Medical Business Management

Your Practice's Revenue.
Expertly Managed.

Hernandez7 Management partners with multi-specialty medical groups and clinics to maximize revenue, ensure compliance, and drive measurable results — working alongside your team like a dedicated in-house partner.

HEDIS / STAR CertifiedRAF Score GuaranteedFull-Cycle Revenue ManagementMulti-Specialty Experts
100%
RAF Score Progress Guaranteed
Full-Cycle
Revenue Management
End-to-End
Billing & Compliance
Dedicated
In-House Partner Model
Medical billing professional at work

Expert Billing Management

Maximizing reimbursements for your practice

Healthcare management team collaborating

Your Dedicated Partner

Working alongside your team every step

What We Do

Comprehensive Management Services

From billing to HEDIS compliance, we handle the complexity so your team can focus on patient care.

Core Service

Medical Billing

End-to-end billing management that maximizes reimbursements, reduces denials, and keeps your revenue flowing — handled by experts who know your specialty.

Core Service

Revenue Cycle Management

Full-cycle oversight from patient registration through final payment. We identify revenue leakage, accelerate collections, and optimize every touchpoint in your revenue cycle.

A/R Management

Aggressive follow-up on outstanding claims to recover revenue faster.

Referral Authorizations

Streamlined prior authorization workflows that reduce delays and denials.

Eligibility Verification

Real-time insurance verification before every patient encounter.

HEDIS / STAR Management

Comprehensive quality measure management with training and guaranteed outcomes.

Payment Posting & Account Adjustment

Accurate, timely payment posting and account adjustments to keep your books clean and your revenue cycle moving without delays.

Insurance Contracting

Expert contracting with Medicare, Medi-Cal, Health Plans, and IPAs — ensuring your practice is properly credentialed and enrolled with every relevant payer.

Contract Review & Negotiation

Thorough review of payer contracts with strategic negotiation to secure the best possible reimbursement rates for your practice.

Our Packages

Tailored Solutions for Every Practice Need

Choose the services that fit your practice — or let us build a custom management plan around your goals.

Referral Authorizations

Complete prior authorization management — submission, follow-up, and appeals — so your team never loses a referral to administrative delays.

Eligibility Verification

Proactive insurance eligibility checks before every appointment, reducing claim denials and improving patient experience at check-in.

Annual Wellness Exam Management

End-to-end AWE scheduling, documentation support, and compliance tracking to maximize preventive care reimbursements.

Revenue Cycle (Cycle Revenue)

Full-cycle revenue management from charge capture through payment posting, with detailed reporting and performance benchmarks.

A/R Management

Dedicated accounts receivable follow-up with aggressive claim resolution strategies to reduce your days in A/R.

HEDIS / STAR Measure Management

Comprehensive HEDIS and STAR measure tracking, gap closure, staff training, and performance reporting to improve your quality scores.

Guaranteed RAF Score Progress

Structured RAF score improvement programs with guaranteed progress — including documentation coaching, HCC capture, and provider education.

Personal Consulting & MA / Staff Training

Hands-on consulting and customized training programs for medical assistants and clinical staff — building the skills that drive better outcomes and compliance.

Payment Posting & Account Adjustment

Accurate payment posting and account adjustments that keep your revenue cycle clean, your reporting accurate, and your cash flow consistent.

Insurance Contracting — Medicare, Medi-Cal, Health Plans & IPAs

Full-service payer enrollment and credentialing with Medicare, Medi-Cal, commercial health plans, and IPAs to maximize your network participation.

Contract Review & Negotiation

Strategic review and negotiation of payer contracts to secure favorable reimbursement rates, favorable terms, and long-term financial stability for your practice.

Let's Work Together

Ready to Optimize Your Practice Revenue?

Let's talk about where your practice is today and where it could be. Our team brings deep expertise and a partnership approach that makes the difference.

No obligation. Just a conversation about your practice goals.