The Maryland RCM Authority
Master Revenue in
Maryland.
Baltimore.
Annapolis.
Frederick.
Bethesda.
Operating a practice in the Old Line State means navigating CareFirst BCBS complexities, cross-border DC/VA overlaps, and strict Novitas (JL) 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 MD-GATEWAY
Novitas (JL)
LCD Scrubber Rules
Synced
CareFirst BCBS
Policy & Modifiers
Active
MD HealthChoice
Provider Portal Sync
Scanning
Core Capabilities
The HBS Advantage in MD.
Beyond standard billing, we offer a comprehensive revenue cycle management ecosystem tailored specifically for Maryland’s unique mix of academic medical centers, competitive DC-metro networks, and distinct regulatory environment.
AI-Driven Scrubbing
Our proprietary rules engine preemptively identifies coding errors and Novitas (JL) LCD mismatches before claims ever reach the payer, ensuring our 98% clean claim rate.
Dedicated MD Teams
You don’t get a generalized call center. You are assigned a dedicated pod of RCM specialists who strictly handle Maryland accounts and understand the nuances of HealthChoice and cross-border DC/VA billing.
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 Maryland region.
Baltimore
Primary Challenge: Massive concentration of academic medical centers (Johns Hopkins, UMD), complex teaching physician rules, and high commercial plan density.
HBS Solution: Advanced clearinghouse rules engines tailored for complex teaching physician guidelines (modifiers GC, GE) and swift denial appeals.
Top EHRs:
Epic | Cerner
Annapolis
Primary Challenge: High volume of state employee health plans and HealthChoice (Maryland Medicaid) billing rules.
HBS Solution: Mastery of Maryland Medicaid portal synchronization, specific MCO coding guidelines, and optimizing public health claims.
Top EHRs:
Athena | eCW
Bethesda / Rockville
Primary Challenge: Proximity to DC requires meticulous cross-state billing (DC/VA/MD) and heavy out-of-network processing for high-density commercial plans.
HBS Solution: Advanced clearinghouse rules engines tailored for complex multi-state networks and rigorous No Surprises Act compliance tracking.
Top EHRs:
ModMed | NextGen
Frederick
Primary Challenge: Rapidly growing population leading to scaling issues for independent family practices and urgent cares.
HBS Solution: Rapid front-end eligibility verification and aggressive A/R rescue to handle surging patient volumes without hiring extra in-house staff.
Top EHRs:
AdvancedMD | Kareo
Salisbury / Eastern Shore
Primary Challenge: Aging demographics driving high Medicare (Novitas JL) volume, chronic care management, and seasonal tourist influxes.
HBS Solution: Strict adherence to Novitas LCDs, precise time-based CCM coding, and scalable RCM teams to manage summer tourist billing spikes.
Top EHRs:
Allscripts | Epic
Hagerstown / Rural MD
Primary Challenge: Rural Health Clinic (RHC) billing complexities, heavy reliance on Telehealth, and FQHC guidelines under HealthChoice.
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
Maryland Success Stories.
Real data from practices across the Old Line State that transformed their revenue cycles by partnering with HBS.
Multi-Specialty Clinic
Baltimore, MD
Struggled with massive A/R aging > 90 days due to complex academic center overlap and Novitas (JL) audits.
A/R > 90 Days
-76%
Monthly Cash Flow
+$138K
Cardiology Practice
Bethesda, MD
Plagued by high denial rates (23%) due to cross-border DC/VA routing errors and complex CareFirst BCBS pre-authorizations.
Denial Rate
3.4%
Clean Claim Rate
98.5%
Secure Your MD Revenue Audit
Stop leaving money on the table. Our Maryland specialists will analyze your revenue cycle and uncover hidden billing opportunities.