Explore the full range of solutions Helpware divisions provide:
Capture every billable service, submit cleaner claims, and recover unpaid revenue without adding more work to your physicians or practice staff. Enjoy the benefits of professional internal medicine billing.
Your billing keeps moving from the start. We work in your existing EHR, keep claims on schedule, and give you clear visibility into what was billed, what was paid, and what still needs attention.
We take on the people, software, and day-to-day work needed to keep your billing operation running.
Your gain:
Lower overhead, flexible capacity, more budget for patient care.
Our reviewers check every claim against its documentation, verifying the note, E/M level, and diagnosis link before submission.
Your gain:
Fewer compliance issues, easier payer reviews, less risk of repayment.
We handle MAC letters, records requests, and refund demands, build the required documentation packet, and submit each response by the deadline.
Your gain:
Fewer unexpected repayments, steadier revenue, less work for your team.
Our reviewers check coded claims against documentation and payer rules before they go out, maintaining coding accuracy high.
Your gain:
Fewer coding errors, fewer denied claims, more consistent reimbursement.
We are fully compliant with all necessary data protection protocols and implement advanced security measures across our operations. This approach reduces compliance risks, simplifies audit processes, ensures transparency, and increases customer trust in highly regulated and sensitive environments.
We enforce strict access controls, ensuring security and confidentiality across on-site and remote teams to maintain the integrity of client data.
We collect only necessary personal data, retain it for defined periods, implement multilevel security, and provide full user control over it.
We safeguard protected health information through end-to-end encryption, secure access protocols, and real-time threat detection.
We secure payment data throughout processing and storage, continuously monitoring our systems to identify and address potential risks.
Keep more of your billable care moving to payment with accurate coding, timely claim filing, and persistent follow-up on every unpaid balance.
We match office visits, consultations, and complex cases to the E/M level the documentation supports.
We track patient consent and monthly care-management minutes so eligible services reach the payer.
Our experts code wellness visits and screenings correctly so completed preventive care gets billed and paid.
We scrub claims against payer rules, submit them on schedule, and track them through adjudication.
Our team follows up on short payments, denials, and stalled claims until payers resolve the outstanding balance.
We answer statement questions, arrange payment plans, and document every billing call in the chart.
As your panel grows, billing gets harder to keep consistent. We match coding coverage, follow-up, and reporting to your physicians, payer mix, and care volume.
Revenue per visit drifts as more physicians document the same services at different levels. Our certified coders audit a weekly sample and set clear E/M guidelines. Coding stays consistent as the physician roster grows.
Device readings and care-management minutes can get lost between systems, leaving billable work behind. We bring the records together, track the time for each patient, and bill eligible care every month.
Annual wellness visits surge every January, putting more work on the billing team just when volume peaks. Our dedicated billing teams handle the seasonal batch and verify eligibility before visits. Submission turnaround stays steady through Q1.
Billing questions pile up when patients cannot reach someone who understands their coverage and balance. Our trained billing agents review the claim, coverage, and balance before answering. Patients get consistent answers across the entire panel.
Get ROI projection for current support needs.
-40% annually
/monthly costs with Helpware
vs
/internal team costs (approx)
Your requirements fall outside our standard parameters.
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-40% annually
/monthly costs with Helpware
vs
/internal team costs (approx)
Your requirements fall outside our standard parameters.
-40% annually
/monthly costs with Helpware
vs
/internal team costs (approx)
Your requirements fall outside our standard parameters.
Shared Team Leader
Shared L&D Specalist
Shared QA Specialist
Account Executive by default
Shared Ops Delivery Manager
Admin/Finance/Legal support for the agents by default
1-2 Dedicated Team Leaders
Shared L&D Specialist
Shared to 1 Dedicated QA Specialist
Shared Ops Manager
Account Executive by default
Admin/Finance/Legal support for the agents by default
Shared Real Time Analyst
2-5 Dedicated Team Leaders
0,5 to 1,5 Dedicated L&D Specialists
1-2 Dedicated QA Specialists
Up to half of a dedicated Ops Manager
Account Executive by default
Admin/Finance/Legal support for the agents by default
1 Dedicated Real Time Analyst
Ready to get a personalized estimate for your team?
