We help healthcare leaders strengthen the full revenue cycle with AI-enhanced revenue intelligence, operational oversight, payer expertise, denial prevention, and workflow infrastructure designed to identify opportunities faster and support revenue growth.
97%+ First-Pass Clean Claim Rate
Protecting revenue before and after claim submission
Financial insights tailored to your organization
Most denials begin upstream: weak eligibility, incomplete VOB, expired authorizations, claim-field errors, documentation gaps, or payer rules missed inside the EHR workflow.
THG supports every stage of the revenue cycle, from patient access and claims management to denial prevention, analytics, and executive reporting.
Deep expertise supporting therapy, psychiatry, SUD, IOP/PHP, telehealth, payer-specific workflows, and complex behavioral health reimbursement models. Open to your thoughts!
Strengthen financial performance with end-to-end revenue cycle oversight, proactive issue resolution, and clear executive visibility.
Improve claim acceptance, reduce payment delays, and maximize reimbursement through proactive claims management.
Accurate coding and documentation review designed to improve claim quality and reduce preventable denials.
Help providers gain and maintain payer participation with streamlined enrollment and credentialing support.
Identify hidden revenue opportunities, workflow breakdowns, and reimbursement risks before they impact growth.
Identify hidden revenue opportunities, workflow breakdowns, and reimbursement risks before they impact growth.
The difference between billing and revenue operations is visibility, accountability, and control.
Most healthcare organizations don't struggle because of a single denial, claim, or billing error. Revenue challenges occur when critical functions like patient access, eligibility, claims, payments, denials, and reporting operate independently instead of as a connected system.
The Hamill Group helps healthcare organizations build stronger revenue cycle infrastructure by connecting workflows, improving visibility, and creating accountability across the entire revenue cycle. We don't just manage billing tasks. We help organizations understand where revenue slows down, why it happens, and what actions drive improvement.
By combining operational oversight, revenue analytics, payer expertise, and proven workflows, we help healthcare leaders strengthen financial performance, reduce revenue leakage, and build revenue operations that scale with growth.
Most healthcare organizations treat eligibility, claims, denials, follow-up, and reporting as separate tasks instead of connected workflows. As visibility decreases, reimbursement slows, A/R ages, and the same revenue issues repeat month after month. Without operational oversight, organizations often see the symptoms of revenue leakage long before they identify the cause.
By aligning patient access, eligibility, claims, denials, payments, and reporting into a unified workflow, we help healthcare organizations improve visibility, strengthen accountability, and identify revenue risks before they impact financial performance. The result is a more controlled revenue cycle, stronger payer performance, and revenue operations built to support long-term growth.
The Hamill Group follows compliance-focused billing workflows designed to protect PHI, claim data, payer records, ERA/EOB files, and financial information across the revenue cycle. Our processes support HIPAA-aware data handling, role-based access, secure documentation, BAA requirements where applicable, and ISO 27001:2022-aligned information security controls.
Partnering with The Hamill Group is more than outsourcing billing. It’s a strategic investment in stronger workflows, greater visibility, and improved revenue performance. Here’s what healthcare organizations gain:
Clean claim submission architecture, including pre-scrubbing against payer-specific edits, reduces first-pass denial rates and accelerates payment timelines. Our Accounts Managers monitor AR aging in real time and initiate follow-up on unpaid claims before they enter the 90-day bucket.
Clean claim submission architecture, including pre-scrubbing against payer-specific edits, reduces first-pass denial rates and accelerates payment timelines. Our Accounts Managers monitor AR aging in real time and initiate follow-up on unpaid claims before they enter the 90-day bucket.
Clean claim submission architecture, including pre-scrubbing against payer-specific edits, reduces first-pass denial rates and accelerates payment timelines. Our Accounts Managers monitor AR aging in real time and initiate follow-up on unpaid claims before they enter the 90-day bucket.
Clean claim submission architecture, including pre-scrubbing against payer-specific edits, reduces first-pass denial rates and accelerates payment timelines. Our Accounts Managers monitor AR aging in real time and initiate follow-up on unpaid claims before they enter the 90-day bucket.
Clean claim submission architecture, including pre-scrubbing against payer-specific edits, reduces first-pass denial rates and accelerates payment timelines. Our Accounts Managers monitor AR aging in real time and initiate follow-up on unpaid claims before they enter the 90-day bucket.
Clean claim submission architecture, including pre-scrubbing against payer-specific edits, reduces first-pass denial rates and accelerates payment timelines. Our Accounts Managers monitor AR aging in real time and initiate follow-up on unpaid claims before they enter the 90-day bucket.
Meet directly with THG Founder & COO Kira Hamill to review revenue performance, identify operational risks, and uncover opportunities for improvement.
Before we touch a single claim, we conduct a structured intake review of your EHR/PM configuration, payer contracts, credentialing status, current denial categories, and AR aging profile. This baseline eliminates the assumption-driven onboarding that causes early billing errors.
We install front-end controls at the point of scheduling and registration: real-time 270/271 eligibility verification, payer-specific authorization requirement checks, and demographic validation protocols. Front-end error prevention is the highest-ROI intervention in the revenue cycle; it eliminates downstream denials before claims are built.
Charges are reviewed by billing teams with CPB-aligned and specialty-specific coding standards. Claims are scrubbed against payer-specific edits and CMS logic before 837 electronic transmission. Medical transcription and documentation reviews are performed where required for E&M and behavioral health CPT accuracy.
