The Utah RCM Authority
Master Revenue in
Utah.
Salt Lake City.
Provo.
Park City.
St. George.
Operating a practice in the Beehive State means navigating Regence BCBS/SelectHealth complexities, seasonal mountain resort spikes, and strict Noridian (JE) 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 UT-GATEWAY
Noridian (JE)
LCD Scrubber Rules
Synced
Regence / SelectHealth
Policy & Modifiers
Active
Utah Medicaid
Provider Portal Sync
Scanning
Core Capabilities
The HBS Advantage in UT.
Beyond standard billing, we offer a comprehensive revenue cycle management ecosystem tailored specifically for Utah’s unique mix of rapidly growing tech hubs, seasonal mountain resorts, and expansive rural networks.
AI-Driven Scrubbing
Our proprietary rules engine preemptively identifies coding errors and Noridian (JE) LCD mismatches before claims ever reach the payer, ensuring our 98% clean claim rate.
Dedicated UT Teams
You don’t get a generalized call center. You are assigned a dedicated pod of RCM specialists who strictly handle Utah accounts and understand the nuances of SelectHealth commercial plans and out-of-state BlueCard processing.
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 Utah region.
Salt Lake City
Primary Challenge: Massive concentration of academic medical centers (University of Utah), highly competitive landscape, and complex multi-specialty network billing.
HBS Solution: Advanced clearinghouse rules engines tailored for complex teaching physician guidelines (modifiers GC, GE) and swift denial appeals to maintain high cash flow.
Top EHRs:
Epic | Cerner
Silicon Slopes / Provo
Primary Challenge: High-deductible tech demographics, rapid population growth leading to scaling issues for independent clinics, and concierge medicine hybrids.
HBS Solution: Advanced patient responsibility estimation tools, rigorous No Surprises Act compliance tracking, and highly scalable A/R rescue teams.
Top EHRs:
ModMed | eCW
Park City / Summit
Primary Challenge: Extreme seasonal orthopedic/trauma spikes from ski injuries and complex out-of-state BlueCard processing for tourists.
HBS Solution: Scalable RCM teams that adapt to winter volumes instantly and automated BlueCard routing for out-of-state tourist insurance plans.
Top EHRs:
AdvancedMD | Kareo
St. George
Primary Challenge: Aging demographics driving high Medicare (Noridian JE) volume, chronic care management billing, and proximity to AZ/NV borders.
HBS Solution: Strict adherence to Noridian (JE) LCDs, precise time-based CCM coding, and streamlined cross-state claims routing.
Top EHRs:
Allscripts | Athena
Ogden
Primary Challenge: Heavy military (Hill AFB) presence leading to high TRICARE and VA Community Care network utilization.
HBS Solution: Direct TRICARE West portal integration, managing complex authorizations, and aggressively appealing military-specific coding denials.
Top EHRs:
Epic
|
NextGen
Rural Utah
Primary Challenge: Rural Health Clinic (RHC) billing complexities, heavy reliance on Telehealth, and Utah Medicaid management.
HBS Solution: Deep expertise in PPS/encounter rate reconciliation, mastery of Telehealth modifiers (95, GT), and specialized RHC modifier management.
Top EHRs:
Elation | DrChrono
Proven Results
Utah Success Stories.
Real data from practices across the Beehive State that transformed their revenue cycles by partnering with HBS.
Multi-Specialty Clinic
Salt Lake City, UT
Struggled with massive A/R aging > 90 days due to complex commercial plan pre-authorizations and Noridian (JE) audits.
A/R > 90 Days
-75%
Monthly Cash Flow
+$135K
Orthopedic Center
Park City, UT
Plagued by high denial rates (23%) due to seasonal tourist out-of-state billing errors and surgical coding issues.
Denial Rate
3.4%
Clean Claim Rate
98.5%
Secure Your UT Revenue Audit
Stop leaving money on the table. Our Utah specialists will analyze your revenue cycle and uncover hidden billing opportunities.