The Montana RCM Authority
Master Revenue in
Montana.
Billings.
Missoula.
Bozeman.
Great Falls.
Operating a practice in Big Sky Country means navigating BCBS of Montana complexities, vast rural healthcare networks (IHS/RHCs), and strict Noridian (JE/JF) 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 MT-GATEWAY
Noridian (JF)
LCD Scrubber Rules
Synced
BCBS of Montana
Policy & Modifiers
Active
Montana Medicaid
Provider Portal Sync
Scanning
Core Capabilities
The HBS Advantage in MT.
Beyond standard billing, we offer a comprehensive revenue cycle management ecosystem tailored specifically for Montana’s unique mix of growing urban centers and expansive, isolated rural healthcare networks.
AI-Driven Scrubbing
Our proprietary rules engine preemptively identifies coding errors and Noridian (JF) LCD mismatches before claims ever reach the payer, ensuring our 98% clean claim rate.
Dedicated MT Teams
You don’t get a generalized call center. You are assigned a dedicated pod of RCM specialists who strictly handle Montana accounts and understand the nuances of BCBSMT commercial plans and rural clinic 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 Montana region.
Billings
Primary Challenge: Serving as the largest medical hub in the region, dealing with complex multi-specialty referrals and high commercial plan density.
HBS Solution: Advanced clearinghouse rules engines tailored for complex commercial networks (BCBSMT) and swift denial appeals to maintain high cash flow.
Top EHRs:
Epic | NextGen
Missoula
Primary Challenge: University student health plans, transient demographics, and out-of-state BlueCard processing complexities.
HBS Solution: Automated BlueCard routing and rigorous front-end eligibility verification to protect revenue from out-of-network disputes.
Top EHRs:
Cerner | Athena
Bozeman
Primary Challenge: Seasonal orthopedic/trauma spikes from ski injuries, concierge medicine hybrids, and complex out-of-state tourist billing.
HBS Solution: Scalable RCM teams that adapt to winter volumes instantly and rigorous No Surprises Act compliance tracking.
Top EHRs:
ModMed | eCW
Great Falls
Primary Challenge: Aging demographics driving high Medicare (Noridian) volume, chronic care management billing, and military (Malmstrom AFB) networks.
HBS Solution: Strict adherence to Noridian (JF) LCDs, precise time-based CCM coding, and direct TRICARE portal integration.
Top EHRs:
AdvancedMD | Kareo
Helena
Primary Challenge: High volume of state employee health plans and Montana Medicaid billing rules.
HBS Solution: Mastery of Montana Medicaid portal synchronization, specific state plan coding guidelines, and optimizing public health claims.
Top EHRs:
Allscripts | Epic
Rural / Eastern MT
Primary Challenge: Rural Health Clinic (RHC) billing complexities, heavy reliance on Telehealth, Indian Health Service (IHS) facilities, and critical access hospitals.
HBS Solution: Deep expertise in PPS/encounter rate reconciliation, mastery of Telehealth modifiers (95, GT), and specialized RHC/IHS modifier management.
Top EHRs:
Elation | DrChrono
Proven Results
Montana Success Stories.
Real data from practices across the Treasure State that transformed their revenue cycles by partnering with HBS.
Multi-Specialty Clinic
Billings, MT
Struggled with massive A/R aging > 90 days due to complex BCBSMT pre-authorizations and cross-network referral issues.
A/R > 90 Days
-72%
Monthly Cash Flow
+$118K
Orthopedic Center
Bozeman, MT
Plagued by high denial rates (23%) due to seasonal tourist out-of-state billing errors and surgical coding issues.
Denial Rate
3.5%
Clean Claim Rate
98.4%
Secure Your MT Revenue Audit
Stop leaving money on the table. Our Montana specialists will analyze your revenue cycle and uncover hidden billing opportunities.