The Tennessee RCM Authority
Master Revenue in
Tennessee.
Nashville.
Memphis.
Knoxville.
Chattanooga.
Operating a practice in the Volunteer State means navigating BCBST complexities, massive corporate healthcare networks in Nashville, and strict Palmetto (JM) 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 TN-GATEWAY
Palmetto (JM)
LCD Scrubber Rules
Synced
BCBS of Tennessee
Policy & Modifiers
Active
TennCare
Provider Portal Sync
Scanning
Core Capabilities
The HBS Advantage in TN.
Beyond standard billing, we offer a comprehensive revenue cycle management ecosystem tailored specifically for Tennessee’s mix of massive corporate healthcare hubs and extensive rural clinic networks.
AI-Driven Scrubbing
Our proprietary rules engine preemptively identifies coding errors and Palmetto (JM) LCD mismatches before claims ever reach the payer, ensuring our 98% clean claim rate.
Dedicated TN Teams
You don’t get a generalized call center. You are assigned a dedicated pod of RCM specialists who strictly handle Tennessee accounts and understand the nuances of BCBST commercial plans and TennCare MCOs.
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 Tennessee region.
Nashville Metro
Primary Challenge: Massive concentration of corporate health systems (HCA/Vanderbilt), highly competitive landscape, and complex multi-specialty network billing.
HBS Solution: Advanced clearinghouse rules engines tailored for complex commercial pre-authorizations and swift denial appeals to maintain high cash flow.
Top EHRs:
Epic | Cerner
Memphis
Primary Challenge: Proximity to AR/MS borders requires meticulous cross-state billing and out-of-network processing for commercial plans.
HBS Solution: Advanced clearinghouse rules engines tailored for complex multi-state commercial networks and swift denial appeals.
Top EHRs:
ModMed | NextGen
Knoxville
Primary Challenge: Rapidly growing population leading to scaling issues for independent clinics and an influx of complex BCBST policies.
HBS Solution: Rapid front-end eligibility verification and highly scalable A/R rescue teams to handle surging patient volumes without hiring extra in-house staff.
Top EHRs:
ModMed | eCW
Chattanooga
Primary Challenge: Serving as a regional medical hub for surrounding rural counties, resulting in complex cross-network and Medicaid referral billing.
HBS Solution: Streamlined TennCare portal synchronization and rapid front-end eligibility verification for referred out-of-network patients.
Top EHRs:
AdvancedMD | Kareo
Clarksville
Primary Challenge: Heavy military (Fort Campbell) presence leading to high TRICARE and VA Community Care network utilization.
HBS Solution: Direct TRICARE East portal integration, managing complex authorizations, and aggressively appealing military-specific coding denials.
Top EHRs:
Allscripts | Epic
Rural Tennessee / Appalachia
Primary Challenge: Rural Health Clinic (RHC) billing complexities, heavy reliance on Telehealth, and TennCare MCO 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
Tennessee Success Stories.
Real data from practices across the Volunteer State that transformed their revenue cycles by partnering with HBS.
Multi-Specialty Clinic
Nashville, TN
Struggled with massive A/R aging > 90 days due to complex commercial plan pre-authorizations and Palmetto (JM) audits.
A/R > 90 Days
-76%
Monthly Cash Flow
+$142K
Orthopedic Center
Memphis, TN
Plagued by high denial rates (24%) due to complex cross-border billing errors and surgical coding issues.
Denial Rate
3.2%
Clean Claim Rate
98.6%
Secure Your TN Revenue Audit
Stop leaving money on the table. Our Tennessee specialists will analyze your revenue cycle and uncover hidden billing opportunities.