Healthcare Management Solutions, LLC

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We provide management solutions for healthcare providers including full outsourced billing services, account receivable recovery, auditing and consulting services.

10/12/2026

Not every revenue leak shows up as a denial.

Sometimes the problem happens earlier:
1. Eligibility was not verified correctly.
2. Authorization requirements were missed or not tracked.
3. A completed visit never made it to billing.
4. A rejected claim never reached the payer.

That is why denial rate alone does not tell the whole story.

A healthy revenue cycle follows the claim from scheduled service through final payment not just after something goes wrong.

Which one does your team audit most consistently?

Caring for others starts with remembering that you deserve care, too. 💚This World Mental Health Day, Healthcare Manageme...
10/10/2026

Caring for others starts with remembering that you deserve care, too. 💚

This World Mental Health Day, Healthcare Management Solutions recognizes the people behind the care providers, practice owners, administrative teams, and billing professionals.

Behind the appointments, deadlines, and daily responsibilities are people who deserve to feel heard and supported.

Let’s make space to check in with a colleague, listen without judgment, and have honest conversations about workload and support.

Care, connection, and compassion belong in every workplace.

Physical therapy authorization math:EMR: “One visit remaining.”Payer portal: “Zero visits remaining.”Spreadsheet: “Maybe...
10/09/2026

Physical therapy authorization math:

EMR: “One visit remaining.”
Payer portal: “Zero visits remaining.”
Spreadsheet: “Maybe?”
Billing team: “Nobody move. We’re verifying.”

Visit limits and authorizations are one of those areas where one missed update can turn into a denial later.

Humor aside: document the authorization number, approved dates, approved units/visits, and remaining balance somewhere your team can reliably track.

PT teams: what authorization issue makes you check the portal twice?

PT practices: what creates the biggest billing headache for your team?A. Authorizations and visit limitsB. Timely docume...
10/07/2026

PT practices: what creates the biggest billing headache for your team?

A. Authorizations and visit limits
B. Timely documentation
C. Denials and payer edits
D. A/R follow-up

There is rarely just one challenge but usually one area creates more rework than the others.

Which one would you fix first?

Comment A, B, C, or D and tell us what creates the most work.

Billing does not start when the claim is submitted.It starts before the first visit.A few front-end details that can aff...
10/05/2026

Billing does not start when the claim is submitted.

It starts before the first visit.

A few front-end details that can affect payment:
• Is the insurance information current?
• Is authorization required and are the approved visits/units tracked?
• Does the documentation support the services billed?
• Are coding and modifiers appropriate for the payer?
• Is the claim released promptly and accurately?

Strong revenue cycles are built upstream. The cleaner the process before submission, the less time your team spends fixing preventable issues later.

Save this as a front-end billing check for your practice.

October is National Physical Therapy Month a great opportunity to recognize the physical therapists and physical therapy...
10/02/2026

October is National Physical Therapy Month a great opportunity to recognize the physical therapists and physical therapy teams helping people move better, recover from injury, manage chronic conditions, and return to the activities that matter to them.

At HMS, we also see the work happening behind the scenes: documentation, authorizations, coding, claims, follow-up, and all the administrative details required to keep a practice moving.

To the physical therapists and teams we work with: thank you for the work you do for your patients and communities.

Tag a PT or PT practice making a difference.

October is Breast Cancer Awareness Month. 🎀Behind every pink ribbon is a person, a family, and a story that deserves com...
10/01/2026

October is Breast Cancer Awareness Month. 🎀

Behind every pink ribbon is a person, a family, and a story that deserves compassion and support.

At Healthcare Management Solutions, we honor those living with breast cancer, celebrate survivors, remember those we have lost, and recognize the caregivers and healthcare professionals who walk alongside them.

This month, let’s turn awareness into kindness. Check in on someone, offer a helping hand, or simply make space to listen.

Honoring every story. Supporting every journey. 💗

Your billing team should never stop learning because the industry never stops changing.This week, HMS attended the 26th ...
09/11/2026

Your billing team should never stop learning because the industry never stops changing.

This week, HMS attended the 26th Annual AMBA National Medical Billing & Coding Conference in Las Vegas for two days focused on education, collaboration, and connecting with professionals throughout the medical billing and revenue cycle industry.

And we are coming home with ideas we can put to work.

From denial management and winning appeals to payer contracting and building high-performing billing teams, the conversations reinforced something we believe strongly at Healthcare Management Solutions:

Great medical billing requires more than knowing how to submit a claim.

It requires understanding why claims aren’t paying, recognizing payer patterns, knowing when and how to appeal, understanding contracts, improving processes upstream, and continually adapting as healthcare reimbursement changes.

That’s why continuing education isn’t simply professional development for us. It is part of how we serve our clients.

When we invest in staying current, asking better questions, learning from other industry professionals, and strengthening our processes, that knowledge comes back to the practices that trust us with their revenue cycle.

We’re returning from with new connections, new perspectives, and quite a few notes to turn into action.

Because when it comes to protecting a practice’s revenue, “we’ve always done it this way” isn’t a strategy.

Every practice has a point where the revenue cycle seems to lose momentum. Where does yours slow down most often?A. Insu...
08/19/2026

Every practice has a point where the revenue cycle seems to lose momentum. Where does yours slow down most often?

A. Insurance verification
B. Coding or claim submission
C. Denial follow-up
D. Patient balances

There is no wrong answer but the answer can reveal where better training, clearer ownership, or a stronger workflow may make the biggest difference.

Comment A, B, C, or D—and tell us what makes that step difficult.

A clean claim does not begin when someone clicks Submit. It begins with accurate information collected before the visit....
08/17/2026

A clean claim does not begin when someone clicks Submit. It begins with accurate information collected before the visit.

Five items worth checking before the claim leaves your system:
1. Patient name and date of birth match the insurance record
2. Member ID and payer are current
3. Provider enrollment, NPI, and taxonomy are correct
4. Authorization and referral requirements are documented
5. CPT, diagnosis, modifiers, and place of service support the service billed

A few minutes of prevention can save days, or weeks of rework later.

Save this checklist and share it with the person who handles intake or claim review.

Address

Mandan, ND

Opening Hours

Monday 8am - 5pm
Tuesday 8am - 5pm
Wednesday 8am - 5pm
Thursday 8am - 5pm
Friday 8am - 5pm

Telephone

+17012144831

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