Health Business Navigators

Hospitals and Health CareKentucky, United States2-10 Employees

Health Business Navigators is a Payer Contracting and Credentialing Consulting firm. With our decades of experience on both the provider and payor side of the industry, we share the tools of the trade with our clients, providing the information they need, and only as much direction as they want from us. 

We tailor all of our unique tools and services to the clients market, specialty and their practice:

FeeMaster: Our managed care contracting and chargemaster verification tool that will revolutionize their ability to negotiate and monitor charges and the effects of actual or proposed reimbursement rates. 

FeeCreator: Convert that file drawer of hardcopy contracts into an electronic file to load into their system. Provide HBN with all of the procedure codes that their practice uses, or will use, to bill for services and HBN will load them into our FeeCreator™ tool with formulas involving numerous years of Medicare RBRVS, percentage multipliers, and RVUs so that they can easily create their own schedules, ready to load to their practice management system.

ContractMaster: An inventory tool for old and new contracts provides at-a-glance contract renewal dates, current rates, notice requirements, and more.

ContractReview: Select HBN’s Quick CR or Full CR of new payer agreements with advice on provision changes, additions, and favorable substitute language.

Payer Negotiations: Using HBNs tools, our clients decide if they want to go to the table alone, receive some HBN coaching, or delegate the task to HBN.

Credentialing: Outsource the tedious process of gathering, housing, submitting, tracking, and continuously updating your payer credentialing apps and supporting documents. And, if source verification of providers in your practice or at your facility is needed, HBN can tailor the program to your required standards.

Sign up for free to view info

Email Format Employee directory