Bringing Deep Expertise in Revenue Optimization

Creating Sustainability for
Out-of-Network Providers

Specializing in Independent Dispute Resolution
and No Surprises Act Compliance

Understanding the nuances of the No Surprises Act and Balance Billing Laws is essential for out-of-network providers. HaloMD leverages its comprehensive expertise and profound understanding of Independent Dispute Resolution to secure fair and prompt reimbursement for the healthcare services you provide.

Our goal is to instill predictability in revenue for out-of-network providers, transforming uncertainties into steady, foreseeable outcomes. This mission is rooted in optimizing the out-of-network Independent Dispute Resolution (IDR) process and fundamentally altering its landscape through advanced technology, streamlined processes, and enhanced efficiencies.

Expert Management for Out-of-Network Providers

At HaloMD, we understand the unique challenges faced by out-of-network providers in today’s complex healthcare landscape. That is why we have combined unrivaled expertise in out-of-network revenue cycle management, in-depth knowledge of state and federal No Surprises Act and balance billing laws regulations, and high proficiency in Independent Dispute Resolution. Our dedicated efforts are aimed at securing prompt and binding payments that appropriately recognize the value of the services you provide.

Prompt and Binding Payment

With binding payments, disputes by payors are eliminated. Our legally enforceable payment terms ensure payer accountability and provide dispute resolution mechanisms for any delays or non-payment.

Quick Turn-Around

HaloMD drastically reduces accounts receivable time, from years to under four months. This approach minimizes financial uncertainties and streamlines providers’ operations for enhanced stability.

Protection for Patients

By excluding patients from the Arbitration process and implementing No Balance Billing, HaloMD helps providers build trust and ensures access to necessary care, even from out-of-network providers, fostering a healthcare environment centered on trust, care, and accessibility.

HaloMD’s Expertise in No Surprises Act and IDR

Compliance and Strategy:

HaloMD ensures billing practices are both compliant and strategically aligned with the No Surprises Act and balance billing laws, offering specialized insights and tailored reimbursement optimization for each medical specialty.

Emphasizing Detailed Documentation:

Critical to IDR success, our team focuses on meticulous documentation of procedures, diagnoses, and patient interactions, preparing providers for effective dispute resolution.

Advanced Technology Utilization:

We employ cutting-edge technology and data analytics, streamlining claim tracking, trend analysis, and IDR case preparation for enhanced billing management.

Educational Advocacy:

Empowering clients with knowledge about their rights and responsibilities under the No Surprises Act and balance billing laws, HaloMD fosters transparency and understanding in healthcare for both providers and patients.

Insights from Real-World Cases:

Continuously updating strategies based on evolving healthcare billing scenarios and legal landscapes, HaloMD shares these vital insights for adaptable and informed client strategies.

Keeping You Up-to-Date

In the News

HaloMD | February 27, 2023

Texas Takes the Lead in Out-of-Network Arbitration with State-Level Solution

The issue of out-of-network arbitration has been a topic of debate for some time now, with healthcare providers and…

HaloMD | February 27, 2023

The Texas Legislature: An Incubator for Innovative Commercial Insurance Policy

The Texas Legislature has been at the forefront of developing innovative commercial insurance policies in recent years,…

HaloMD | February 27, 2023

The Good, the Bad, and the Ugly: A Look at the No Surprises Act and the IDR Process

The No Surprises Act and the IDR process are new developments in the healthcare industry, and as such, they have faced…