Medical billing and revenue cycle management for emergency and urgent care groups
You Care for Patients. We Care for Revenue.
We run the whole cycle: eligibility, coding, claims, denials and A/R. We also run the federal dispute process for out-of-network claims, end to end, from qualification through to determination.
The difference
We run the federal process that gets out-of-network claims paid
Emergency departments generate more out-of-network claims than any other setting, because patients do not choose their ER. The No Surprises Act replaced balance billing with a federal dispute process, and we run it: qualification, open negotiation, submission, and tracking to determination.
Out-of-network disputes
What that has come to
- 42,000+
- Claims submitted through federal IDR
- 96%
- Determinations awarded to our offer
Source: Federal IDR portal records. Figures as of August 2026.
Where we aim
Industry standard, and what we work to
Ranges commonly cited in revenue cycle reporting. Figures vary by specialty, payer mix and source.
| Metric | Industry | Our target |
|---|---|---|
| Clean claim rateClaims accepted on first submission, without reworkEvery point below this is a claim someone has to touch twice, and rework costs more than the scrub that would have prevented it. | 75–85%Commonly cited range | 95%+Our target |
| Denial rateClaims rejected or denied by the payerReaching this depends on fixing causes at source rather than appealing the same denial every month. | ~10–12%Commonly cited average | Under 5%Our target |
| Days in A/RAverage time from date of service to paymentDriven far more by whether claims are worked on a schedule than by how fast any single claim moves. | 30–40 daysGenerally accepted range | Under 35 daysOur target |
| A/R over 90 daysShare of the balance that has aged past ninety daysThe clearest single indicator of whether follow-up is systematic or occasional, which is why we report it monthly. | 15–25%Commonly cited range | Under 15%Our target |
Industry figures are shown for context. Targets are what we work to, not guaranteed outcomes, and results vary by practice and payer mix.
Start here
A free billing audit, before anything is agreed
We review a sample of your recent claims and your current A/R aging, and report where revenue is being lost: denial patterns, ageing accounts, and out-of-network underpayments nobody is pursuing. The report is yours whether or not you engage us.
Why outsource
What changes when billing is not a side job
In-house billing competes with everything else the front office has to do that day. When a claim can wait and a patient cannot, the claim waits, and the cost of that shows up six weeks later as a denial nobody has time to appeal.
Claims go out on a daily cycle
Submission does not queue behind a busy waiting room, so the clock on every payer deadline starts sooner.
Denials get worked by cause
Classified by CARC code and payer, so the ones with a process fix behind them stop recurring instead of being appealed forever.
Coding stays current
Code sets, payer edits and modifier rules change constantly. Keeping up is a full-time job, and here it is somebody's.
Cover does not depend on one person
Holiday, illness and turnover in a one-person billing office translate directly into ageing A/R.
You see the numbers that matter
Denial causes by payer, A/R movement by bucket, dispute outcomes. Not a claims-submitted count.
Fixed cost becomes variable
Salary, benefits, software seats and training are replaced by a cost that tracks what is actually collected.
By setting
Built for how your practice actually runs
Complete revenue cycle management, specialised for the setting you work in.
Emergency
ER Billing Services
Emergency department revenue cycle: high volume, high out-of-network exposure, unpredictable payer mix.
Read moreUrgent care
Urgent Care & Clinic Billing
Walk-in volume, mixed payers and thin admin capacity, billing built for how urgent care actually runs.
Read moreEverything
End-to-End Revenue Cycle Management
Every service we offer, run as one engagement, from registration through to disputes.
Read more
Also available: Hospital & Facility Billing.
By service
Or take only the part you need
Every service is sold standalone or bundled. Most engagements combine two or three.
Why HMT
What you can check
- CPC-certified coding
- Certified Professional Coder, AAPC. Coding is done from the documentation and queried back to the provider where the record will not support it.
- HIPAA-compliant processes
- Our team has completed HIPAA training, and we work inside your practice management system so your data stays where it already lives.
- IDR and No Surprises Act capability
- We run the federal dispute process end to end: qualification, open negotiation, offer preparation, submission and tracking to determination.
- Reachable 8:00 AM to 6:00 PM CT
- A named contact for your account during your working day, rather than a ticket queue and a callback window.
- Operating since 2023
- Working with emergency groups, urgent care centres, clinics and outpatient practices.
FAQ
Before you call
Do we have to change our software?
No. Working inside your existing practice management system is the default. Migrating billing data introduces risk and cost that rarely pays for itself, and a system your staff already know has real value.
Can we start with one service rather than everything?
Yes. Denial recovery and out-of-network disputes are common starting points because they act on money you have already earned and show a result quickly. Services can be added as the relationship establishes.
What does the free billing audit actually involve?
We review a sample of your recent claims and your current A/R aging, and send you a written summary of where revenue is being lost: denial patterns by cause, ageing accounts still worth working, and out-of-network underpayments that are not being pursued. There is no obligation attached to it.
Do you work with practices outside emergency and urgent care?
Yes. Emergency and urgent care are where our out-of-network specialism matters most, but the full range of billing, coding, credentialing and A/R services applies to clinics and outpatient practices generally.
In their words
What clients say
Compliance and credentials
What you can hold us to
Every one of these is something you can raise on a call and get a straight answer to, rather than a badge you are asked to take on trust.
HIPAA-compliant processes
Our team has completed HIPAA training, and we work inside your practice management system so your data stays where it already lives.
CPC-certified coding
Certified Professional Coder, AAPC. Codes are assigned from the documentation and queried back where the record will not support them.
IDR and No Surprises Act
The federal dispute process run end to end: qualification, open negotiation, submission, and tracking to determination.
Operating since 2023
Working with emergency groups, urgent care centres, clinics and outpatient practices across the country.
Start with a free billing audit
We review a sample of your recent claims and your current A/R aging, and report where revenue is being lost. The report is yours whether or not you engage us.