Services

HLS engages in a wide array of A/R management, recovery, and revenue cycle services. We customize programs to our clients needs in order to maximize the yield on aging health care claims.



 
We provide services in the following areas:
 
Underpayments and
Contractual Disputes:
 
  • Managed Care contract review
  • Auditing
  • Underpayment recoveries
  • Review of contractual allowances
  • Research and legal applications
  • Patient advocacy
  • Substantive appeals
  • ERISA claims
  • Workers' compensation
  
  • Stop loss provisions
  • Contract interpretation
  • Illegal clauses and procedures
  • Mandated benefits
  • Limitations of State and Federal laws
       
 
Statutes
 
Managed Care Denials:
 
  • ERISA
  • HIPAA
  • COBRA
  • Workers' Compensation
  • Patient protection laws
  
  • Timely filing
  • Misverification of benefits
  • Non-covered treatment
  • Wrongful delay
  • Usual and customary rates
  • Refund requests and offsets
  • Out-of-network provider
  • Coordination of benefits
  • Medical necessity
  • Authorization denial
  • Pre-existing condition
  • Recission