
By service
Or Take Only the Part You Need
Every service is sold standalone or bundled. Most engagements combine two or three.
Credentialing & Contracting
Get Credentialed. Get Contracted. Get Paid.
Provider enrollment and payer contracting are critical to getting reimbursed, but they can also be time-consuming and difficult to maintain. HMT manages the process from initial credentialing through ongoing payer participation.
See How Credentialing Works- Payer credentialing and enrollment
- Medicare and Medicaid enrollment
- Type 1 and Type 2 NPI applications
- CAQH management and ongoing maintenance
- Payer contracting and rate negotiation
- Recredentialing and ongoing payer maintenance
Proof
What You Can Check
- CPC-Certified Coding
- Certified Professional Coder, AAPC. Coding is done from the documentation and queried back to the provider where the record will not support it.
- HIPAA-Compliant Processes
- Our team has completed HIPAA training, and we work inside your practice management system so your data stays where it already lives.
- IDR and No Surprises Act Capability
- We run the federal dispute process end to end: qualification, open negotiation, offer preparation, submission and tracking to determination.
- Reachable 8:00 AM to 6:00 PM CT
- A named contact for your account during your working day, rather than a ticket queue and a callback window.
- Operating Since 2021
- Working with emergency groups, urgent care centers, clinics and outpatient practices.
FAQ
Before You Call
Do we have to change our software?
No. Working inside your existing practice management system is the default. Migrating billing data introduces risk and cost that rarely pays for itself, and a system your staff already know has real value.
Can we start with one service rather than everything?
Yes. Denial recovery and out-of-network disputes are common starting points because they act on money you have already earned and show a result quickly. Services can be added as the relationship establishes.
What does the free revenue cycle audit actually involve?
We review a sample of your recent claims and your current A/R aging, and send you a written summary of where revenue is being lost: denial patterns by cause, aging accounts still worth working, and out-of-network underpayments that are not being pursued. There is no obligation attached to it.
Do you work with practices outside emergency and urgent care?
Yes. Emergency and urgent care are where our out-of-network specialism matters most, but the full range of billing, coding, credentialing and A/R services applies to clinics and outpatient practices generally.
Compliance and credentials
What You Can Hold Us To
Every one of these is something you can raise on a call and get a straight answer to, rather than a badge you are asked to take on trust.
HIPAA-Compliant Processes
Our team has completed HIPAA training, and we work inside your practice management system so your data stays where it already lives.
CPC-Certified Coding
Certified Professional Coder, AAPC. Codes are assigned from the documentation and queried back where the record will not support them.
IDR and No Surprises Act
The federal dispute process run end to end: qualification, open negotiation, submission, and tracking to determination.
Operating Since 2021
Working with emergency groups, urgent care centers, clinics and outpatient practices across the country.
Start With a Free Revenue Cycle Audit
We review a sample of your recent claims and your current A/R aging, and report where revenue is being lost. The report is yours whether or not you engage us.