
5 Star Billing Services
About 5 Star Billing Services
Overview & Mission
Access Revenue Hawaii, founded in 2022 in Holualoa, Hawai‘i, is a specialized medical billing and revenue cycle management (RCM) company with a primary focus on behavioral and mental health providers. Drawing deeply from social work roots, the leadership team recognized the administrative friction mental health professionals face—credentialing delays, complex payer regulations, EMR documentation requirements—and chose to build a firm that helps clinicians focus fully on patient care. Their mission centers on removing financial and operational barriers so therapists, counselors, and behavioral health groups can thrive financially while delivering quality care to Hawai‘i’s communities.
Origin Story & Local Presence
The company was born out of a clear insight: behavioral health providers in Hawai‘i suffer unique administrative challenges. From intricate Medicaid billing nuances to shifting payer requirements, the founders—experienced in clinical mental health and billing operations—aimed to create a billing service that feels like an embedded partner rather than an external vendor. With a small, locally based team (typically 2–10 staff), Access Revenue Hawaii positions itself as an extension of the provider’s own office. Their headquarters in Holualoa allows them to understand regional payer networks, cultural sensitivities, and compliance expectations across the islands.
Core Services & Capabilities
Credentialing & Payer Contracting
Access Revenue Hawaii manages credentialing with Medicaid, Medicare, and commercial insurers from end to end—covering applications, renewals, and revalidations. This ensures clinicians can maintain active participation across necessary payer networks, reducing enrollment delays and reimbursement gaps.
Charge Entry & Coding
Specializing in behavioral health, their team is adept at ICD-10 diagnosis codes and CPT/HCPCS procedure codes common to therapy, psychiatry, group counseling, psychological assessment, and more. They ensure full documentation alignment within the EMR, generating clean claims that help avoid rejections or denials linked to coding errors.
Claims Submission & Tracking
Claims are submitted via preferred clearinghouse or direct portal on a scheduled cadence. Each claim is monitored to track delays or denials, and weekly follow-ups are conducted to ensure steady cash flow with minimal lag.
Denial Management & Appeals
Denied or underpaid claims are not left behind. The Access Revenue team runs root-cause analyses—pinpointing issues such as insufficient documentation or mismatched codes—and triggers timely appeals. They also ensure payers adhere to contractual rules and coverage criteria.
Accounts Receivable Oversight
The team actively follows up on aging receivables, both with payers and, when necessary, with patients. They analyze denial trends, implement AR clean-up strategies, and maintain low days in A/R—helping practices maintain steady revenue and fewer write-offs.
Audit Readiness & Compliance Support
Recognizing that behavioral health providers face increasing audit risks, Access Revenue Hawaii builds audit preparation into their service suite. This includes chart analysis, documentation reviews, and assistance in responding to records requests. Everything is structured to ensure providers aren’t caught off guard during compliance reviews.
Technology Integration & Compliance
Though specific billing systems aren’t listed, the company’s experience suggests compatibility with most widely-used EMRs and major clearinghouses. Their processes are HIPAA-compliant, with secure handling of patient data and encrypted submission of claims. Credentialing services handle state licensure verification and revalidation at renewal intervals. Their audit-readiness services align with federal and state regulatory standards, ensuring clinician documentation meets payer and audit expectations.
Target Clients & Ideal Scenarios
- Access Revenue Hawaii focuses on providers who benefit from behavioral health billing specialization:
- Small to mid-sized mental health practices—therapists, LPCs, LMFTs—looking to offload administrative work
- Psychiatrists and psychologists needing precise coding and documentation support
- Telehealth providers delivering services across Hawai‘i’s islands, requiring payer network visibility and billing agility
- New practices or those facing credentialing delays, particularly Medicaid-heavy offices
- Clinics preparing for audits that need proactive compliance support
Use Cases Where They Shine
A solo therapist frustrated by recurring Medicaid billing rejections.
A group practice expanding telehealth across islands that needs reliable payer contracting.
A mid-sized clinic prepping for a state compliance review.
Behavioral health providers in need of an embedded billing function without hiring in-house staff.
What Sets Them Apart
Behavioral Health Specialization
Rather than adopting a generic RCM approach, their focus on behavioral health means they understand CBT, EMDR, group therapy, telehealth videoconferencing rules, diagnosis complexity, and state-specific payer nuances. This knowledge shows up in cleaner claims and fewer denials.
Local, Personable Service
Their smaller, Hawaiian-based team works as a natural extension of a provider’s office. Regular communication, timely follow-ups, and payer relationships leverage local insight for better administrative efficiency.
End-to-End RCM Partnership
Rather than offering isolated services, they provide a comprehensive management of revenue—from front-end credentialing to back-end AR and audit support—ensuring full-cycle continuity. This reduces finger-pointing between vendors and gives providers a single point of accountability.
Audit-Ready Thinking
Audits are a growing concern. By embedding audit-readiness into regular operations, the firm positions practices to stay ahead of payer scrutiny, documentation gaps, and compliance risks—all with little extra effort on the provider’s part.
Pricing Approach & Engagement Process
While specific fees aren’t publicly stated, indications suggest a transparent, value-based pricing model suited for small and medium practices. Their process typically unfolds in these phases:
Discovery Call – Assess billing pain points, payer mix, EMR setup, and AR performance.
RCM Audit/Assessment – Analyze workflows, identify weaknesses, calculate rework or denial costs.
Proposal & Onboarding – Outline service scope, define KPIs (denials, days in A/R, clean claims), set timelines.
Ongoing Reporting & Quarterly Review – Provide regular financial and performance reports, adjust strategies, handle payer updates or audits.
Summary
Access Revenue Hawaii stands out among medical billing firms in Hawai‘i by combining specialized behavioral health expertise with local knowledge and strategic RCM support. Built on clinical insight and operational acumen, the practice-oriented team addresses real-world billing pain points—from Medicaid and telehealth billing to payer credentialing and audit readiness.
For behavioral health clinicians, telehealth practitioners, and small group practices seeking a dependable, patient-focused RCM partner in Hawai‘i, Access Revenue Hawaii offers a transparent, end-to-end solution that helps stabilize revenue, reduce administrative burden, and maintain compliance—letting providers dedicate their time to supporting clients, not paperwork.
At a glance
- Founded: 2022 (Holualoa, HI)
- Specialty: Behavioral health billing & full-cycle RCM
- Ideal Clients: Therapists, psychiatrists, group clinics, telehealth providers
- Key Services: Credentialing, coding, claims management, denials & appeals, AR oversight, audit preparation
- Compliance: HIPAA-enforced, credentialing vigilance, audit-readiness
- Differentiators: Deep behavioral health focus, local presence, integrated service model, proactive audit prep
If you’re seeking medical billing services in Hawai‘i that are attuned to behavioral health workflows and provider needs, Access Revenue Hawaii represents a credible partner built to deliver clarity, compliance, and continuity of revenue operations.
Services Offered
Integration Expertise
SIS
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