CHRMS has been in the NSA and revenue management environment from the beginning.
We are the authority for independent surgeon reimbursement.
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We're a Different Kind of Revenue Partner
Not a Vendor. A Strategic Partner.
CHRMS was built exclusively to support independent, out-of-network surgeons in one of the most complex reimbursement environments in healthcare. Since 2012, we have operated entirely in this space, developing the experience, infrastructure, and regulatory depth required to succeed where others fall short.
While many service providers focus on isolated tasks, CHRMS manages reimbursement as a strategic, end-to-end discipline — designed to protect performance, sustain growth, and support long-term independence.
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Exclusively Out-of-Network - By Design
Out-of-Network Is All We Do
CHRMS is not a general billing company that added out-of-network services later. We were built in this space — and we have remained exclusively focused on it for more than a decade.
That focus has allowed us to develop:
- Deep familiarity with payer tactics and reimbursement behavior
- Specialized workflows for out-of-network billing and dispute escalation
- Expertise across federal and state surprise billing frameworks
- Proven strategies refined through constant regulatory change
This level of specialization is not replicable by newer or generalized vendors.
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End-to-End Revenue Management (What That Actually Means)
From Claim Creation to Final Enforcement
End-to-end revenue management at CHRMS means every stage of reimbursement is connected, intentional, and defensible:
- Billing structured with downstream reimbursement in mind
- Comprehensive appeals built code-by-code
- Negotiations informed by payer history and plan language
- Federal and state dispute resolution
- State regulatory agency filings
- Ineligibility challenges when payors improperly block disputes
- Post-award enforcement when insurers fail to pay
Nothing is handled in isolation. Every step supports the next.
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Comprehensive Appeals — Where Others Stop, We Begin
A Critical Capability Competitors Do Not Offer
Most competitors do not perform true comprehensive appeals. They rely on surface-level reconsiderations, resubmissions, or narrow arbitration filings to those codes where payment was received.
CHRMS does more.
Under the No Surprises Act:
We perform comprehensive, code-level appeals for denied or reduced services within NSA-covered claims, preserving dispute eligibility and correcting improper payer determinations.For Billing Clients:
We deliver full-spectrum appeals across ERISA and non-ERISA claims, addressing denials, underpayments, medical necessity disputes, plan interpretation, and exhaustion requirements.This depth is essential to maximizing recovery — and it is one of the clearest distinctions between CHRMS and the rest of the market.
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NSA Expertise — With or Without Billing
Flexible Engagement. Same Rigor.
CHRMS provides Federal and State No Surprises Act services both as part of a full-service billing engagement and as a standalone solution.
Some clients engage CHRMS to manage the entire reimbursement lifecycle. Others rely on us exclusively for:
- NSA eligibility analysis
- Open negotiation and IDR submissions
- NSA-specific appeals and ineligibility challenges
- Post-award enforcement for unpaid determinations
In either model, our approach remains the same: precision, compliance, and results.
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Experience That Comes From Longevity
Built Over Time — Not Assembled Quickly
CHRMS has guided providers through:
- Shifting payer reimbursement strategies
- ERISA evolution and enforcement
- State surprise billing frameworks
- The rollout and ongoing transformation of the No Surprises Act
Our experience is reinforced by longstanding, hands-on interaction with commercial payors nationwide, giving us insight into how insurers actually operate — not just how regulations are written.
This institutional knowledge allows us to anticipate payer behavior and adapt strategy proactively.
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Integrated Legal & Regulatory Authority
A Structural Advantage
CHRMS is affiliated with Cohen Howard, LLP, the nation’s leader in out-of-network advocacy. This integration provides:
- Legal-ready documentation and appeals
- Advanced regulatory interpretation
- Authority in dispute escalation and enforcement
- Confidence in high-stakes reimbursement challenges
This is not outsourced or episodic legal support — it is embedded into how CHRMS operates.
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Aligned Incentives. Real Partnership
Your Success Is Our Success
CHRMS operates on a performance-based model:
- No upfront costs
- Success aligned with outcomes
- Shared investment in long-term performance
We function as an extension of your reimbursement team, not a transactional service provider.
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Claim Adjudication Is Not One-Size-Fits-All Approach
Out-of-network reimbursement is not a mechanical process — and CHRMS does not treat it as one.
Every claim we manage is reviewed, analyzed, and advanced through human expertise, not automated decision trees or template-driven workflows. We evaluate each case based on its unique clinical, coding, payer, and regulatory factors to determine the most effective path to resolution.
This tailored approach allows CHRMS to:
- Identify claim-specific opportunities others overlook
- Adapt strategy based on payer behavior and plan nuances
- Escalate the right claims at the right time
- Avoid unnecessary disputes while maximizing recovery
Where many vendors rely on automation and volume, CHRMS applies judgment, experience, and strategic discretion at every stage of adjudication.
CHRMS is built for independent surgeons who:
- Operate fully or partially out-of-network
- Value autonomy and long-term sustainability
- Require depth, not shortcuts
- Need a partner who can navigate complexity — and win
Experience the CHRMS Difference.
Speak with a specialist about how our model supports performance, growth, and long-term success.