Processes can be copied. Expertise cannot.
Whether we manage the full reimbursement lifecycle or engage exclusively at the NSA stage, our approach remains the same: precision, compliance, and results.
Since 2012, we have focused exclusively on this space – alongside our affiliate law firm, Cohen Howard, LLP.
CHRMS was built in the NSA and revenue management world – we’re not new to it.
Built for the Complexity of Out-of-Network Reimbursement.
CHRMS delivers a comprehensive suite of services for independent surgeons operating outside traditional payer networks. Our integrated approach spans billing, appeals, negotiations, regulatory analysis, and federal/state dispute resolution — all backed by deep industry experience and legal authority.
We do not simply process claims.
We manage the entire reimbursement lifecycle.
Medical Billing
Federal & State Surprise Bill Services
Practice Strategy & Advisory Support
(No Additional Cost)
What Makes Us Different
CHRMS is not a billing company — we are a true single-source revenue partner with unparalleled expertise in out-of-network reimbursement.
- 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
With CHRMS, providers gain a partner who understands not just the billing process — but the entire reimbursement ecosystem.
Start with a Partner Who Understands the Landscape: Take the Next Step.
Speak with our team to learn how CHRMS can strengthen your financial performance, protect your independence, and transform the complexity of out-of-network reimbursement into opportunity.