Frequently Asked Questions
Find answers to common questions about HERO’s hospital billing services, including claims management, denial reduction, and revenue optimization. Learn how we support your hospital’s financial performance.
General HERO FAQs
HERO brings together skilled experts, effective processes, and cutting-edge technology. This helps hospitals boost reimbursements, cut down on denials, and enhance their financial health.
Yes. HERO can help your team or take care of the entire revenue cycle. Choose the model that works best for your hospital's needs.
Hospitals usually see better denial rates, higher clean-claim rates, and improved A/R performance in 60 to 90 days.
No. HERO provides flexible, month-to-month options. Results shape the relationship, not long-term contracts.
Deep-Dive Service
It includes denial root-cause analysis, DRG validation, coding accuracy checks, underpayment discovery, A/R aging review, payer pattern analysis, and full revenue leakage identification.
Yes. The Deep-Dive is completely free for hospitals, with no hidden fees or obligations.
You’ll receive your full Deep-Dive report in 10 to 14 business days after you send the required data.
Credentialing & Enrollment
Yes. HERO handles new provider enrollments, renewals, and revalidations. This helps prevent issues with billing or reimbursement.
We use clear workflows, precise documentation, and active follow-up with payers to cut processing delays.
Yes. We support hospitals of all sizes, including multi-site systems and complex provider networks.
Denial Management
We focus on resolving each denial and finding the root cause. This prevents future denials and boosts overall claim acceptance.
Yes. Our specialists manage appeals for all hospital departments, including inpatient, outpatient, surgical, and emergency services.
Most denials are worked within 24–48 hours, helping hospitals recover revenue faster.
Charge Capture & Coding
Yes. HERO’s coders are certified and skilled in various coding areas. This includes inpatient, outpatient, emergency, and specialty hospital coding.
We adhere to strict coding guidelines. We conduct multi-level reviews and validate DRGs. Ongoing training keeps us updated with payer and regulatory changes.
Yes. HERO provides coding for UB-04 (facility) and CMS-1500 (professional) claims.
Clean Claim Scrubbing
We use smart scrubbing rules and manual checks to find errors before submitting claims.
Yes. We tailor scrubbing settings based on your hospital’s payer mix, denial trends, and service lines.
Cleaner claims reduce rejections, speed up payer processing, and lower A/R aging—resulting in faster and more consistent cash flow.
HERO — Hospital Billing, Coding & Revenue Optimization
Built to help hospitals strengthen their revenue cycle with precision and transparency.
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