HOW WE HELP/SERVICES

Permanent solutions – set you free to grow

Full cycle physician billing … Ensures that your new profit centers stay profitable. Exceeding benchmarks may be a struggle for your CBO, but it’s not for us. HRCS seamlessly integrates with your practices to optimize profitability, provide customized reporting and solutions for a myriad of issues like staff shortcomings and volume overloads.

Temporary services – just what you need, when you need it

For hospitals looking to supplement their own CBO or other outsource provider’s capabilities, HRCS also offers services a la carte. We’ll help you handle billing overflows, staff shortages or special projects such as closeouts and conversions.

When a hospital’s physician practice acquisitions outgrow the billing office’s manpower and knowhow, HRCS fills the gap.

Revenue Cycle Management

We work to get your revenue up and keep it up.

Click here to learn more about Revenue Cycle Management.

Eligibility Review & Fee for Service Review

Eligibility verification done prior to patient arrival to assure insurance payment for services rendered.

Click here to learn more about Eligibility Review & Fee for Service.

Accounts Receivable

Aggressive, yet professional, pursuit of payment from insurance companies and patients to resolve aging A/R. Demographic and charge entry and tracking with regular reporting to manage receivables.

Click here to learn more about Accounts Receivable.

Credit Balance Remediation

We can turn up to 85% of your existing Credit Balances into Net Income. Most Credits are not actually money you owe someone else. Credit Balances usually occur as a result of honest mistakes, errors in processes, or simply due to the timing of payment. It takes expertise to effectively and efficiently move the correct Credits from your Balance Sheet to your P&L as Net Income.

Click here to learn more about Credit Balance Remediation.

DSH

Pursuit of full payment on claims, resolution of underpaid claims,and submission of secondary claims.

RAC Audit Review

Analysis of RAC determinations, preparation of response, and oversight of appeal process.

Click here to learn more about RAC Audit Review.

Big Data Denial Review

Big Data analytics to determine trends and patterns in denials in order to resolve them at their root cause.

Click here for more information

Denial Sample Report

Click here to learn more about Big Data Denial.

Quick Income Pickup

We quickly and easily capture missing or overlooked Net Income with Credit Balance Scrubbing, DSH Payment Validation, Fee-For-Service Review, Technology Transition, Single Payer Negotiations/Issues and more

Click here to learn more about Quick Income Pickup.

We Expand Your Capacity.

• Immediate ramp-up of all billing functions

• 24 hour turnaround at every billing stage maximizes cash flow

• Persistent follow-up gets the most money from every claim

• Expert consulting diagnoses problems, then solves them

• Industry-specific knowledge helps keep you compliant with insurers and regulators

You Have Room to Grow

• Seamless integration of practices absorbed by your institutions

• Flexible services from complete outsourcing to project-based help

• Save money on staffing, training and overhead costs

• Increased satisfaction of physicians and patients

• Streamlined processes minimize costly errors

When hospital billing departments fall behind… HRCS puts them a step ahead.

Physician practice acquisitions causing growing pains?

HRCS is just what the doctor ordered.

Increased income with no overhead is not just a prescription for success – it’s also our guarantee. Backed by over 20 years of physician billing experience in multiple states and specialties, we have the skills and tools to bill, collect, report and improve the financial position of hospital/enterprise-owned medical practices.

What We Do

A Wide Range of Solutions

Whether you need an ongoing solution or help with a particular project, HRCS can handle it all.

Seamless Integration

Don’t spend time and money on staffing. We can integrate with your systems or provide you with ours.

Enhancement Services

We can also do credentialing, training, establishment of protocol and coding advice, and more.

Maximize Profitability

Our tried-and-true methods and state-of-the-art technology reduce processing times and increase collections.

Monthly Reports and Consultations

As your partner, we provide you with the analysis and solutions to improve your performance.

What We Know

The Unique Challenges of Medical Practice Billing

We help you identify areas of need, then implement solutions that work.

A Dedicated Team Approach

We'll assign you an exclusive account manager to lead a team of experts who make it their business to understand yours

Relationships with Major Payers

Insider access to key decision-makers at insurance carriers, Medicare/Medicaid and Worker's Compensation Insurance gives us an edge.

Has your organization’s growth outrun the billing department? We get you up to speed.

Physician billing expertise delivers proven solutions and flexible partnerships

Dedicated teams make billing and collection overflows disappear

Fast, accurate processes achieve better yields at lower costs

Acquiring private medical practices is a promising model for hospital growth. But, along with it comes new knowledge requirements, different procedures and higher volumes than the internal CBO has ever faced. That’s where HRCS comes in.

Arrow
Arrow
PlayPause
Slider

Featured Resources

WE WOULD LOVE TO HELP YOU.

Contact us today to get started.