The Vermont RCM Authority
Master Revenue in
Vermont.
Burlington.
Montpelier.
Rutland.
Stowe.
Operating a practice in the Green Mountain State means navigating BCBS of Vermont complexities, seasonal mountain resort trauma spikes, and strict NGS (JK) 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 VT-GATEWAY
NGS (JK)
LCD Scrubber Rules
Synced
BCBS of Vermont
Policy & Modifiers
Active
Green Mountain Care
Provider Portal Sync
Scanning
Core Capabilities
The HBS Advantage in VT.
Beyond standard billing, we offer a comprehensive revenue cycle management ecosystem tailored specifically for Vermont’s mix of academic health networks, tourist influxes, and essential rural clinics.
AI-Driven Scrubbing
Our proprietary rules engine preemptively identifies coding errors and NGS (JK) LCD mismatches before claims ever reach the payer, ensuring our 98% clean claim rate.
Dedicated VT Teams
You don’t get a generalized call center. You are assigned a dedicated pod of RCM specialists who strictly handle Vermont accounts and understand the nuances of BCBSVT commercial plans and complex New England cross-border billing.
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 Vermont region.
Burlington
Primary Challenge: Dominance of UVM Health Network requires compliance with complex teaching physician rules, multi-specialty referrals, and high commercial plan density (BCBSVT).
HBS Solution: Advanced clearinghouse rules engines tailored for teaching physician guidelines (modifiers GC, GE) and swift denial appeals.
Top EHRs:
Epic | NextGen
Montpelier / Central VT
Primary Challenge: High-deductible tech demographics, rapid population growth leading to scaling issues for independent clinics, and concierge medicine hybrids.
HBS Solution: Mastery of Green Mountain Care portal synchronization, specific state plan coding guidelines, and optimizing public health claims.
Top EHRs:
Cerner | Athena
Rutland
Primary Challenge: Serving as a regional medical hub for surrounding rural counties, resulting in complex cross-network and Medicaid referral billing.
HBS Solution: Rapid front-end eligibility verification and highly scalable A/R rescue teams to handle varying patient volumes efficiently.
Top EHRs:
ModMed | eCW
Stowe / Resort Areas
Primary Challenge: Extreme seasonal orthopedic/trauma spikes from ski injuries and complex out-of-state tourist billing.
HBS Solution: Scalable RCM teams that adapt to winter volumes instantly and automated BlueCard routing for out-of-state tourist insurance plans.
Top EHRs:
AdvancedMD | Kareo
Brattleboro / South VT
Primary Challenge: Proximity to NH/MA borders requires meticulous cross-state billing (Dartmouth-Hitchcock overlap) 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:
Allscripts | Epic
Rural Vermont
Primary Challenge: Rural Health Clinic (RHC) billing complexities, heavy reliance on Telehealth, and Critical Access Hospitals (CAH).
HBS Solution: Deep expertise in PPS rate reconciliation, mastery of Telehealth modifiers (95, GT), and specialized RHC/CAH modifier management.
Top EHRs:
Elation | DrChrono
Proven Results
Vermont Success Stories.
Real data from practices across the Green Mountain State that transformed their revenue cycles by partnering with HBS.
Multi-Specialty Clinic
Burlington, VT
Struggled with massive A/R aging > 90 days due to complex academic center overlap and NGS (JK) audits.
A/R > 90 Days
-76%
Monthly Cash Flow
+$132K
Orthopedic Center
Stowe, VT
Plagued by high denial rates (23%) due to seasonal tourist out-of-state billing errors and surgical coding issues.
Denial Rate
3.4%
Clean Claim Rate
98.5%
Secure Your VT Revenue Audit
Stop leaving money on the table. Our Vermont specialists will analyze your revenue cycle and uncover hidden billing opportunities.