Operating a practice in the Sooner State means navigating BCBSOK complexities, expansive rural and IHS healthcare networks, and strict Novitas (JL) guidelines. We engineer 98% clean claim rates to ensure your cash flow never stalls.
Beyond standard billing, we offer a comprehensive revenue cycle management ecosystem tailored specifically for Oklahoma’s unique mix of urban centers, expansive rural networks, and Indian Health Service (IHS) facilities.
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 OK Teams
You don’t get a generalized call center. You are assigned a dedicated pod of RCM specialists who strictly handle Oklahoma accounts and understand the nuances of BCBSOK commercial plans, SoonerCare, and IHS 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 Oklahoma region.
Oklahoma City Metro
Primary Challenge: Largest concentration of competing health systems (Integris, OU Health), complex multi-specialty practices, and high commercial plan density (BCBSOK).
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 | Cerner
Tulsa
PrimaryChallenge: High volume of state employee health plans and SoonerCare (Medicaid MCOs) billing rules.
HBS Solution: Mastery of OK Medicaid portal synchronization, specific SoonerCare coding guidelines, and optimizing public health claims.
Top EHRs:
Athena | eCW
Norman / Lawton
Primary Challenge: Proximity to the Texas border requires meticulous cross-state billing and out-of-network processing for commercial plans.
HBS Solution: Advanced clearinghouse rules engines tailored for complex multi-state commercial networks and swift denial appeals.
Top EHRs:
ModMed | NextGen
Enid / NW Oklahoma
Primary Challenge: Energy/oil industry demographics leading to high workers’ compensation volume and transient patient billing.
HBS Solution: Aggressive documentation attachment protocols for workers’ comp and rapid front-end eligibility verification.
Top EHRs:
AdvancedMD | Kareo
Stillwater
Primary Challenge: University student health plans, transient demographics, and out-of-state BlueCard processing complexities.
HBS Solution: Automated BlueCard routing and rigorous No Surprises Act compliance tracking to protect revenue from out-of-network disputes.
Top EHRs:
Allscripts | Epic
Rural OK / IHS Facilities
Primary Challenge: Rural Health Clinic (RHC) billing complexities, heavy reliance on Telehealth, and Indian Health Service (IHS) facility guidelines.
HBS Solution: Deep expertise in PPS/encounter rate reconciliation, mastery of Telehealth modifiers (95, GT), and specialized RHC/IHS modifier management.
Top EHRs:
Elation | DrChrono
Proven Results
Oklahoma Success Stories.
Real data from practices across the Sooner State that transformed their revenue cycles by partnering with HBS.
Multi-Specialty Clinic
Oklahoma City, OK
Struggled with massive A/R aging > 90 days due to complex commercial plan pre-authorizations and Novitas (JL) audits.
A/R > 90 Days
-74%
Monthly Cash Flow
+$132K
Family Practice
Tulsa, OK
Plagued by high denial rates (23%) due to SoonerCare modifier errors and Telehealth coding issues.
Denial Rate
3.4%
Clean Claim Rate
98.5%
Secure Your OK Revenue Audit
Stop leaving money on the table. Our Oklahoma specialists will analyze your revenue cycle and uncover hidden billing opportunities.