Healthcare Management Solutions, LLC

06/10/2026

🎓 Continuing education isn't just for providers.

Today I'm attending a webinar on "Avoiding the Medicare (and/or Medicaid) Death Penalty" presented by Fredrikson.

While the title certainly grabs your attention, the topic highlights something every healthcare practice should be thinking about:

Is your billing team staying current on the regulatory, compliance, and payer changes that could impact your practice?

Healthcare reimbursement is constantly evolving. Medicare updates, Medicaid requirements, documentation expectations, audits, enrollment changes, and compliance risks can all affect a practice's revenue and operations.

The reality is that medical billing isn't just about submitting claims anymore. It's about understanding the ever-changing healthcare landscape and helping providers navigate it successfully.

At HMS, ongoing education is a priority because what we learn today may help our clients avoid costly issues tomorrow.

Whether your billing is handled internally or outsourced, it's worth asking:

❓ How does your billing team stay informed?
❓ What continuing education do they participate in?
❓ How are regulatory and payer updates communicated to your practice?

Staying current isn't optional in healthcare it's part of protecting your revenue, your compliance, and your peace of mind.

06/10/2026

📢 Credentialing Update: CAQH Has a New Name

If you've logged into CAQH recently, you may have noticed something different.

CAQH has officially rebranded and is now called DataSpring.

Before you panic about learning a new system, here's the good news:

✅ Same platform
✅ Same login credentials
✅ Same profile information
✅ Same attestation process

The name has changed, but the function has not.

Your DataSpring profile remains one of the primary sources insurance companies use for:

• Credentialing and enrollment
• Provider directory information
• Claims processing verification
• Network participation updates

In other words, it's still one of the most important pieces of your revenue cycle and payer compliance process.

💡 Our recommendation:

Take 10 minutes this week to log in and review your profile.

Verify:
✔ Practice address
✔ NPI information
✔ Licensure details
✔ Insurance panel participation
✔ Contact information

Then re-attest your profile if it's due.

We've seen countless claim delays, enrollment issues, and provider directory errors that could have been prevented with a simple profile review.

No urgent action required. No major system changes.

Just a good reminder that keeping your provider data current can save a lot of headaches down the road.

06/09/2026

06/08/2026

One of my favorite parts of what we do at HMS isn't billing.

It's teaching.

We regularly work with providers and office staff who simply want to better understand insurance, claims, denials, and revenue cycle management.

When teams understand the "why" behind the process, everything improves:

✔ Fewer mistakes
✔ Better documentation
✔ Faster payments
✔ Less frustration

Sometimes the best solution isn't outsourcing.

Sometimes it's education.

06/05/2026

Medical Billing Translation Dictionary:

Provider:
"I submitted the claim."

Insurance Company:
"We need more information."

Provider:
"What information?"

Insurance Company:
"Yes."

😂

If you've worked in healthcare long enough, you've probably had this conversation at least once.

06/03/2026

💭 A thought that's been on my mind lately...

Many healthcare practices don't have a revenue problem.

They have a visibility problem.

Providers are working harder than ever, seeing patients, documenting, and growing their practice, yet many still struggle with cash flow.

The question isn't always:
"Are we generating enough revenue?"

Sometimes it's:
"Do we know where our revenue is getting stuck?"

Outstanding claims.
Unworked denials.
Aging AR.
Missed follow-up opportunities.

A healthy revenue cycle can make all the difference.

What's the biggest billing challenge your practice is facing right now?

05/29/2026

🚨 We're Hiring! 🚨

Healthcare Management Solutions is growing, and we're looking for an experienced Medical Billing Specialist to join our team!

✅ Full-Time Position
✅ Fully Remote (Must reside in or around Bismarck-Mandan area)
✅ Flexible Schedule
✅ PTO Available

We're looking for someone with experience in medical billing, insurance claims, revenue cycle management, denial resolution, and insurance verification. If you enjoy solving billing challenges and helping healthcare providers succeed, we'd love to hear from you!

Apply today:
👉 https://www.indeed.com/job/medical-billing-specialist-c1f650b212ff73da

Know someone who would be a great fit? Please share this post or tag them in the comments!

05/14/2026

Somewhere behind every “successful” healthcare business is an owner or leader silently carrying more than most people realize.

The insurance denials.
The family concerns.
The payroll pressure.
The constant feeling of putting out one fire after another.

At Healthcare Management Solutions, we know that medical billing is about more than claims and numbers. It’s about relieving pressure from healthcare providers who are already carrying enough.

Too many practice owners, therapists, and agency leaders feel like they have to hold everything together alone.
You don’t.

Our goal is simple:
✔️ Help providers get paid accurately
✔️ Reduce administrative overwhelm
✔️ Create smoother systems
✔️ Give healthcare professionals time back to focus on patient care and themselves

If you’re feeling stuck in the cycle of constant stress and operational chaos, know this: you’re not failing. Healthcare is hard. Running a business in healthcare is even harder.

And sometimes the strongest thing you can do is ask for support.

05/01/2026