Frequently Asked Questions

Noble HealthCare Solutions Practice Management Services, LLC is an independent billing company that manages a consortium of medical billing services for private physician practices of all specialties. Our team has extensive experience with:

• Mental Health & Behavioral Health
• Internal Medicine & Primary Care
• Pediatrics
• Urology
• Physical & Occupational Therapy
• Cardiology, Orthopedics, and more

If you don't see your specialty listed, contact us — chances are we have experience with it.

We work with most major EHR and practice management systems, including Epic, Athenahealth, Kareo, AdvancedMD, eClinicalWorks, DrChrono, and many others. Our team integrates seamlessly into your existing workflow or can help you identify the right system for your practice.

Denial management is a core part of our service. When a claim is denied, our team conducts a thorough review of the denial reason, prepares a detailed appeal with supporting documentation, and resubmits the corrected or appealed claim promptly.

We also proactively identify denial trends to prevent future rejections, and provide you with comprehensive reporting on denial rates and recovery outcomes. Medical necessity is never hard to prove once understood — we fight to the end to ensure our clients receive the reimbursements they deserve.

Our team is thoroughly up to date on all CPT, ICD-10, and HCPCS coding protocols. We stay current with annual code updates and payer-specific guidelines to ensure every claim is coded accurately — minimizing denials and maximizing reimbursement rates.

We provide detailed financial reporting on a monthly basis, including aging reports, collection summaries, denial breakdowns, and reimbursement trends. Reports are tailored to your practice's needs and can be reviewed together with your dedicated NHCS consultant during regular check-ins.

Absolutely. All patient and practice data is handled with the highest level of security in full compliance with HIPAA regulations. We maintain strict data privacy protocols across all our billing, collections, and credentialing operations. A Business Associate Agreement (BAA) is provided to all clients.

Our eligibility verification service ensures that every patient's insurance benefits are active and accurate before the appointment occurs. We verify:

• Patient policy deductible and out-of-pocket responsibility
• Co-insurance and co-payment amounts
• Benefit limits and coverage effective dates
• Reimbursement estimates for planned services
• Pre-authorization and clinical requirements for admissions or procedures

We do all the work and deliver accurate, up-to-date information for every patient your practice sees.

Prior authorization is one of the most common causes of claim delays and denials. Without an approved authorization on file, insurers can — and frequently do — refuse to pay even for medically necessary services.

Yes, NHCS manages prior authorization requests on your behalf. We submit requests with the required clinical documentation, follow up with payers, and track approval status — so your staff can focus on patient care rather than payer phone queues.

We recommend — and practice — verifying eligibility at least 48 to 72 hours prior to a scheduled appointment. This gives sufficient time to identify issues, notify the patient of any cost-sharing responsibilities, and obtain any required authorizations before services are rendered.

Yes — significantly. When patients have a clear, accurate picture of their out-of-pocket costs before the service is rendered, they are far more likely to pay their portion at the time of the visit. Our eligibility service is directly linked to our patient self-pay collections strategy, which helps reduce your outstanding patient balances.

Our AR Recovery service is designed for practices that do their billing in-house but need targeted support on aged accounts. We take on accounts that are over 45 days outstanding and work them strategically through insurance follow-up, appeals, and resubmissions.

This service is ideal for practices that don't want to fully outsource billing but want to capitalize on NHCS's deep expertise with difficult payer accounts.

We contact patients and guarantors directly via professional letters and phone calls to address outstanding balances. Our patient collections process includes:

• Tracking all patient payments and outstanding balances
• Providing concrete records of deductible and co-pay collection attempts
• Comprehensive monthly reports showing patient balances and collection progress
• Managing practice-approved payment plans on your behalf

We always treat patients with respect — providing clear, professional communication that protects your practice's reputation while recovering your revenue.

Yes. We manage payment plans directly with patients on your behalf. All payment plan terms are approved by you — we simply execute and track them, ensuring scheduled payments are made and reporting any defaults promptly. This keeps your revenue moving without placing the burden on your front office staff.

Recovery timelines vary depending on the payer, the age of the account, and the reason for non-payment. Simple resubmissions or corrected claims can be resolved within 2 to 4 weeks. Complex appeals or underpayment disputes may take 60 to 90 days. We provide regular status updates so you always know where each account stands.

Absolutely. One of our most popular arrangements is supplementing an existing in-house billing team — whether you're temporarily shorthanded, dealing with a backlog, or simply want expert support on complex denials and aged AR. We work alongside your team, not instead of it, and we scale back as your capacity improves.

Our credentialing service covers the full enrollment process from start to finish. Core responsibilities include:

• Providing a checklist of required documentation
• Completing and submitting credentialing applications
• Corresponding directly with insurance credentialing departments
• Ensuring documentation complies with payer policies
• Following up on application status until enrollment is confirmed
• Adding and removing insurance providers from your plan as needed

Provider credentialing and insurance payer contract negotiating are included at no additional cost for our billing clients. If your practice does not need billing services but needs credentialing support, we also offer it as a standalone service.

Credentialing timelines are largely determined by the payer. Most commercial insurance credentialing takes between 60 and 120 days from initial application to active enrollment. Medicare and Medicaid can take 30 to 90 days depending on the state. We start the process as soon as all documentation is received, and follow up proactively to avoid unnecessary delays.

Yes. We track credentialing expiration dates and renewal windows for all enrolled payers, and proactively initiate re-credentialing to ensure your enrollment never lapses. We also handle updates such as address changes, group additions, and adding new providers to existing payer contracts.

Our practice consulting services are tailored to your specific needs and can cover a wide range of areas, including:

• Revenue cycle analysis and optimization
• Front office workflow efficiency improvements
• Billing compliance and audit readiness
• Payer contract review and negotiation strategy
• Practice management software selection and implementation
• Staff role clarity and billing process documentation

Yes — significantly. Our consulting approach focuses on building a more sustainable partnership by identifying opportunities to reduce overhead and administrative costs, reduce employee costs, increase office efficiency, and ultimately increase your cash flow. We become an extension of your team, invested in your long-term success.

No. Consulting services are available independently. We work with practices at all stages — from those fully managing billing in-house who simply want expert guidance, to those looking to transition to full outsourcing. We scale to meet your practice exactly where it is and take you further.

NHCS is an independent billing company with no outside ownership interests, allowing us to maintain complete loyalty and focus on our clients. With more than 20 years of industry experience, we have built strong, long-standing relationships with our core practices by delivering dependable support and personalized service.

We combine the attention and accessibility of a boutique firm with the expertise, structure, and efficiency of a full-service billing operation. Our goal is to create sustainable, healthy partnerships — not simply process claims.

Getting started is straightforward. Reach out to us by phone at 616.303.0660 or by email at info@noblehealthcaresolutions.com for a free consultation.

During the initial call, we'll review your current billing setup, discuss your goals and pain points, and outline a service plan that fits your practice. There's no obligation — just an honest conversation about how we can help.

Our office is located at 1345 Monroe Ave. NW, Suite 230, Grand Rapids, MI 49505 — in the Greater Grand Rapids area.