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OUR SERVICES

Our mission at EquitasHP is to help healthcare providers navigate the complexities of revenue cycle management and accounts receivable recovery.

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Revenue Cycle Management (RCM)

Streamlining Your Revenue Process from Start to Finish

The revenue cycle is critical to the financial health of any healthcare organization. At EquitasHP, we offer comprehensive Revenue Cycle Management services designed to ensure your billing and collections processes are seamless, efficient, and effective. We work alongside your team to manage the entire cycle—starting with patient intake, through claims processing, to the final payment.

  • End-to-End Management: We handle the full spectrum of your revenue cycle, ensuring smooth operations and reducing disruptions in your cash flow.

  • Improved Cash Flow: Our efficient billing and collections processes help you receive timely payments, reducing the time and effort spent chasing overdue claims.

  • Reduced Administrative Burden: By managing the complexities of the revenue cycle, we allow your staff to focus on patient care rather than administrative tasks.

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Accounts Receivable (AR) Advocacy

Maximizing Your Claims Recovery and Reducing Outstanding AR

Outstanding accounts receivable can be a significant strain on healthcare providers. EquitasHP's AR Advocacy service ensures that you recover what you're owed while minimizing the burden of claim disputes. By working directly with payors, we advocate on your behalf to resolve unpaid or underpaid claims, improving your financial health and reducing revenue leakage.

  • Expert Advocacy: Our team acts as your advocate, navigating complex reimbursement issues and negotiating on your behalf with insurance companies and self-insured payors.

  • Faster Claim Resolution: We streamline the process of resolving outstanding claims, ensuring that issues are handled quickly and efficiently, so you can get paid faster.

  • Maximized Recovery: Our focus is on recovering every dollar you’re owed, ensuring fair reimbursement for the services you provide.

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Legal Expertise

Navigating Complex Claims with In-House Legal Support

At EquitasHP, we bring in-house legal expertise to the table, offering you the advantage of navigating complicated reimbursement disputes with ease. Our legal team is equipped to handle issues that arise with insurance companies, ensuring compliance with regulations while protecting your financial interests.

  • In-House Legal Support: Our legal team handles disputes related to unpaid claims and reimbursement issues, ensuring that your interests are always represented.

  • Compliance and Risk Management: We ensure that all claims and processes adhere to industry regulations, reducing your risk of compliance-related penalties.

  • Contract Enforcement: If disputes arise from network contracts, we leverage our legal expertise to enforce terms and ensure that providers are paid fairly.

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Network Contracting

Establishing Fair and Transparent Contracts with Payors

The foundation of successful reimbursement lies in strong and fair network contracts with payors. EquitasHP works closely with healthcare providers to establish and optimize network agreements that ensure equitable reimbursement for the services you provide. With our expertise, you can negotiate terms that align with industry standards and ensure that your compensation reflects the true cost of care.

  • Contract Negotiation: We help establish and negotiate favorable network contracts with payors, ensuring that you receive fair and competitive rates.

  • Transparency and Compliance: Our network contract solutions promote transparency, ensuring both providers and payors understand and agree to the terms, reducing the risk of disputes.

  • Ongoing Support: We provide continuous support throughout the duration of your contracts, helping you navigate any challenges that may arise.

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Comprehensive Advocacy

Creating Win-Win Solutions for Providers and Payors

At EquitasHP, we believe in creating mutually beneficial solutions that satisfy both providers and payors. Through comprehensive advocacy, we work diligently to ensure that your claims are paid accurately and promptly while maintaining strong relationships with payors. Our approach focuses on collaboration and problem-solving, delivering the best possible outcomes for all parties involved.

  • Collaborative Approach: We foster collaboration between healthcare providers and payors to create a smooth and efficient claims resolution process.

  • Holistic Advocacy: Our advocacy efforts extend beyond claim recovery to include contract management, dispute resolution, and ongoing support for optimal reimbursement.

  • Tailored Solutions: Every provider is unique, which is why we offer customized advocacy strategies that align with your specific needs and business goals.

Loaded with Legal & Clinical Oversight

Every case is powered by integrated internal teams:
 

  • Legal experts encoding defensibility and precedent.

  • Clinical support structuring medically validated audits.

  • Data analysts validating rigor and accuracy.
     

This approach has reshaped industry transparency and positions EquitasHP as the standard bearer for reimbursement integrity.

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