Independence is Still Possible.
Tightening networks, inconsistent reimbursements, and regulatory changes have made independent practice more challenging than ever.
CHRMS provides the expertise, structure, and regulatory knowledge necessary to preserve your autonomy.
We turn complexity into clarity — and opportunity into income.
You Operate. We Recover.
CHRMS provides end-to-end revenue management exclusively for out-of-network surgical specialists. Our multidisciplinary team — spanning billing, appeals, regulatory strategy, financial analysis, and legal insight — ensures every claim is positioned for maximum recovery.
As an affiliate of Cohen Howard, LLP, a nationally recognized law firm in out-of-network reimbursement, CHRMS brings proven legal and regulatory authority to every phase of the reimbursement process.
Medical Billing
Federal & State Surprise Bill Services
Practice Strategy & Advisory Support
(No Additional Cost)
Others Entered the NSA Market.
We Built It.
For CHRMS, the introduction of the No Surprises Act was not a disruption. It was simply the next evolution of a reimbursement landscape we had already been navigating for years.
CHRMS has spent more than a decade growing alongside — and ahead of — regulatory change, payor tactics, and industry disruption. What cannot be copied is our experience, judgment, and results.
We are the true single-source solution for out-of-network revenue recovery.
What Makes Us Different
- Decades of OON specialization with a national reputation for accuracy and results
- Affiliation with Cohen Howard, LLP, providing integrated legal and regulatory authority
- End-to-end model spanning billing, appeals, negotiations, GAP, IDR, and enforcement
- NSA Expertise – With or Without Medical Billing
- Deep understanding of the No Surprises Act — its timelines, eligibility rules, and dispute pathways
- Proven processes refined over more than a decade of industry and regulatory change
- No upfront cost — our success is tied to your success
- Access to experts at no charge, including NSA, ERISA, and state law specialists
We function as an extension of your reimbursement team, not a vendor.