The Nebraska RCM Authority
Master Revenue in
Nebraska.
Omaha.
Lincoln.
Grand Island.
Kearney.
Operating a practice in the Cornhusker State means navigating BCBSNE complexities, expansive rural healthcare networks, and strict WPS (J5) 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 NE-GATEWAY
WPS (J5)
LCD Scrubber Rules
Synced
BCBS of Nebraska
Policy & Modifiers
Active
Nebraska Medicaid
Provider Portal Sync
Scanning
Core Capabilities
The HBS Advantage in NE.
Beyond standard billing, we offer a comprehensive revenue cycle management ecosystem tailored specifically for Nebraska’s unique mix of urban hubs, extensive rural healthcare networks, and regional agricultural facilities.
AI-Driven Scrubbing
Our proprietary rules engine preemptively identifies coding errors and WPS (J5) LCD mismatches before claims ever reach the payer, ensuring our 98% clean claim rate.
Dedicated NE Teams
You don’t get a generalized call center. You are assigned a dedicated pod of RCM specialists who strictly handle Nebraska accounts and understand the nuances of BCBSNE 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 Nebraska region.
Omaha
Primary Challenge: Serving as the largest medical hub in the region, dealing with complex multi-specialty referrals, academic centers (UNMC), and high commercial plan density.
HBS Solution: Advanced clearinghouse rules engines tailored for complex commercial networks (BCBSNE) and swift denial appeals to maintain high cash flow.
Top EHRs:
Epic | Cerner
Lincoln
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:
Epic | NextGen
Grand Island
Primary Challenge: Serving as a regional medical hub for surrounding rural counties, resulting in complex cross-network and Medicaid referral billing.
HBS Solution: Streamlined Nebraska Medicaid portal synchronization and rapid front-end eligibility verification for referred out-of-network patients.
Top EHRs:
ModMed | eCW
Kearney
Primary Challenge: Aging demographics driving high Medicare (WPS) volume, chronic care management billing, and regional facility overlaps.
HBS Solution: Strict adherence to WPS (J5) LCDs, precise time-based CCM coding, and aggressive appeals for medical necessity denials.
Top EHRs:
AdvancedMD | Kareo
North Platte
Primary Challenge: Proximity to CO/WY 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:
Allscripts | Athena
Rural Nebraska
Primary Challenge: Rural Health Clinic (RHC) billing complexities, heavy reliance on Telehealth, and critical access hospitals.
HBS Solution: Deep expertise in PPS/encounter rate reconciliation, mastery of Telehealth modifiers (95, GT), and specialized RHC modifier management.
Top EHRs:
Elation | DrChrono
Proven Results
Nebraska Success Stories.
Real data from practices across the Cornhusker State that transformed their revenue cycles by partnering with HBS.
Multi-Specialty Clinic
Omaha, NE
Struggled with massive A/R aging > 90 days due to complex BCBSNE pre-authorizations and cross-network referral issues.
A/R > 90 Days
-73%
Monthly Cash Flow
+$124K
Orthopedic Center
Grand Island, NE
Plagued by high denial rates (23%) due to rural out-of-state billing errors and surgical coding issues.
Denial Rate
3.4%
Clean Claim Rate
98.5%
Secure Your NE Revenue Audit
Stop leaving money on the table. Our Nebraska specialists will analyze your revenue cycle and uncover hidden billing opportunities.