The California RCM Authority
Master Revenue in
California.
Los Angeles.
San Francisco.
San Diego.
Sacramento.
Operating a practice in the Golden State means battling high overhead, complex Medi-Cal TARs, and strict Noridian 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 CA-GATEWAY
Noridian (JE/JF)
LCD Scrubber Rules
Synced
Medi-Cal / TARs
Auth Management
Active
Knox-Keene Act
Prompt Pay Enforced
Scanning
Core Capabilities
The HBS Advantage.
Beyond standard billing, we offer a comprehensive revenue cycle management ecosystem tailored specifically for California’s complex healthcare landscape.
AI-Driven Scrubbing
Our proprietary rules engine preemptively identifies coding errors and LCD mismatches before claims ever reach the payer, ensuring our 98% clean claim rate.
Dedicated CA Teams
You don’t get a generalized call center. You are assigned a dedicated pod of RCM specialists who strictly handle California accounts and understand local nuances.
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, 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 (Epic, Cerner, AdvancedMD) remotely, providing world-class RCM support regardless of your zip code. We understand the specific payer nuances in every major CA region.
Los Angeles
Primary Challenge: Extreme HMO penetration & complex capitation models.
HBS Solution: Advanced dual-eligibility (Medi-Medi) scrubbing and carve-out billing optimization for LA Care & Health Net networks.
Top EHRs:
Epic | NextGen
San Francisco
Primary Challenge: High out-of-network utilization & No Surprises Act compliance.
HBS Solution: Rigorous Good Faith Estimate (GFE) management and aggressive IDR arbitration handling against tech-savvy payers.
Top EHRs:
Athena | eCW
San Diego
Primary Challenge: TriCare authorization bottlenecks & military community billing.
HBS Solution: Direct TriCare West Region portal integration and automated secondary crossover billing workflows.
Top EHRs:
Kareo | Epic
Sacramento
Primary Challenge: Heavy state employee populations & CalPERS plan variations.
HBS Solution: Specialized rules engines configured for Anthem/Blue Shield CalPERS specific coding and timely filing limits.
Top EHRs:
Cerner | AdvancedMD
Silicon Valley
Primary Challenge: Concierge medicine hybrid models & high-deductible tech plans.
HBS Solution: Patient responsibility estimation tools and integrated seamless direct-pay alongside traditional claim submission.
Top EHRs:
Elation | DrChrono
Central Valley
Primary Challenge: Massive Medi-Cal volume & rural health clinic (RHC) billing complexities.
HBS Solution: Expertise in TAR processing, PPS rate reconciliation, and specialized FQHC/RHC specific modifier management.
Top EHRs:
ModMed | Allscripts
Proven Results
California Success Stories.
Real data from practices across the state that transformed their revenue cycles by partnering with HBS.
Orthopedic Surgery Center
San Diego, CA
Struggled with massive A/R aging > 120 days due to complex workers’ compensation claims and TriCare denials.
A/R > 120 Days
-64%
Monthly Cash Flow
+$85K
Multi-Specialty Clinic
Los Angeles, CA
Plagued by high denial rates (22%) due to Medi-Cal managed care complexities and coding errors.
Denial Rate
4.2%
Clean Claim Rate
98.5%
Secure Your CA Revenue Audit
Stop leaving money on the table. Our California specialists will analyze your revenue cycle and uncover hidden billing opportunities.