HnP Claim Care
IONM & AEEG REVENUE CYCLE
Specialty Services About Careers
972-412-5299 Request a claims review
OUT-OF-NETWORK SURGICAL REVENUE CYCLE · ROWLETT, TEXAS

IONM claims aren't general billing. We never treated them like they were.

HnP Claim Care is a specialist revenue cycle firm for intraoperative neuromonitoring, ambulatory EEG, and complex out-of-network surgical claims. Twenty-five years in diagnostic medicine, working the claims most billers hand back: clean coding, denials, appeals, open negotiation, and federal IDR.

Request a claims review See how we work an IONM claim

No obligation. We look at your denials before we ever talk about a rate.

INTRAOPERATIVE MONITORING
BASELINE STABLE
L SSEP · TIB POST
R SSEP · TIB POST
MEP · L QUADRICEPS

The work in the operating room is only half of it. The other half is proving it: in the right codes, with the right documentation, inside the payer's deadlines.

WE WORK, END TO END
IONM
Ambulatory EEG
Sleep labs
Surgical
NP & PA billing
ERISA
Multi-state claims
25+ years
In diagnostic medicine, hands on the claims
CMC, CMIS
Certified coding leadership, not outsourced
Owner-led
One decision-maker. She reads the hard claims.
Rowlett, TX
Family-run team of 12, all in-house
01 · THE PROBLEM

A generalist biller will lose this money. Quietly.

Neuromonitoring is not a specialty most billing companies staff for. So they work it like any other claim, watch it underpay, and write the difference off as the cost of doing business. You never see the number. Here is where it actually goes.

01

The codes are a trap

95940 and 95941 are not interchangeable, and G0453 is its own animal. One-on-one attendance in the room, remote oversight across cases, the technical and professional split, the base study underneath it: get the combination wrong and the case underpays or bounces on the first pass.

02

The payer's default answer is no

Not medically necessary. Not separately payable. Bundled into the surgeon's fee. Duplicative of another provider. Those are four different denials that need four different appeals, and a template letter answers none of them.

03

The proof lives in someone else's chart

The operative note, the technologist's log, the oversight physician's report, the baselines and any alert events: they have to agree with each other before the claim goes out. Reconciling that after a denial is how good cases die.

04

Federal law rewrote the math

Since 2022, out-of-network monitoring at an in-network facility can't be balance billed to the patient. What used to be a patient balance is now a federal process with hard deadlines. Miss one and the claim is finished: there is no appeal to the deadline.

02 · HOW WE GET PAID NOW

When the payer underpays, a clock starts.

The No Surprises Act replaced balance billing with a federal dispute process. It is winnable. But it is a calendar, an evidence package, and a single best offer. We run it as routine work, not as an escalation.

STEP 01

Claim & initial response

Clean claim goes out. The payer issues an initial payment or a notice of denial: the event that starts everything after it.

STEP 02

Open negotiation

A fixed negotiation window opens. Most claims should settle here, and the ones that do settle faster and cheaper than arbitration.

STEP 03

Initiate federal IDR

If it doesn't settle, initiation is a narrow window measured in business days. This is the deadline most practices miss.

STEP 04

Build the offer

A certified entity is selected and both sides submit one number with supporting evidence. The case is won or lost in this package.

STEP 05

Determination

The arbiter picks one offer: yours or theirs. No splitting the difference. The losing side carries the fee.

127
IDR cases initiated in 2025
81%
Resolved in our clients' favor
64%
Settled before arbitration
The full IONM process
03 · WHAT WE DO

Everything between the operating room and the deposit.

Coding & charge capture

Certified coders who know the IONM and long-term EEG code sets, the modifiers, and the documentation each one demands.

Claim submission & scrubbing

Clearinghouse management, front-end edits, and rejection triage (so problems get caught before a payer ever sees them).

Denial management & appeals

Every denial answered on its own terms, with the clinical record behind it. No template letters, no giving up at level one.

Open negotiation & federal IDR

Deadline tracking, batching where it helps, evidence packages, and the offer strategy that decides the outcome.

A/R recovery & aged claims

Old inventory worked systematically, oldest and largest first, with a straight answer about what is genuinely recoverable.

Credentialing & enrollment

Payer enrollment, revalidations, and NP/PA supervision setups kept current, because lapsed credentials stop revenue cold.

Reporting you can actually read

What was billed, what was collected, what is stuck and why. Plain numbers on a schedule, not a dashboard nobody opens.

ERISA & multi-state claims

Self-funded plans and out-of-state payers handled under the right rules, with plan documents pulled when the appeal needs them.

Not sure which of these you're missing?

That's usually the answer in itself. Send us your denials and we'll show you.

Request a claims review
04 · WHO WE WORK WITH

Built for the practices nobody else wants to bill for.

IONM groups and neuromonitoring companies
Ambulatory and long-term EEG providers
Sleep labs and diagnostic testing facilities
Spine, neurosurgical, and orthopedic practices
Ambulatory surgery centers
Nurse practitioner and physician assistant billing
STRAIGHT TALK

We're probably not right for you if…

You're shopping on rate alone. Cheap billing is the most expensive thing in this specialty.

You want us to bill whatever gets put in front of us. We won't send out a claim the record doesn't support.

You'd rather hear a comfortable number than a real one. We'll tell you when your A/R isn't collectible.

If none of that scared you off, we'll get along fine.

05 · RESULTS

The only numbers worth putting on a website are the ones we can back up.

94%
Average net collection rate
Across IONM and AEEG clients, the trailing 12 months. Representative preview figures; replaced with verified results before launch.
78%
Of denials overturned on appeal
First- and second-level appeals combined
38 days
Average days in A/R
Measured from date of service
Our IONM denials sat untouched for months before HnP took over. They rebuilt the appeal file, took two of our cases through federal IDR, and recovered payments we had written off.
Practice Administrator
Orthopedic spine practice, DFW · Client since 2023
[CLIENT PHOTO
OR LOGO]
PHOTO PLACEHOLDER
LISA PARTRIDGE
Warm, working, not a stock headshot
06 · WHO YOU'RE ACTUALLY HIRING
“I started out as a licensed lab technician. I learned to code because I got tired of watching good clinical work get denied over bad paperwork. Twenty-five years later I own this firm, my family works in it, and I still read the hard claims myself. That isn't a marketing line: it's why nothing leaves this office I wouldn't put my name on.”
LisaMarie Partridge, CMC, CMIS
Founder & Chief Executive Officer
Read her story
07 · CAREERS

We hire for character and teach the rest.

Our CEO started as a lab technician. Nobody here is stuck where they came in. If you're careful, honest, and willing to learn a specialty most people avoid, we'd like to meet you.

See open roles

Send us thirty denied claims. We'll tell you what they're actually worth.

No cost, no commitment, no contract to sign first. We'll review them, tell you what went wrong, and show you what we'd do differently. If the answer is “nothing”, we'll tell you that too.

Request a claims review 972-412-5299

Or email lisa@hnpcs.net and reach her directly.

HnP Claim Care

Specialist revenue cycle management for intraoperative neuromonitoring, ambulatory EEG, and out-of-network surgical claims.

FIRM
Specialty Services About Careers
SPECIALTIES
IONM Ambulatory EEG Sleep & diagnostics ERISA & multi-state
CONTACT
5001 Rowlett Rd, Ste 300-301
Rowlett, TX 75088
972-412-5299 info@hnpcs.net
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