Medical Contracting Services
Billing and contracting pull in the same direction. A better fee schedule means every clean claim pays more.
- Payer contract acquisition across commercial, Medicare, and Medicaid plans
- Fee schedule review to flag underpaid codes before they cost you another year
- Rate negotiation letters drafted and submitted, tailored to your specialty and volume
- CPT code carve-outs when a payer declines a blanket increase
- Appeals and re-engagement after six months when a payer says no
- Contract review and redlining for risk and clarity before you sign
- Multi-state contracting for practices across several locations or states
- Online notary services through HRG's own notary
- Hospital privileging support, with a 100% approval record on applications HRG has managed
- Network participation analysis against your revenue goals and patient base
- Contract maintenance tracking renewals, amendments, and updates
- Legal coordination directly with your counsel
Final acceptance on any rate change rests with the payer. HRG makes sure your practice argues its strongest case.
How HRG Charges for This Work
- Hourly, against a monthly hours budget you set
- No minimum term and no auto-renewal, on a one-page contract
- Invoices shared with you before anything gets charged
One client put the contracting side plainly. Angela Sombrio at Ohio Vein credited the team with "pushing back to get us the best rates."
What Changes After Practices Switch
A Kentucky pain management clinic came to HRG after a prior vendor stopped filing claims on time. Within months, that practice cut A/R by 20 percent, reduced denials by 35 percent, and improved collections by 40 percent.
Smaller practices see the same attention. Tara Roney described HRG's approach as "professional and highly personalized, making complex processes seamless and manageable, even for a small practice like ours."
Medical Billing Questions, Answered
Which specialties does HRG bill for?
HRG bills for medical and surgical practices across cardiology, dermatology, primary care, rheumatology, urgent care, ENT, podiatry, pain management, and behavioral health. Federally qualified health centers get dedicated support through HRG's health center billing practice.
Will switching to HRG disrupt our EHR or workflow?
No. HRG works inside your existing EHR and practice management system, including eClinicalWorks, NextGen, and ModMed. Nothing gets installed and no data migrates. Billing starts once the team learns your payer mix and procedures.
Does HRG perform medical coding?
No. HRG audits and verifies coding accuracy as part of the billing workflow. Your practice's coders or coding vendor perform the coding itself.
Does HRG manage prior authorizations?
No. Prior authorization management sits outside HRG's scope and stays with your practice. HRG verifies coverage and flags gaps before claims go out.
Does HRG handle both billing and payer contracting?
Yes. The same team manages claims, denials, and A/R alongside payer contract acquisition, fee schedule review, and rate negotiation. Contracting improvements show up directly in your billing results.
How long is HRG's contract term?
HRG's contract runs one page with no minimum term. Most clients work month to month and adjust their hours budget as needs change.
Ready to See Where Your Revenue Is Leaking?
Every week a denial sits unworked is a week that claim ages. Talk to HRG about billing that runs inside the systems you already have.