The Indiana RCM Authority
Master Revenue in
Indiana.
Indianapolis.
Fort Wayne.
Evansville.
South Bend.
Operating a practice in the Hoosier State means navigating Anthem BCBS complexities, massive industrial healthcare networks, and strict WPS (J8) guidelines. We engineer 98% clean claim rates to ensure your cash flow never stalls.
Takes less than 60 seconds
98%
Clean Claims
9+
Years in AL
$2B
Revenue Managed
- HBS IN-GATEWAY
WPS (J8)
LCD Scrubber Rules
Synced
Anthem BCBS IN
Policy & Modifiers
Active
Indiana Medicaid
Provider Portal Sync
Scanning
Core Capabilities
The HBS Advantage in IN.
Beyond standard billing, we offer a comprehensive revenue cycle management ecosystem tailored specifically for Indiana’s unique mix of sprawling industrial healthcare networks and rural clinics.
AI-Driven Scrubbing
Our proprietary rules engine preemptively identifies coding errors and WPS (J8) LCD mismatches before claims ever reach the payer, ensuring our 98% clean claim rate.
Dedicated IN Teams
You don’t get a generalized call center. You are assigned a dedicated pod of RCM specialists who strictly handle Indiana accounts and understand the nuances of Anthem commercial plans and state Medicaid.
Transparent Analytics
Stop guessing about your financial health. We provide real-time, granular dashboards showing exact A/R aging, denial reasons, and daily cash flow projections.
Seamless Transition
How We Partner With You.
We designed our onboarding to be frictionless. We integrate with your existing systems without disrupting your daily patient care.
1
Deep-Dive Audit
We analyze your historical data to identify leaks in your revenue cycle.
2
EHR Integration
Secure, remote tunnels into your Epic, Cerner, Athena, or cloud EHR system.
3
A/R Rescue
Our specialists immediately attack your aging buckets (>90 days).
Maximized Profit
Clean claims go out daily. Revenue goes up. You focus on patients.
Operational Footprint
Statewide Integration.
We securely tunnel into your existing EHR remotely, providing world-class RCM support across the state. We understand the specific payer nuances in every major Indiana region.
Indianapolis
Primary Challenge: Massive concentration of competing health systems, complex multi-specialty practices, and high commercial plan density (Anthem BCBS).
HBS Solution: Advanced clearinghouse rules engines tailored for complex commercial networks and swift denial appeals to maintain high cash flow amidst competition.
Top EHRs:
Epic | NextGen
Fort Wayne
Primary Challenge: Rapidly growing population leading to scaling issues for independent clinics and an influx of complex policies.
HBS Solution: Rapid front-end eligibility verification and highly scalable A/R rescue teams to handle surging patient volumes without hiring extra in-house staff.
Top EHRs:
Cerner | Athena
Evansville
Primary Challenge: Aging demographics driving high Medicare (WPS) volume and complex chronic care management billing.
HBS Solution: Strict adherence to WPS (J8) LCDs, precise time-based CCM coding, and aggressive appeals for medical necessity denials.
Top EHRs:
ModMed | eCW
South Bend
Primary Challenge: Serving as a regional medical hub for surrounding rural counties, resulting in complex cross-network and Medicaid referral billing.
HBS Solution: Streamlined Indiana Medicaid portal synchronization and rapid front-end eligibility verification for referred out-of-network patients.
Top EHRs:
AdvancedMD | Kareo
Gary
Primary Challenge: Heavy industrial/manufacturing presence leading to high workers’ compensation volume and cross-border IL patient billing.
HBS Solution: Aggressive documentation attachment protocols for workers’ comp and specialized rules for multi-state commercial networks.
Top EHRs:
Allscripts | Epic
Rural Indiana
Primary Challenge: Rural Health Clinic (RHC) billing complexities, heavy reliance on Telehealth, and Indiana Medicaid billing rules.
HBS Solution: Deep expertise in PPS rate reconciliation, mastery of Telehealth modifiers (95, GT), and specialized RHC modifier management.
Top EHRs:
Elation | DrChrono
Proven Results
Indiana Success Stories.
Real data from practices across the Hoosier State that transformed their revenue cycles by partnering with HBS.
Multi-Specialty Clinic
Indianapolis, IN
Struggled with massive A/R aging > 90 days due to complex commercial plan pre-authorizations and WPS (J8) audits.
A/R > 90 Days
-73%
Monthly Cash Flow
+$126K
Orthopedic Center
Fort Wayne, IN
Plagued by high denial rates (22%) due to complex workers’ compensation claims and surgical coding errors.
Denial Rate
3.4%
Clean Claim Rate
98.5%
Secure Your IN Revenue Audit
Stop leaving money on the table. Our Indiana specialists will analyze your revenue cycle and uncover hidden billing opportunities.