Healthcare Legal Solutions, LLC, (“HLS”) is a legal collections firm specializing in third party payer collections for hospitals and health systems. We resolve third party problematic -- delayed, denied or underpaid -- claims from payers such as Medicare, Medicaid, MCOs, Commercial, Blue Cross, employers groups with ERISA plans and others. We set up appeals and intensive follow-up programs to supplement the efforts of hospital revenue cycle and case management departments. HLS specializes in the collection of older receivables which may require a specialized legal skillset. This specialization translates in superior collections from 30-60% of net additional revenue over in-house and industry standard bad-debt processes.
Overwhelming changes developing in healthcare reimbursement (such as PPACA, health insurance exchanges and ICD-10) threaten to increase the number of delayed and denied claims to unprecedented levels. Hospitals need a partner that complements in-house recourses by providing practical and legal understanding to navigate these changes. HLS creates custom projects based on the needs of clients to successfully resolve high volumes of denials or other problematic claims. HLS has a highly collaborative, cost-effective and team-based approach to client projects. We work very closely with case management, revenue cycle, and contracting departments to provide a unified team which delivers value and strong results. We have since expanded this service model to include issue-specific and payer task forces. Multidisciplinary teams focus on the emerging denial and problematic claim trends that are likely to impact our clients' bottom line. We make this significant investment to stay ahead of changes so that our clients are well positioned for future success.
With superior resources in the Nation's Capital, HLS employs only the best attorneys and qualified candidates in the field. Our professionals surpass collections of claims that other agencies and firms deem hopeless, or absolutely uncollectible. Through our intensive and customized programs, our clients have collected on accounts that had been written off up to three years before placement. Our results surpass collectivity standards of the industry.
HLS technology allows us to work efficiently and intelligently. We use an award winning law-firm case management and document management system. This system allows us to provide reporting and documentation to the client that cannot be easily obtained in patient accounting systems. Also, we have the resources to connect remotely to our clients' systems thus becoming a seamless extension of the patient financial services office.
Disclaimer: HLS represents only institutional healthcare facilities not private individuals.