835 ERA remittances are posted and reconciled against expected reimbursement benchmarks. Denials are classified by CARC/RARC, routed to the appropriate resolution workflow, and tracked through appeals and resubmission. AR aging is monitored in real time with escalation protocols for payer-level outliers.
Monthly performance reports are delivered to your Accounts Manager and reviewed with practice leadership. KPI trending identifies payer reimbursement erosion, coding drift, and denial pattern changes. Quarterly strategy reviews are conducted for multi-site and behavioral health organizations to align billing operations with organizational growth objectives.
Tell us where you’re experiencing revenue challenges, and we’ll help identify the root cause and opportunities for improvement.
Medical practices and behavioral health organizations work with The Hamill Group because they need revenue cycle control, not just claim submission. Our team helps improve billing visibility, payer follow-up, denial accountability, and AR workflow support through hands-on account management and technical RCM expertise.
Their team helped us understand where claims were slowing down, which payer issues needed attention, and how our AR follow-up should be prioritized. The reporting is clear, practical, and useful for leadership.
Behavioral Health Group
The Hamill Group helped connect our eligibility, authorization, claim submission, denial follow-up, and payment posting processes into a more controlled workflow. Their account support feels hands-on and operational.
Behavioral Health Group
Built for small to mid-sized practices. Access a complete RCM solution with simple, percentage-based pricing. No setup fees or hidden costs.
of collections
based on volume and specialty
Designed for high-volume practices, large groups, and hospitals. Create a tailored RCM solution aligned with your workflows, scale, and payer mix.
The Hamill Group supports medical practices and behavioral health organizations with specialty-focused billing workflows. Each specialty has different CPT codes, payer rules, documentation standards, authorization needs, and denial risks. Our billing teams manage those details so claims move more cleanly from intake to reimbursement.
Built for behavioral health, psychiatry, therapy, SUD, IOP, PHP, and group practices. THG supports VOB, recurring authorizations, telehealth POS/modifier review, session-level billing, H-code workflows, payer documentation, and denial prevention.
Endoscopy billing, authorizations, pathology coordination, modifiers, and payer documentation.
High-dollar claims, infusion billing, prior authorizations, medical necessity, and underpayment checks.
Testing codes, procedure billing, diagnosis alignment, authorizations, and payer follow-up.
Therapy, psychiatry, group sessions, telehealth, recurring authorizations, and session billing.
Specialty visits, lab coordination, infusion support, and payer rule management.
Chronic-condition documentation, specialty medication workflows, labs, and imaging.
Drug billing, infusion workflows, lab review, & documentation checks.
Chronic care billing, Medicare workflow support, documentation review, and patient-balance clarity.
ENT coding, diagnostic testing, payer authorizations, and documentation alignment.
ENT procedure coding, diagnostic testing support, payer authorization, and documentation alignment.
Medical-dental crossover billing, oral surgery, trauma care, DME links, and medical necessity.
Medical necessity, proof of delivery, modifiers, CMN support, and payer follow-up.
The Hamill Group manages payer-specific billing workflows across government and commercial plans, helping practices control enrollment, claim rules, prior authorizations, reimbursement checks, denials, and AR follow-up with technical payer-level visibility.
THG supports Medicare Part A/B and Medicare Advantage workflows, including MAC portal follow-up, PECOS enrollment checks, CMS-1500/UB-04 claim review, LCD/NCD documentation awareness, AWV billing, secondary coordination, and 835 ERA reconciliation.
Medicaid billing changes by state, MCO, waiver program, and covered service rule. THG manages Medicaid eligibility, prior authorization, state portal workflows, behavioral health carve-outs, revalidation tracking, COB, and payer-specific denial follow-up.
THG manages commercial payer workflows across Blue Cross Blue Shield, UnitedHealthcare, Aetna, Cigna, Humana, and regional plans. Our billing teams track authorization rules, timely filing limits, underpayments, contract variance, appeal windows, and patient responsibility transfer.
Medical practices and behavioral health organizations work with The Hamill Group because they need revenue cycle control, not just claim submission. Our team helps improve billing visibility, payer follow-up, denial accountability, and AR workflow support through hands-on account management and technical RCM expertise.
The cost of billing is not only staff salaries. It includes supervision, recruiting, training, software, clearinghouse fees, rework, delayed cash, denials, underpayments, and management time.
Talk to a revenue cycle expert →
THG works inside your existing EHR, EMR, practice management, clearinghouse, and payer portal environment. We improve billing workflow design, claim movement, reporting visibility, and payer response management without forcing a platform change.
Behavioral health billing breaks when authorizations, VOB, payer rules, and documentation are not managed together. The Hamill Group gives health centers a structured billing workflow built for recurring visits, telehealth claims, payer-specific requirements, and denial prevention.
Explore real behavioral health RCM case studies showing how The Hamill Group helps reduce denials, improve authorization workflows, and bring aging AR back under control with hands-on operational support.
THG helped a behavioral health group control recurring therapy and psychiatry claim denials by connecting VOB notes, approved units, CPT codes, authorization dates, provider details, and reauthorization deadlines into one payer-specific billing workflow.
THG helped a behavioral health provider reduce telehealth billing errors by reviewing payer-specific POS rules, modifier requirements, documentation, authorization links, and claim setup before submission.
THG helped a behavioral health group control recurring therapy and psychiatry claim denials by connecting VOB notes, approved units, CPT codes, authorization dates, provider details, and reauthorization deadlines into one payer-specific billing workflow.
If clean-looking claims are still denied or AR is aging past 60 days, the issue is likely workflow control. Get a no-commitment RCM review to identify denial causes, authorization gaps, and recovery opportunities.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.
