Our Services

Comprehensive healthcare operational solutions designed to optimize your practice

Healthcare Solutions

Five Core Service Lines

Integrated solutions for healthcare practices of all sizes

RCM (Revenue Cycle Management)

End-to-end revenue optimization

Complete revenue cycle management from patient registration through final payment collection.

Claims processing & submission
Denial management & appeals
AR follow-up & collections
Prior authorization management

Assist

Virtual medical assistants

Skilled virtual medical assistants for administrative and clinical support tasks.

Patient scheduling
Medical scribing

Labs

Laboratory management

Comprehensive laboratory operations management and workflow optimization.

Result processing
Quality assurance

Care

Patient care coordination

Patient care coordination and remote patient monitoring solutions.

Care coordination
Patient monitoring

Support

Technical & operational support

Comprehensive technical and operational support for healthcare systems.

Help desk support
System maintenance

Service Blueprints

Problem → Solution → Artificial Intelligence Assist

Comprehensive workflows that identify challenges, implement solutions, and leverage Artificial Intelligence for optimal outcomes

Eligibility & Prior Auth

Problem:

Preventable denials and delays from missed eligibility, COB, and auth.

Solution:

Eligibility auto‑checks 7 days/72 hrs/24 hrs pre‑visit; auth desk with payer queues; clinical packet templates; clocked SLAs and escalations.

Artificial Intelligence Assist:

OCR pulls clinicals from notes; bot completes portal forms; model predicts auth approval likelihood and flags missing criteria.

Coding & Documentation

Problem:

Incomplete notes, modifier errors, and inconsistent leveling.

Solution:

Specialty prompts, coder QA cycles, real‑time rules, and weekly feedback to providers with examples.

Artificial Intelligence Assist:

NLP compares note content to LCD/NCD and suggests codes/modifiers with confidence scores.

Claim Scrubbing & Submission

Problem:

Rejections for formatting, NPI/taxonomy, CLIA/device IDs.

Solution:

Payer‑tuned edit packs, CLIA/device validation, ordering/referring checks, and same‑day resubmission.

Artificial Intelligence Assist:

Model learns payer idiosyncrasies and pre‑emptively adjusts claims.

Denials & Appeals

Problem:

Scattered denials, weak appeals, underpayments missed.

Solution:

Denial normalization, playbooked appeals, underpayment engine, and recovery workflows.

Artificial Intelligence Assist:

Drafts appeal letters with citations to policy and medical necessity, ranked evidence attachments.

AR & Patient Pay

Problem:

Oldest‑first follow‑up, low self‑pay conversion.

Solution:

Collectability‑scored AR queues; clear statements; SMS/IVR pay paths; payment plans.

Artificial Intelligence Assist:

Propensity‑to‑pay models route accounts to the right workflow at the right time.

Laboratory Ops

Problem:

Interface drops, manual entry, slow TAT, fuzzy downtime.

Solution:

Interface watchdogs, auto‑retry, routing rules, autoverification, and tested downtime kits.

Artificial Intelligence Assist:

Pattern detection flags analyzer drift and predicts bottlenecks; LLMs summarize validation.

Remote Programs (RPM/CCM/TCM/BHI)

Problem:

Minutes not logged, alerts unmanaged, billing inconsistent.

Solution:

Daily device sync, alert triage, time logging, monthly packet assembly.

Artificial Intelligence Assist:

Auto‑drafts monthly summaries; anomaly detection for silent devices; escalations when thresholds breach.

Integrations (Payer/Provider)

Problem:

Systems don't talk; duplicate entry; data mismatch.

Solution:

HL7/X12/API bridges, master data mapping, reconciliation reports.

Artificial Intelligence Assist:

Fuzzy matching reconciles patient/claim records; flags suspect merges.

What Happens First (Your Starting Line)

Structured implementation approach for immediate impact

1

Free Baseline Review

Denial mix, AR roll, auth TAT, RPM capture, lab TAT comprehensive assessment.

30

Quick Wins in 30 Days

Eligibility gates, auth desk, scrubber rules, denial taxonomy implementation.

90

Quarter Plan

AR scoring live, dashboarding, autoverification pilots, staffing shifts optimization.

Let's fix one bottleneck this week

Why Choose Health Square

Proven Healthcare Expertise

Trusted by healthcare practices nationwide

10+

Years Experience

Deep healthcare industry expertise across all service lines

500+

Practices Served

Successfully supporting healthcare practices nationwide

24/7

Support Available

Round-the-clock support for critical healthcare operations

Client Testimonials

What Healthcare Practices Say About Us

Dr. Sarah Johnson

"Before Health Square, we were drowning in denied claims and administrative overhead. Within 90 days of implementation, we saw a 31% increase in clean claim submissions and 43% reduction in denials. Their AI-powered system flags potential issues before submission—it's like having a revenue cycle expert reviewing every claim 24/7."

Dr. Sarah Johnson

Practice Manager at Riverside Medical Care

Dr. Michael Rodriguez

"As a high-volume orthopedic practice, documentation was killing us. Health Square's virtual scribes and medical coders freed up 4-6 hours of my day. I'm seeing more patients, finishing notes in real-time, and actually leaving the office at a reasonable hour. My coding accuracy went from 82% to 97%, which directly improved our reimbursements."

Dr. Michael Rodriguez

Orthopedic Surgeon at Downtown Orthopedic Center

Lisa Chen, RN

"We launched our Remote Patient Monitoring program with Health Square, and it went from a money-losing venture to generating over $300 per patient monthly. They handle everything: device setup, patient enrollment, clinical monitoring, data analysis, and billing. We just review the alerts and collect the revenue. It's been transformational for our chronic care management."

Lisa Chen, RN

Office Manager at Pediatric Care Specialists

Dr. Robert Turner

"The numbers don't lie: 98.5% clean claim rate, 3-5% increase in monthly collections, and we cut staffing costs by 75% using their hybrid offshore model. Their team learned our EHR workflows in two weeks and now handles everything from prior authorizations to denial management. Best decision we've made in five years."

Dr. Robert Turner

Cardiologist at Heart Care Associates

Dr. Maria Gonzalez

"Oncology billing is notoriously complex, but Health Square's AI system predicted our claim denials with 85% accuracy. We now fix coding errors before submission rather than fighting appeals afterward. First-pass approval rates jumped 20-30% in Q1. Their team understands both the clinical and billing side of cancer care, which is rare."

Dr. Maria Gonzalez

Oncologist at Cancer Care Center

Dr. Jennifer Williams

"Our lab processes thousands of specimens weekly, and turnaround time is everything. Health Square's auto-verification rules and HL7 integration reduced our TAT by 15-25%. We passed our CAP inspection with zero findings, and our LIS now seamlessly communicates with all our instruments. The efficiency gains have been remarkable."

Dr. Jennifer Williams

Lab Director at Genomics Laboratory

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Ready To Transform Your Practice?

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666 Plainsboro Road, Suite # 648, Plainsboro, NJ 08536

Phone: +1 609-505-1209 | Email: info@healthsquareinc.com