Medical Billing Services in Hawaii

Our Reliable & compliant medical billing services for healthcare practices in Hawaii ensure HIPAA-compliant billing with 99% claim acceptance rate. Our specialty-focused medical billers improve your collections and minimize denials by 70%.

Why Outsource Medical Billing in Hawaii?

Operational Efficiency

Achieving operational efficiency is difficult with an in-house team which is already under stress with billing and coding tasks. Hawaii medical billing services from Medheave offer dedicated attention to revenue cycle management so your team may only focus on patient care.

Changing Policies

Government and commercial insurance policies are always changing, being abreast with them helps in faster claim processing. Outsourcing allows certified RCM experts to work on your patient billing and coding on the basis of updated and complete knowledge of these policies.

Reduced Costs

Outsourcing Medheave’s physician billing Hawaii reduces your practice’s operational expenses by 70%. Beside offering you quality-centric revenue cycle management solutions, we help you in reducing reliance on unskilled teams, increasing revenue stream significantly. Our services are most economical in Hawaii.

Better Compliance

Our Hawaii revenue cycle management services help providers in achieving Hawaii-specific compliance expertise. With our assistance medical practices may reduce penalties, fines pertaining to local laws impacting billing (e.g.,Hawaii QUEST Medicaid program). Our transparent and digital-first billing systems reduce deviation from industry standards.

Our Revenue Cycle Management
Solutions

Medical Coding services

Our medical coding services entails AHIMA and AAPC-certified medical coding experts utilizing their decade old expertise and precision in assigning accurate medical diagnosis codes. We help your clinical practices in eliminating coding errors, use of upcoding, downcoding and invalid coding practices to boost financial health.

Denial Management & Appeals

Our HIPAA-compliant billing software integration allows Hawaii-based healthcare practices to minimize claim denials by 70%. We offer a detailed analysis of the main internal and external causes and take remedial actions to resolve the issue with prompt appeal filing and employ preventive measures to prevent recurrences.

Eligibility & Benefits Verification

Our medical billing solutions for clinics in Hawaii allows healthcare practices and their team to perform prompt insurance eligibility verifications without wasting any time of patients. This allows providers to render services to eligible patients with valid insurance plans, helping in minimizing denials right from the

Physician Credentialing

We provide tailored solutions to providers practicing in Hawaii in updating their credentials and get enrolled with different government and commercial payers to fulfill Hawaii-specific payer requirements. Our credentialing services cover NPI registration, re-credentialing, CAQH updates, etc. We help you increase the patient pool by in-network and out-of-network enrollment.

Accounts Receivable Recovery

Medheave Insurance claims management in Hawaii helps providers in account receivables.Our account receivable manager leverages the use of AI to recover unpaid accounts. All past dues aging 90-120 days are communicated via call, text, mail, email on a daily basis to ensure smooth AR recovery of dues to prevent bad debts.

Accurate Claim Submission

Healthcare billing services in Hawaii may utilize the services of our dedicated account managers submitting every medical claim within a 24-hour timeline. After claim submission, comprehensive and robust follow-up steps are taken to facilitate any shortcomings like typos or invalid coding, etc.

Analytics Reporting

Our advanced data analytics and reporting dashboard give full access to healthcare providers and practices throughout Hawaii on daily claim submissions, denials, appeals, A/R recoveries. A holistic view on the entire revenue cycle helps these clinics/hospitals in making informed decisions rapidly to support financial health cost-effectively.

Prior Authorization

Our medical billing experts in Hawaii increase your practice's adherence with compliance by 100%. To strengthen your revenue cycle, Medheave’s billing and coding specialists obtain authorization from insurance companies 24-48 hours prior to procedures and encounters to facilitate faster reimbursements and minimize denials. 

Hawaii-Specific Billing Expertise

Local Insurance Payers

Our local medical billing team is well-versed in local healthcare payors (HMSA, Med-QUEST, Kaiser) policies, etc. We help you in faster claim submissions and reimbursement processes.

Compliance with Hawaii Regulations

We help medical practitioners in maintaining 100% compliance and effectively manage state-specific challenges (Medicaid/Med-QUEST, HMSA, Kaiser Hawaii, local payer landscape), etc effortlessly.

