Medical Billing Companies & Consultants in Moosic, PA

Healthcare Management Resources, Inc., known as HMR, is a Pennsylvania company that provides business management support to medical providers. It has worked in healthcare administration for more than twenty years. Billing and collections are its best-known services, but it also takes on most of the back-office work a practice needs. A provider can hand HMR one task or a large share of its operations. The firm describes its service as a less costly option than hiring a large consulting firm.

Medical Billing and Revenue Cycle

HMR's billing and collections work covers the full revenue cycle, from the first patient registration through final payment. Buyers comparing billing vendors will find these services listed:

• Charge entry, plus electronic and manual payment posting
• Claims processing and coding of procedures
• Collections management with follow-up letters to payers and patients
• Monthly reports and accounts receivable aging
• A yearly review of the fee schedule, with changes where needed
• Negotiation of managed care contracts
• Regular compliance checks, support with admission and registration, and medical records management

Credentialing, Compliance and Practice Support

HMR also handles work that affects how fast and how fully claims get paid. Its credentialing team files Medicare 855 enrollments and enrolls providers with other insurers. It also gathers paperwork for new providers, tracks license renewals and CME deadlines, and supports accreditation with bodies such as JCAHO, ACR, ACRO and the ASC association. On the compliance side, HMR reviews charts, checks coding and billing rules, and trains staff on billing and documentation. Its information management team can analyze patient mix and payor mix, help with HIPAA readiness, and move data between systems.

Broader Business Management

Beyond billing, HMR offers accounting, including financial statements, budgets, cash management and liaison work with outside CPAs. It also runs payroll, with direct deposit, quarterly payroll tax filings and W-2 preparation. Other services include human resources, practice management, marketing, consulting, and purchasing and contracting. Its HR and practice management work covers recruiting physicians, designing benefits, HIPAA and OSHA training, securing hospital privileges, and studying patient flow. Its consultants look at how changes in law or reimbursement could affect a practice, review physician pay, and carry out due diligence and feasibility studies.

How They Work With Clients

HMR packages its services in two ways. New organizations can get a complete package that sets up their business operations from the start. Established providers can hand over a single function at a time. The firm says it begins by reviewing the client's organization and then suggests changes to make better use of its staff and money. It describes its team as well educated and experienced. HMR's listed office is in Moosic, Pennsylvania, near Wilkes-Barre. That makes it a local choice for practices in Northeastern Pennsylvania that want billing support with wider administrative help available from the same firm.