Operating a practice in the Peace Garden State means navigating BCBSND complexities, expansive rural healthcare networks (IHS/RHCs), and strict Noridian (JE/JF) 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 North Dakota’s unique mix of urban hubs, extensive rural healthcare networks, and regional agricultural/industrial facilities.
AI-Driven Scrubbing
Our proprietary rules engine preemptively identifies coding errors and Noridian (JF) LCD mismatches before claims ever reach the payer, ensuring our 98% clean claim rate.
Dedicated ND Teams
You don’t get a generalized call center. You are assigned a dedicated pod of RCM specialists who strictly handle North Dakota accounts and understand the nuances of BCBSND commercial plans and rural clinic 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 North Dakota region.
Fargo
Primary Challenge: Serving as the largest medical hub in the region, dealing with complex multi-specialty referrals and high commercial plan density.
HBS Solution: Advanced clearinghouse rules engines tailored for complex commercial networks (BCBSND) and swift denial appeals to maintain high cash flow.
Top EHRs:
Epic | NextGen
Bismarck
Primary Challenge: Aging demographics driving high Medicare (Noridian) volume, chronic care management billing, and central location referrals.
HBS Solution: Strict adherence to Noridian (JF) LCDs, precise time-based CCM coding, and streamlined provider portal synchronization.
Top EHRs:
Epic | Athena
Grand Forks
Primary Challenge: Proximity to military facilities (Malmstrom AFB connections) and complex out-of-network processing for commercial plans.
HBS Solution: Direct TRICARE portal integration, managing complex authorizations, and aggressively appealing military-specific coding denials.
Top EHRs:
ModMed | eCW
Minot
Primary Challenge: High volume of Medicaid patients, requiring precise chronic care management and preventative billing.
HBS Solution: Strict adherence to CMS guidelines, precise time-based CCM coding, and aggressive appeals for medical necessity denials.
Top EHRs:
AdvancedMD | Kareo
Williston / Western ND
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:
Allscripts | Epic
Rural North Dakota
Primary Challenge: Rural Health Clinic (RHC) billing complexities, heavy reliance on Telehealth, Indian Health Service (IHS) facilities, and critical access hospitals.
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
North Dakota Success Stories.
Real data from practices across the Peace Garden State that transformed their revenue cycles by partnering with HBS.
Multi-Specialty Clinic
Fargo, ND
Struggled with massive A/R aging > 90 days due to complex BCBSND pre-authorizations and cross-network referral issues.
A/R > 90 Days
-73%
Monthly Cash Flow
+$124K
Orthopedic Center
Bismarck, ND
Plagued by high denial rates (23%) due to rural out-of-state billing errors and surgical coding issues.
Denial Rate
3.4%
Clean Claim Rate
98.5%
Secure Your ND Revenue Audit
Stop leaving money on the table. Our North Dakota specialists will analyze your revenue cycle and uncover hidden billing opportunities.