Strategic Revenue Pursuit & Optimization for Healthcare Providers
Healthcare Legal Solutions combines legal, clinical, operational, and payer-escalation expertise to pursue reimbursement other vendors may leave behind. We partner with hospitals, health systems, academic medical centers, children’s hospitals, specialty laboratories, and specialty providers to overturn complex denials, resolve payer disputes, defend audits, recover underpayments, and reduce future revenue leakage.
For more than 20 years, HLS has helped healthcare organizations navigate increasingly complex reimbursement environments. Our attorneys, registered nurses, physician assistants, clinical reviewers, reimbursement specialists, analysts, and operational professionals work together to strengthen appeals, pursue available escalation pathways, and move claims from denial to verified payment with disciplined follow-through.
97.7
Historical KLAS
Performance Score*
100%
Would Buy Again*
$600M+
Recovered Revenue
20+
Years of Experience
SOC 2
Type II Certified
A-LIGN
Assessed Security
HIPAA
Compliant Operations
Trusted by Healthcare
Organizations
Healthcare organizations choose HLS when reimbursement challenges require more than routine appeal production. Our clients include large health systems, academic medical centers, community hospitals, children’s hospitals, specialty organizations, and laboratory networks that value legal-clinical expertise, responsive partnership, and measurable financial outcomes.
More Than
Appeal Writing
HLS does more than prepare appeal letters. We examine the legal, clinical, contractual, regulatory, and operational issues affecting reimbursement, then build a strategy suited to the claim, payer, jurisdiction, and available avenues for review. This broader perspective helps clients recover revenue while identifying the conditions that caused the denial in the first place.
Our work is designed to support the provider enterprise. HLS collaborates with Revenue Cycle, Patient Financial Services, Care Management, Contracting, Compliance, Audit, Finance, coding, utilization management, and clinical leadership so that appeal strategy, payer escalation, and denial-prevention efforts are aligned.
A Holistic
Provider Partnership
Denials often involve more than one department. An authorization issue may require Care Management and Revenue Cycle; a payment variance may involve Contracting and Finance; an audit may require Compliance, coding, clinical leadership, and legal analysis. HLS brings these perspectives together in a coordinated model rather than treating each denial as an isolated billing event.
Our role is to become an extension of the client’s team. We establish clear workflows, retrieve available documentation, communicate findings, participate in payer discussions when appropriate, and provide reporting that helps operational and executive leaders understand immediate recoveries and broader trends.
Services Overview
HLS provides denials management and appeals, Medicare Advantage appeals, governmental and Medicaid recovery, pediatric reimbursement support, audit defense and regulatory escalation, underpayment and zero-balance recovery, complex claims support, aged AR and backlog recovery, and specialized services for laboratories and specialty providers. Each service can be delivered as a focused project or as part of a broader, long-term engagement.
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Outcomes That Matter
The measure of a denial partner is not the number of letters sent; it is the value returned to the provider. HLS focuses on recovered dollars, overturn performance, net receipts, reduced write-offs, accurate payment, stronger payer accountability, and actionable insights that support future prevention.
HLS’s historical KLAS research results reflected strong client satisfaction, partnership, staff quality, and willingness to purchase again. HLS also maintains detailed reporting across payer, denial type, service line, appeal level, account age, recovery, and resolution status.
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