As your strategic partner in medical billing, consulting, and outsourcing, HODER Solutions delivers end-to-end solutions designed to maximize collections, ensure compliance, and streamline operations for healthcare providers, practices, clinics, and RCM firms.
Service |
Key Features / What We Do |
Medical Billing & Claims Submission |
Accurate charge entry, claims scrub & validation, electronic submission, payer communications |
Denial Management & Appeals |
Denial trending, root cause analysis, resubmission, appeals, rejection prevention |
Medical Coding |
ICD-10, CPT, HCPCS coding, inpatient & outpatient, specialty coding |
Old Accounts Receivable (AR) Recovery |
Aged AR resolution, follow-ups, reprocessing of denied claims |
Revenue Cycle Management (RCM) |
Full cycle oversight: from patient registration through final payment & reporting |
Medical Billing Audit & Compliance Review |
Retrospective audits, workflow assessments, compliance check, leakage detection |
Credentialing & Insurance Enrollment |
Provider enrollment, NPI setup, payer credentialing, renewals & revalidations |
Charge Entry & Payment Posting |
Accurate charge input, payer posting, remitiance reconciliation, patient statements |
Insurance Eligibility Verification |
Verifying coverage in real time, patient responsibility, preauthoriza tion checks |
1. Discovery & Baseline Audit
We begin by assessing your current processes, claims performance, denials trends,
staff workflows, and system gaps.
2. Strategic Roadmap & Planning
Based on the audit, we build a phased roadmap with metrics, SLA definitions, and
implementation milestones.
3. Seamless Transition & Onboarding
Whether it’s full outsourcing or hybrid support, we manage the migration, staffing,
and training with minimal disruption.
4. Execution & Day-to-Day Operations
Our teams handle daily billing, denials, AR recovery, appeals, posting, and more —
with built-in quality checks.
5. Continuous Monitoring & Optimization
We track KPIs (denial rate, days in AR, clean claim rate, etc.), deliver regular reports,
and implement process improvements.
Domain Expertise & Specialty Coverage
From primary care to cardiology, neurology, surgery, radiology — our coders and
billers know specialty nuances.
Scalable Outsourcing Models
Choose full outsourcing, process-specific outsourcing (e.g. denials only), or staff
augmentation.
Data Security & Compliance
We follow strict HIPAA, data privacy, and payer compliance protocols, with encrypted
systems and audits.
Quality Assurance & Dual Review
Every claim goes through multi-layer validation to reduce rework, denials, and delays.
Transparency & Analytics
Dashboards and reports with actionable insight. You see performance, trends, and
ROI.
Client-Centric Support
We operate in overlapping time zones, use collaborative tools, and maintain
dedicated account management.
- Up to 20–40% cost savings in billing operations
- Reduced denial & rework rates
- Faster claim cycles & betier cash flow
- Increased claim capture & fewer missed revenues
- Scalable staffing without HR burden
- Betier oversight & measurable performance improvements
Hospitals & Health Systems
- Multi-specialty Clinics & Physician Groups
- Ambulatory Surgery Centers (ASCs)
- Diagnostic & Imaging Centers
- Medical Billing / RCM firms
- Specialty practices (e.g. Cardiology, Neurology, Orthopedics)
