Professional Services
HCM’s compliance reviews and audits identify gaps that put revenue and regulatory standing at risk. We assess workflows, documentation, and system use to ensure alignment with evolving healthcare laws, then equip your teams with the training and plans needed for sustained improvement.
Professional Services
CREDENTIALING
Optimizing Provider Enrollment with Precision
We deliver comprehensive credentialing expertise for healthcare organizations of all sizes, including complex multi-specialty and emergency medicine groups. From initial enrollment to compliance oversight, we operate with precision to prevent denials and support uninterrupted revenue cycle performance. We maintain data integrity across all enrollment platforms, proactively resolve gaps, and apply best practices to ensure every credentialing milestone is met with accuracy and confidence.
- MDStaff platform implementation
- CAQH maintenance and attestation
- PECOS oversight and licensure compliance
CLAIM SUBMISSION
Optimizing Claims for Faster Payments
Clean claims start with clean processes. HCM ensures every claim is submitted accurately, timely, and in full alignment with payer requirements, minimizing rework, preventing denials, and accelerating reimbursement.
- Improve clean claim rates through standardized formatting and file validation
- Reduce time to payment by preventing front-end submission errors
- Enhance operational efficiency by decreasing rejections and manual rework
PAYMENT POSTING
Accurate & Timely Payment Reconciliation
Our team ensures the accurate and timely posting of payments to maintain up-to-date account statuses and reduce errors. We process and reconcile payments efficiently to improve financial clarity and operational transparency.
- Accurate reconciliation of all posted payments
- Timely resolution of payment discrepancies
- Enhanced financial reporting & transparency
CREDIT BALANCE RESOLUTION
Resolving Credit Balances Efficiently
HCM is committed to addressing and resolving all credit balances, regardless of their origin. We thoroughly review and clear outstanding balances, ensuring compliance and maintaining financial integrity for healthcare providers.
- Reduction in outstanding credit balances
- Prevention of compliance risks
- Maintenance of accurate financial records
COMPLIANCE REVIEWS & AUDITS
Proactively Reducing Risk and Revenue Loss
HCM’s compliance reviews and audits identify gaps that put revenue and regulatory standing at risk. We assess workflows, documentation, and system use to ensure alignment with evolving healthcare laws, then equip your teams with the training and plans needed for sustained improvement.
- Evaluate systems and workflows to ensure alignment with current healthcare regulations
- Deliver actionable reports with tailored remediation plans and training
- Help clients stay ahead of audits, reduce penalties, and improve documentation integrity
CONTRACT STAFFING
Providing Expert Support for Revenue Cycle Needs
We provide experienced, dedicated staff who are fully integrated into your revenue cycle operations, adapting seamlessly to meet your business office needs through all ebbs and flows. Our staffing solutions ensure consistent support and uninterrupted workflows, precisely aligned with your operational demands.
- Experienced Specialists for essential revenue cycle roles
- Seamless integration with existing teams
- Cost-effective solutions for short-term needs
Enhance Your Financial Operations
SCHEDULE A CONSULTATION
- Discover how Healthcare Chaos Management can transform your revenue integrity and claims management processes for better financial health.
Request a Demo
- See our solutions in action and understand how our advanced technologies can streamline your operations and improve your bottom line.
