Skip to Content
HMT Billing Solutions

Services

Medical Billing & Coding Built for Cleaner Claims and Better Reimbursement

From eligibility verification and coding to charge entry, claim submission and payment reconciliation, HMT helps healthcare organizations reduce avoidable denials and keep revenue moving.

Many denials can be traced back to an issue earlier in the revenue cycle. A claim built on unverified eligibility, coded without the documentation to support the level billed, or entered with a transposed member ID is a claim that will come back, thirty to forty-five days later, when the fix costs several times what prevention would have.

Billing, coding, eligibility and payment posting are not isolated tasks. Each step affects the next. HMT connects these functions so issues can be identified earlier, claims can move more efficiently and reimbursement can be tracked through payment.

The point is not that these are difficult tasks individually. It is that they are usually distributed across people who never see the downstream consequence of getting them wrong, and nobody is measuring which step is leaking. We measure, and we report which one it was.

Medical Billing & Coding

Medical Billing & Coding Services

Sold individually or bundled. Most engagements combine two or three.

  • Medical Billing

    Claim creation, scrubbing, submission and payer follow-up through payment.

    Explore Medical Billing

  • Medical Coding

    CPT, ICD-10-CM and HCPCS coding based on clinical documentation, performed by CPC-certified coders.

    Explore Medical Coding

  • Eligibility & Benefits Verification

    Verify coverage, benefits and network status to identify potential billing issues before they become avoidable denials.

  • Payment Posting & Reconciliation

    Accurate payment posting and reconciliation to identify discrepancies, underpayments and outstanding balances.

FAQ

Questions We Get Asked

Do you code, or do we send you our codes?

Either. If your providers or in-house coders assign codes, we bill from what you send and flag anything that looks likely to deny. If you would rather we code from the documentation, that is a separate service line and is scoped separately. See Medical Coding.

Which code sets do you work with?

CPT, ICD-10-CM and HCPCS Level II, with the modifier sets that apply to your setting. Emergency and urgent care work has its own profile of evaluation and management levels, critical care time and procedures performed during the encounter, and it is handled differently from routine outpatient billing.

How quickly do claims go out?

Our target is submission within one business day of receiving complete documentation. Where documentation is incomplete we come back to you rather than guessing, because a claim submitted on an assumption becomes a denial and then an appeal, which costs everyone more than the question would have.

Related

Other Services We Offer

Or take it as one engagement: End-to-End Revenue Cycle Management, ER Billing Services, Urgent Care & Clinic Billing and Hospital & Facility Billing.

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.

Request your free auditor call +1 307-443-6998