1. Denied or Delayed Claims

The Challenge: Claim denials remain one of the biggest revenue hurdles. They delay cash flow and create additional administrative burden for staff.

The Emerald Health Solution: Through end-to-end medical billing and revenue cycle management (RCM), Emerald Health ensures accurate coding, fast claim submission, and comprehensive denial management. With a denial rate consistently below 3% and more than $150M collected for medical practices, the company helps providers recover lost revenue and improve financial health.

2. Staffing Shortages

The Challenge: Staffing gaps can overburden teams, slow operations, and reduce patient satisfaction.

The Emerald Health Solution: Emerald Health provides remote staff augmentation, giving practices access to experienced billing and coding professionals without the overhead of traditional hiring. This model is scalable, flexible, and designed to integrate seamlessly with existing teams-ensuring continuity even during peak demand.

3. Compliance and Regulatory Pressure

The Challenge: Navigating Medicare, MIPS, HIPAA, and other regulatory requirements is complex and time-consuming. Noncompliance can lead to penalties, missed incentives, and reputational risk.

The Emerald Health Solution: Emerald Health’s compliance experts offer MIPS reporting and Medicare guidance, helping practices maximize incentives and avoid costly penalties. With full HIPAA compliance, the company also ensures the highest standards of patient data privacy and regulatory adherence.

4. Operational Inefficiencies

The Challenge: Manual processes, fragmented workflows, and outdated systems lead to errors, wasted time, and staff burnout.

The Emerald Health Solution: With a technology-driven approach, Emerald Health streamlines billing, reporting, and administrative workflows.

5. Rising Administrative Costs

The Challenge: As practices grow, so do administrative expenses-from hiring in-house billing staff to managing compliance audits. This can strain resources and limit growth potential.

The Emerald Health Solution: Emerald Health reduces overhead through outsourced billing, RCM, and staff augmentation, allowing practices to scale without increasing costs. By combining workflow automation and expert human oversight, the company helps providers achieve more with less.

6. Lack of Specialized Expertise

The Challenge: Smaller practices often lack access to specialists in billing, coding, and compliance, putting them at risk of errors and revenue loss.

The Emerald Health Solution: Emerald Health brings 15+ years of healthcare expertiseacross multiple specialties, from internal medicine to behavioral health. Its teams undergo continuous training, ensuring they stay up to date with the latest payer policies, coding updates, and industry innovations.

Why Emerald Health?

• Proven Experience: More than 15 years in healthcare, millions recovered for U.S. practices.
• HIPAA Compliant: Full commitment to patient data privacy and security.
• Technology-Enabled: Advanced tools, EHR compatibility, and real-time reporting.
• Scalable Solutions: Flexible billing and staffing support designed to grow with practices.
• Expert Compliance Guidance: Medicare, MIPS, and regulatory support that protects against penalties.
• Nearly 100% Client Retention: Practices trust Emerald Health for long-term success.
• Patient-Focused: Business operations are handled so providers can focus on care.