Contact us for a personalized assessment tailored to your specific needs.
*These projections are estimates for informational purposes only and do not represent a formal offer. Contact us for a personalized quote.
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AI handles repetitive billing work at scale, while experienced coders and AR specialists handle the decisions that need human judgment. Together, they keep claims accurate, payments moving, and your team focused on patient care.
Checks every claim against Medicare coverage and coding rules before submission, catching issues while they can still be fixed.
Compares each claim with its supporting note and flags missing documentation before it creates a billing problem.
Tracks care-management minutes by patient and identifies eligible services when they reach the billing threshold.
Compares paid claims with your current fee schedule and flags underpayments for follow-up and recovery.
Read the note behind each visit and assign the E/M level the documentation supports.
Compare remittances with your contracted rates and recover short payments before they age.
Show front-desk teams which intake details caused recent denials and how to capture them correctly.
Call eligible patients, explain the benefit, and capture consent according to Medicare requirements.
We baseline collections per visit, days in AR, and denial reasons by payer, then set clear targets for each.
We build a team around your panel, with E/M coders, a care-management biller, an AR specialist, and patient balance support.
We learn your EHR, physicians’ documentation habits, fee schedule, and approach to patient billing conversations.
We file claims daily, post remits promptly, appeal within payer deadlines, and keep you updated on codes, denials, and cash.
We review denial patterns each month, update claim rules when payers change them, and coach physicians on documentation gaps.
We bring coding, billing, and patient support together, so your practice gets consistent coverage from claim creation through payment.
We keep patient billing conversations clear and respectful, helping patients understand balances and next steps. You get fewer frustrated calls reaching your office.
We invest in training and career growth, so experienced employees stay longer. You keep the specialists who know your payers and workflows.
We operate globally, which gives us more capacity when your workload grows. You add billing coverage without relying on a single local hiring market.
Clients stay with us long term because we keep teams consistent and improve operations over time. You get a partner that knows your workflows and grows with your business.
CSAT
ESAT
locations
years average length of client partnership
Keep your billing operation accurate, responsive, and ready to scale. Our experienced teams take care of the work behind the claims, so your staff can stay focused on patients and your practice can keep moving forward.
We handle E/M coding, chronic care and wellness billing, claim filing, denial appeals, payment posting, aged AR, and patient balance calls. Helpware CX runs these services for healthcare organizations across 19 locations, with a 98% score on internal claim audits.
Documentation often supports a different E/M level than the one billed, either higher or lower. That matters: Medicare recorded an 8.44% Part B improper payment rate in fiscal 2025, worth $9.62 billion, with 53% of all improper payments traced to insufficient documentation.
Yes, and eligible months can easily go unbilled when teams miss the required time and consent records. Avalere found that Medicare paid 6.5 million chronic care management claims in 2023, averaging 5.1 claims per patient. We track minutes and consent so eligible months reach billing.
The 2026 Medicare fee schedule generally increases payment for office-based primary care, but the effect varies by service. CMS set conversion factors of $33.57 for qualifying APM participants and $33.40 for everyone else, up 3.77% and 3.26%, respectively, from $32.35. A new efficiency adjustment reduces some procedure payments.
Most practices keep their staff on front-end work while we take over claim production. Pilots run 30 to 60 days with five to ten specialists, starting with EHR and fee-schedule mapping. We file in parallel for two weeks, then take full volume while your team continues working legacy balances.
Every claim includes the coding rationale, and reviewers check samples each week against CPT and payer rules. If a MAC or CERT letter arrives, our team pulls the supporting documentation, builds the record packet, and submits the response within the 45-day window.
We price per specialist or per program rather than as a percentage of collections, so your fee stays flat as revenue grows. Panel size, payer count, and monthly claim volume determine the scope, while outsourced billing typically runs 20% to 40% below the cost of a fully loaded in-house team.
