Medical Billing Companies & Consultants in Babylon, NY

Overview

Healthcare Transitions Management, Inc., also known as HTM, is a medical billing and practice consulting firm based in Babylon, New York. It works with physician practices and other physician-owned groups. It takes over revenue cycle work so that in-house staff can concentrate on patients. The website names Long Island as its main service area and also says it serves the wider Tri-State region. That makes it a nearby option for practices in Nassau and Suffolk counties, including Freeport.

HTM's staff have a lot of experience running physician practices. The firm says its team has handled more than $150 million in yearly billed charges. It says its goals for clients are to raise revenue, cut overhead, speed up cash flow and keep billing compliant with regulations. Beyond daily billing work, the firm advises on operational problems and longer-term planning. It presents itself as a partner to practice leaders, not just a claims processor.

Services

Its main offering is a fully outsourced billing program adjusted to fit each practice. HTM describes it as a mix of professionally run claim work, customer service and receivables follow-up, all aimed at maximizing collections. Main areas include:

• Outsourced medical billing and electronic claim submission
• Accounts receivable management, including handling of claims and incoming payments
• Phone follow-up with insurance carriers on unpaid claims
• Routine resubmission of unpaid claims
• Taking over or working down existing receivables
• Practice management and strategic consulting
• Extra help for busy front-office and billing teams

How They Work With Clients

Getting started usually takes about 60 days. During that time HTM builds master files, writes procedures specific to the practice, and sets up electronic connections with payers so claims go out electronically instead of on paper. The firm warns against vendors that promise much faster launches. It argues that rushed timelines tend to mean shortcuts and paper claims. For balances that already exist before the switch, HTM usually suggests letting the current billing setup keep working them, or moving them over after roughly 90 more days. In some cases it will take over old receivables on the same day new billing goes live.

Follow-up is central to how HTM works. Besides routine resubmissions, staff call carriers directly to find out why a claim is still unpaid. The firm says many practices that do their own billing skip this step. It estimates that this kind of follow-up can raise gross revenue by as much as 20%. HTM judges its performance by net collection rate rather than gross. It says it expects to recover more than 95% on a net basis from insurers for patients with valid coverage, even if that takes several submissions.

Contract Terms and Pricing

Clients are not locked into long commitments. A practice can end the arrangement for any reason by giving written notice 60 days in advance, which helps groups facing mergers or system changes. Pricing is quoted for each practice after HTM reviews some basic information, which it keeps confidential. For buyers comparing billing vendors, HTM's main differences are its direct phone follow-up with carriers, its careful electronic setup, its flexible terms, and the consulting it offers on top of standard billing.