Billing for Multiple Specialties

Our medical billing services in Hawaii offers a wide variety of specialty coverage for all healthcare practices in the state including:
Podiatry Behavioral Health Internal Medicine
Mental Health Private Practices Specialty Clinics (e.g., behavioral health, OB/GYN, chiropractic)
Ambulatory Surgical Centers Primary Care Endocrinology
Family Medicine Providers Urgent Care Centers Oncology
Rural Health Clinics Multi-specialty group practices Chiropractic and Physical Therapy

Benefits of Partnering with Medheave in Hawaii

Cost Savings

We offer a variety of benefits to healthcare facilities in Hawaii. Among them, cost savings on operational expenses, training and hiring additional or existing staff may result in up to 50% expenditure reduction.

Improved Cash Flow

Outsourcing our billing company improves the revenue cycle stream and helps better management of your earnings. Our medical billing team ensures claims are processed and submitted promptly so your practice avoids cash flow problems.

Access to Advanced Technology

We use state-of-the-art medical billing software that helps in avoiding common typos and billing errors. Automated billing, coding and claim processing systems may help improve accuracy, error-detection and accurate patient records

Increased Efficiency

Our skilled, trained team having certifications from top institutions provides unparalleled results. Outsourcing our billing staff streamline your practice’s billing process and increase efficiency of revenue cycle output for Hawaii-based providers.

Better Customer Service

Our trained and friendly billing staff ensures patient satisfaction as a paramount factor for retaining and increasing the pool of patients. We also take actions on patient inquiries and issues so they are addressed promptly and professionally

‍Reduced Risk

We help Hawaii-based providers in reducing risks associated with incorrect billing and coding practices of their in-house team. Our internal quality assurance team checks each claim multiple times for any upcoding, downcoding and common errors so the claim is processed accurately and securely.

Technology & EHR/EMR Integration

Our billing and coding experts provide end-to-end RCM services and best-in-class billing software integration to medical facilities across Hawaii, irrespective of their practice type and size. Patient billing software we use offers greater EHR/EMR compatibility utilizing advanced cloud-based systems for custom workflows, streamlining the entire revenue cycle process. We have proficient team of medical billers, ready to demonstrate their capabilities on various type of software including:

Get a Free Billing Consultation in Hawaii

Frequently Asked Questions (FAQs)

How do you handle Medicaid billing for Hawaii-based providers?
Our RCM experts have vast experience in Medicaid billing and coding practices. Medheave’s local healthcare billing experts stay updated with local, state and federal healthcare guidelines and help your practice in compliance with regulations. Additionally, we provide our billing and coding team refresher training on CMS (Centers for Medicare & Medicaid Services) protocols, helping your practice to get maximum benefits from treating patients under this insurance plan.
Our latest medical billing software is highly versatile and suitable to all approved Hawaii-based EHR systems or software in use by your practice to offer you:
  • Automated charge capture and claim submission.
  • Secure data transfers with HIPAA compliance.
  • Custom workflow improvement to improve efficiency.
  • We at Medheave medical billing consultancy company serve more than 50 medical specialties across all cities and islands of Hawaii. The most common specialties we are working with includes:
  • Podiatry
  • Mental & Behavioral health
  • Internal Medicine
  • Pediatrics
  • Neurology
  • General Surgery
  • Orthopedics
  • OB/Gyn
  • Cardiology
  • Endocrinology, etc
  • Yes absolutely, our credentialing and enrollment managers are well-reputed in resolving this complicated and time-consuming process. We help newly established providers and medical practices in getting credentialed, enrolled in different payer programs like in-network, out-of-network and out of contract negotiations. Our assistance allows healthcare practitioners to get contracts on favorable terms and increase the number of patients treated at their clinic and get paid without any unfair deduction.
    Medheave is a household name in Hawaii and across the USA. We have more than 15 years of experience in resolving revenue cycle issues for providers based here. Beside a HIPAA-compliant medical billing company, we offer a complete suite of medical billing and coding services including provider credentialing, enrollment and contracting, prior-authorization, insurance eligibility verifications, denial management, account receivable recoveries, data analytics and forecasting services. Offering end-to-end billing management with a complete package puts us in a unique situation where no other company matches us.
    Our medical coding team uses the latest CPT, ICD-10, HCPCS codes ensuring precision and accuracy in assigning accurate diagnostic and procedure codes. Additionally, our medical billing software is based on secure and HIPAA-compliant systems, keeping your patients’ confidential financial and personal data secure from cyber-attacks.
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