A Single Source Solution for
Maximizing Out-of-Network Reimbursements
- Authorizations
- GAP Exceptions
- Medical Billing
- Federal No Suprises Act Claims
- State Balance Billing Claims
- Complex Appeals
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MAXIMIZE YOUR REVENUE RECOVERY
Our Services
Our multidisciplinary approach to maximizing revenue recovery for the out-of-network provider community ensures a tailored approach to each claim, while our unique position as an affiliate of the law firm of Cohen Howard, LLP offers the added leverage of attorney intervention, as the need arises.
Expertise in the medical revenue recovery process, coupled with extensive knowledge in federal and state regulations, situates our clients to challenge the insurance companies effectively to maximize revenue recovery. Our extensive repository of historical payor payment data, insurance correspondence and plan documents create the leverage needed to achieve maximum success for our clients.
A single source solution provides our clients with a tailored, comprehensive strategy to level the playing field against insurance companies, as well as providing the ability to be nimble in a constantly changing health insurance industry.
We are more than just a revenue management company. We have operated in the trenches in the out-of-network insurance industry every day for over a decade. Our arsenal of proprietary data, intellectual property, industry reputation and relationships, makes us uniquely positioned to be successful for our clients.
We overcome the challenges of working on claims – at any stage of the claims process – whether it be obtaining authorizations for gap exceptions, billing medical claims, filing administrative appeals or federal or state independent dispute resolution arbitrations, or pursuing aged claims that have long been considered “dead claims” by your practice.
Providers are measured by many factors, with patient satisfaction being paramount to a practice’s livelihood. Providers get into medicine to care for patients, yet end up being confronted with a multitude of administrative burdens that can adversely impact patient relations, all in the pursuit of attempting to get rightfully paid for services rendered. We are committed to helping providers get back to what they do best, practicing medicine.
About Us
We Offer A Unique 360 Comprehensive Solution to Simplify Your Revenue Cycle Management
We Are a Single Source Solution
More Than Just a Revenue Management Company
We are more than just a revenue management company — we are a single source solution for your practice. We have operated in the trenches in the out-of-network insurance industry, every day for over a decade. Our arsenal of proprietary data, intellectual property, industry reputation and relationships, makes us uniquely positioned to be successful for our clients. Our multidisciplinary approach to maximizing revenue recovery for the out-of-network provider community ensures a tailored approach to each claim, while the unique relationship with the law firm of Cohen Howard, LLP provides a distinctive opportunity for clients to leverage a broad range of expertise to solve complicated problems.
Why Trust Us?
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About Us
Built from the Law, Engineered by Regulatory & Medical Experts
CH Revenue Management Solutions services come with a unique feature: the comfort of knowing that we were developed by experienced lawyers, ERISA and state regulatory experts and medical specialists. Our knowledge of the out-of-network provider community is the foundation of every aspect, strategy, and best practice CHRMS uses in the claims’ revenue management process. At CHRMS, your revenue management team is empowered with a keen understanding of the patterns, practices and tactics that the commercial insurance companies use to wrongfully limit payment to medical providers.
MAXIMIZE PAYMENTS FROM THE START
Our Focus in Billing & Payor Collection Operations
Many billing and collections companies focus on volume. The more claims processed the more money is made by the billing operation even if the provider is being paid only a fraction of the billed charges. In addition, practices often allocate time and resources to pursue collections from patients for outstanding balances not paid by the payors. Our approach is vastly different than any typical billing and/or collections company. We focus on pursuing fair payment from the payors rather than patients by offering a sophisticated billing service that sets up your claims management cycle to optimize payment from the start.
Providers are measured on many factors with patient satisfaction being paramount to a practice’s livelihood. Providers get into medicine to care for patients and end up being confronted with a multitude of administrative burdens that can adversely impact patient relations all in the pursuit of attempting to get fairly paid for services rendered. We are committed to helping providers get back to what they do best, practicing medicine.