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Critical Care

Enhancing Revenue Cycle Management for Emergency Services

In emergency services, where rapid and efficient care is critical, effective revenue cycle management (RCM) is essential for ensuring financial stability while providing life-saving care. At One Hive, we offer specialized RCM solutions designed specifically for emergency services. Our expertise helps your practice navigate the complexities of emergency care billing, so you can focus on delivering prompt and effective patient care.

Complexities

Unique Challenges in Emergency Services RCM

Emergency services involve a high volume of unpredictable and urgent care situations, presenting several challenges for the revenue cycle

Complex Coding and Documentation

Emergency care often involves complex procedures and a variety of diagnoses, requiring precise coding and comprehensive documentation to ensure accurate billing and reimbursement.

High Patient Volume and Variety

The wide range of conditions and the fast-paced environment can complicate billing processes, making it essential to manage claims efficiently and accurately.

Insurance and Payer Issues

Navigating payer policies for emergency services, including coverage limitations and reimbursement rates, can be challenging and lead to claim denials or delays.

Regulatory Compliance

Ensuring compliance with regulatory standards and maintaining accurate documentation are crucial for avoiding audit issues and securing appropriate reimbursement.

Innovative solutions

Our Innovative Approach to Emergency Services RCM

At One Hive, we provide a suite of RCM services tailored to the needs of emergency services

Specialized Coding and Billing

Our team is adept at managing the complex coding and billing requirements for emergency services, ensuring accurate claims submission and optimizing reimbursement.

Efficient Claims Management

We streamline the claims process for high-volume emergency care, reducing the risk of denials and accelerating revenue flow.

Payer Relations and Optimization

We handle payer negotiations and address reimbursement challenges, ensuring that you receive fair compensation for the critical services provided.

Rigorous Compliance and Documentation

Our solutions include comprehensive documentation practices and compliance management to meet regulatory standards and minimize audit risks.

Customizable RCM Solutions

Recognizing that each emergency services practice has unique needs, we offer flexible RCM solutions tailored to your specific operational and financial goals.

let's Start

Partner with Us for Success in Emergency Services RCM

In the demanding field of emergency services, partnering with a dedicated RCM provider can significantly enhance your practice’s financial health and operational efficiency. One Hive is committed to delivering specialized RCM services that support your practice’s success and optimize your revenue cycle.

Contact us today to learn how our expertise in emergency services RCM can benefit your practice and improve your financial outcomes.

Case Studies

Popular Use Cases

Medical Coding

4.8

(5.8K +)

Cardiology Case Study

Client: A large cardiology practice struggling with claim denials for complex cardiac procedures. 

  • Challenge: The practice was facing a high denial rate for procedures like cardiac catheterizations and echocardiograms due to coding errors and insufficient documentation. 
  • Solution: We implemented a tailored RCM solution focused on accurate coding (CPT and ICD-10) and pre-authorization workflows. Our team provided specialized training to ensure cardiologists and staff understood the importance of detailed documentation for these high-value procedures. 
  • Result: Denial rates dropped by 30%, and overall collections increased by 20% within six months. 

Medical Billing

4.8

(5.8K +)

Oncology Case Study

Client: A multi-location oncology clinic experiencing slow reimbursements from payers. 

  • Challenge: The clinic’s complex chemotherapy billing, along with frequent coding errors, resulted in delayed payments and denials. 
  • Solution: We optimized their billing processes, ensuring accurate coding for drug administration, therapies, and supportive care. We also developed a system for monitoring claims and tracking prior authorizations to minimize delays. 
  • Result: Claims processing times were reduced by 40%, and their accounts receivable over 90 days decreased by 25%. 

Transcription

4.8

(5.8K +)

Orthopedics Case Study

Client: An orthopedic group facing issues with high patient balances post-surgery. 

  • Challenge: Many patients were unaware of their out-of-pocket costs, leading to a high volume of unpaid bills after surgeries. 
  • Solution: We created a patient financial engagement plan that provided upfront cost estimates based on insurance benefits and out-of-pocket requirements. Our RCM team also implemented automated payment plans for patients. 
  • Result: The practice saw a 35% increase in patient collections and a 20% reduction in the time it took to receive payments from patients. 

Medical Coding

4.8

(5.8K +)

Pediatrics Case Study

Client: A pediatric practice with a high rate of claim rejections due to coding inconsistencies. 

  • Challenge: The practice struggled with frequent rejections on well-child visits and immunizations, which affected their revenue stream. 
  • Solution: We worked with the pediatricians to ensure proper coding for preventive care and vaccinations, while also enhancing their billing software to identify errors before submission. 
  • Result: The claim rejection rate dropped by 45%, and the practice experienced a 15% increase in monthly revenue. 

Medical Billing

4.8

(5.8K +)

Behavioral Health Case Study

Client: A behavioral health clinic dealing with denied mental health service claims. 

  • Challenge: The clinic faced constant challenges from payers regarding the medical necessity of services, which led to claim denials. 
  • Solution: Our team provided detailed training on the necessary documentation to establish medical necessity. We also revamped their claim appeals process and set up follow-up procedures for denied claims. 
  • Result: The clinic reduced their denial rate by 50% and increased collections by 18%. 

Testimonial

What Our Clients Say

Our doctors’ testimonials showcase how OneHive’s RCM solutions have streamlined billing, improved cash flow, and enhanced patient care. Their feedback underscores our commitment to efficiency and exceptional support.

4.9 Rated

4.9/5

Partnering with OneHive Billing Solutions has been a game-changer for my practice. Their team handles everything from billing to denial management with incredible efficiency, allowing me to focus solely on my patients. My revenue has never been this consistent!

Dr. Sarah Mitchell

@Family Medicine

5.0 Rated

5/5

What sets OneHive Billing Solutions apart is their personalized approach and commitment to excellence. From the moment we signed on, they’ve been proactive in resolving billing issues, improving cash flow, and keeping us compliant. They’re a fantastic partner!

Dr. Angela Lee

@Dermatologist

4.9 Rated

4.9/5

I used to spend hours dealing with billing errors and insurance claims. Since we started working with OneHive Billing Solutions, I’ve seen a 30% improvement in collections, and my claims are getting paid faster than ever. Their expertise is unmatched.

Dr. James Carter

@Cardiologist

4.8 Rated

4.8/5

I’ve worked with other RCM companies in the past, but none have matched the level of service and results we’ve experienced with OneHive Billing Solutions. Their attention to detail and quick follow-up on denied claims have been essential in growing my practice’s revenue.

Dr. Michael Brown

@Neurologist

5.0 Rated

5/5

Before OneHive Billing Solutions, we struggled with delayed payments and high denial rates. Their streamlined process has transformed our revenue cycle, and I no longer worry about unpaid claims. They truly understand the needs of physicians.

Dr. William Harris

@Orthopedic Surgeon

4.9 Rated

4.9/5

The team at OneHive Billing Solutions is highly professional and knowledgeable. They’ve significantly reduced our claim rejection rates, and their reporting tools provide valuable insights into our financial health. I highly recommend their services to any medical practice!

Dr. Emily Rodriguez

@Pediatrician