The Minnesota RCM Authority
Master Revenue in
Minnesota.
Minneapolis.
St. Paul.
Rochester.
Duluth.
Operating a practice in the North Star State means navigating BCBSMN and HealthPartners complexities, dense Twin Cities ACO networks, and strict NGS (J6) 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 MN
$2B
Revenue Managed
- HBS MN-GATEWAY
NGS (J6)
LCD Scrubber Rules
Synced
BCBSMN / HealthPartners
Policy & Modifiers
Active
Michigan Medicaid
Provider Portal Sync
Scanning
Core Capabilities
The HBS Advantage in MN.
Beyond standard billing, we offer a comprehensive revenue cycle management ecosystem tailored specifically for Minnesota’s mix of massive academic health systems, robust HMO networks, and essential rural clinics.
AI-Driven Scrubbing
Our proprietary rules engine preemptively identifies coding errors and NGS (J6) LCD mismatches before claims ever reach the payer, ensuring our 98% clean claim rate.
Dedicated MN Teams
You don’t get a generalized call center. You are assigned a dedicated pod of RCM specialists who strictly handle Minnesota accounts and understand the nuances of HealthPartners, Medica, UCare, and MHCP guidelines.
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 Minnesota region.
Twin Cities Metro
Primary Challenge: Extreme concentration of Accountable Care Organizations (ACOs), highly competitive landscape, and high HMO penetration (HealthPartners/Medica).
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 | Allscripts
Rochester
Primary Challenge: Massive Mayo Clinic ecosystem overlap requires managing complex tertiary care referrals and international/out-of-state patient billing.
HBS Solution: Direct portal management, automated BlueCard routing, and precise adherence to specialized procedure coding guidelines for maximum compliance.
Top EHRs:
Epic | Cerner
Duluth / Arrowhead
Primary Challenge: Proximity to the Wisconsin border requires meticulous cross-state billing, managing rural outreach networks, and IHS facility overlaps.
HBS Solution: Advanced clearinghouse rules engines tailored for cross-border commercial networks and specialized encounter rate billing.
Top EHRs:
Meditech | Epic
St. Cloud
Primary Challenge: Serving as a regional medical hub for central Minnesota, resulting in complex Medicaid (MHCP) referral billing and rapidly growing clinic networks.
HBS Solution: Streamlined MHCP portal synchronization and rapid front-end eligibility verification for referred out-of-network patients.
Top EHRs:
Athena | eCW
Mankato / Southern MN
Primary Challenge: Aging demographics driving high Medicare (NGS J6) volume, chronic care management billing, and cross-border IA patient complexities.
HBS Solution: Strict adherence to NGS LCDs, precise time-based CCM coding, and streamlined cross-state claims routing.
Top EHRs:
NextGen | AdvancedMD
Rural Minnesota
Primary Challenge: Rural Health Clinic (RHC) billing complexities, heavy reliance on Telehealth, and Critical Access Hospitals (CAH) across wide geographical areas.
HBS Solution: Deep expertise in PPS rate reconciliation, mastery of Telehealth modifiers (95, GT), and specialized RHC/CAH modifier management.
Top EHRs:
Elation | DrChrono
Proven Results
Minnesota Success Stories.
Real data from practices across the North Star State that transformed their revenue cycles by partnering with HBS.
Multi-Specialty Clinic
Minneapolis, MN
Struggled with massive A/R aging > 90 days due to complex HealthPartners/Medica pre-authorizations and NGS (J6) audits.
A/R > 90 Days
-76%
Monthly Cash Flow
+$138K
Orthopedic Center
Rochester, MN
Plagued by high denial rates (23%) due to complex tertiary referral coding and out-of-state BlueCard routing errors.
Denial Rate
3.4%
Clean Claim Rate
98.6%
Secure Your MN Revenue Audit
Stop leaving money on the table. Our Minnesota specialists will analyze your revenue cycle and uncover hidden billing opportunities.