The Mississippi RCM Authority
Master Revenue in
Mississippi.
Jackson.
Gulfport.
Southaven.
Hattiesburg.
Operating a practice in the Magnolia State means navigating BCBS of Mississippi complexities, expansive rural healthcare networks, and strict Novitas (JH) 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 MS-GATEWAY
Novitas (JH)
LCD Scrubber Rules
Synced
BCBS of Mississippi
Policy & Modifiers
Active
Mississippi Medicaid
Provider Portal Sync
Scanning
Core Capabilities
The HBS Advantage in MS.
Beyond standard billing, we offer a comprehensive revenue cycle management ecosystem tailored specifically for Mississippi’s mix of academic health systems and expansive rural clinic networks.
AI-Driven Scrubbing
Our proprietary rules engine preemptively identifies coding errors and Novitas (JH) LCD mismatches before claims ever reach the payer, ensuring our 98% clean claim rate.
Dedicated MS Teams
You don’t get a generalized call center. You are assigned a dedicated pod of RCM specialists who strictly handle Mississippi accounts and understand the nuances of BCBSMS commercial plans and state Medicaid.
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 Mississippi region.
Jackson Metro
Primary Challenge: Massive concentration of academic medical centers (UMMC), complex teaching physician rules, and high commercial plan density (BCBSMS).
HBS Solution: Advanced clearinghouse rules engines tailored for complex teaching physician guidelines (modifiers GC, GE) and swift denial appeals.
Top EHRs:
Epic| NextGen
Gulfport / Biloxi
Primary Challenge: Aging demographics driving high Medicare (Novitas) volume, complex chronic care management billing, and seasonal tourist influxes.
HBS Solution: Strict adherence to Novitas (JH) LCDs, precise time-based CCM coding, and scalable RCM teams to manage tourist billing spikes.
Top EHRs:
Cerner | Athena
Southaven / North MS
Primary Challenge: Proximity to the TN border requires meticulous cross-state billing and out-of-network processing for commercial plans (Memphis overlap).
HBS Solution: Advanced clearinghouse rules engines tailored for complex multi-state commercial networks and swift denial appeals.
Top EHRs:
ModMed| eCW
Hattiesburg
Primary Challenge: Serving as a regional medical hub for surrounding rural counties, resulting in complex cross-network and Medicaid referral billing.
HBS Solution: Streamlined Mississippi Medicaid portal synchronization and rapid front-end eligibility verification for referred out-of-network patients.
Top EHRs:
AdvancedMD | Kareo
Tupelo
Primary Challenge: Industrial presence leading to high workers’ compensation volume and cross-border AL/TN patient billing.
HBS Solution: Aggressive documentation attachment protocols for workers’ comp and specialized rules for tri-state commercial networks.
Top EHRs:
Allscripts | Epic
Rural Mississippi
Primary Challenge: Rural Health Clinic (RHC) billing complexities, heavy reliance on Telehealth, and MS Medicaid management.
HBS Solution: Deep expertise in PPS rate reconciliation, mastery of Telehealth modifiers (95, GT), and specialized RHC modifier management.
Top EHRs:
Elation | DrChrono
Proven Results
Mississippi Success Stories.
Real data from practices across the Magnolia State that transformed their revenue cycles by partnering with HBS.
Multi-Specialty Clinic
Jackson, MS
Struggled with massive A/R aging > 90 days due to complex BCBSMS pre-authorizations and Novitas (JH) audits.
A/R > 90 Days
-74%
Monthly Cash Flow
+$122K
Orthopedic Center
Gulfport, MS
Plagued by high denial rates (23%) due to out-of-state tourist billing errors and surgical coding issues.
Denial Rate
3.5%
Clean Claim Rate
98.4%
Secure Your MS Revenue Audit
Stop leaving money on the table. Our Mississippi specialists will analyze your revenue cycle and uncover hidden billing opportunities.