The Colorado RCM Authority
Master Revenue in
Colorado.
Denver.
Colorado Springs.
Boulder.
Aspen.
Operating a practice in the Centennial State means navigating Health First Colorado complexities, seasonal ski-resort trauma spikes, 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 CO-GATEWAY
Novitas (JH)
LCD Scrubber Rules
Synced
Anthem BCBS CO
Anthem BCBS CO
Active
Health First CO
Provider Portal Sync
Scanning
Core Capabilities
The HBS Advantage in CO.
Beyond standard billing, we offer a comprehensive revenue cycle management ecosystem tailored specifically for Colorado’s unique mix of urban healthcare and seasonal mountain resort medicine.
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 CO Teams
You don’t get a generalized call center. You are assigned a dedicated pod of RCM specialists who strictly handle Colorado accounts and understand the nuances of out-of-state BlueCard processing and regional 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 Colorado region.
Denver
Primary Challenge: Massive Anthem/UHC penetration, highly competitive landscape, and complex multi-specialty network billing.
Primary Challenge: Massive Anthem/UHC penetration, highly competitive landscape, and complex multi-specialty network billing.
Top EHRs:
Epic | NextGen
Colorado Springs
Primary Challenge: Heavy military demographics leading to high volumes of TRICARE West and VA Community Care network claims.
HBS Solution: Direct TRICARE portal management, navigating VA authorization complexities, and aggressive appeals for military-specific denials.
Top EHRs:
Cerner | Athena
Boulder
Primary Challenge: High-deductible tech demographics, concierge medicine hybrids, and strict out-of-network limits.
HBS Solution: Advanced patient responsibility estimation tools and rigorous No Surprises Act compliance tracking to protect revenue.
Top EHRs:
ModMed | eCW
Mountain Resorts (Aspen/Vail)
Primary Challenge: Extreme seasonal orthopedic/trauma spikes from ski injuries and complex out-of-state BlueCard processing.
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
Fort Collins
Primary Challenge: University student health plans, transient demographics, and rapid practice scaling issues.
HBS Solution: Rigorous front-end eligibility verification and aggressive A/R rescue to handle high patient turnovers efficiently.
Top EHRs:
Allscripts | Epic
Pueblo / Southern CO
Primary Challenge: Rural Health Clinic (RHC) billing complexities and heavy reliance on Health First Colorado (Medicaid).
HBS Solution: Deep expertise in PPS rate reconciliation, UB-04 institutional claim formatting, and specialized RHC modifier management.
Top EHRs:
Elation | DrChrono
Proven Results
Colorado Success Stories.
Real data from practices across the Centennial State that transformed their revenue cycles by partnering with HBS.
Orthopedic Surgery Center
Vail, CO
Struggled with massive A/R aging > 90 days due to complex out-of-state BlueCard processing and seasonal trauma claim spikes.
A/R > 90 Days
-76%
Monthly Cash Flow
+$142K
Multi-Specialty Clinic
Colorado Springs, CO
Plagued by high denial rates (22%) due to TRICARE authorization delays and Novitas (JH) Medicare audits.
Denial Rate
3.6%
Clean Claim Rate
98.3%
Secure Your CO Revenue Audit
Stop leaving money on the table. Our Colorado specialists will analyze your revenue cycle and uncover hidden billing opportunities.