Full Outsourcing or Project-Based Work
Does your hospital’s physician practice need full billing office outsourcing, or do you just need help with billing overflows, staff shortage or other projects? Either way, Hospital Revenue Cycle Solutions can help.
Our comprehensive end-to-end Revenue Cycle Management services will handle all aspects of your revenue cycle — from eligibility verification, charge entry, quick submissions, aggressive follow-up, denial management, appeals, payment posting, AR management, reporting, and more — so that you can get paid more money, more quickly.
We work to get your revenue up and keep it up.
Eligibility verification done prior to patient arrival to assure insurance payment for services rendered.
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.
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.
Pursuit of full payment on claims, resolution of underpaid claims,and submission of secondary claims.
Analysis of RAC determinations, preparation of response, and oversight of appeal process.
Big Data analytics to determine trends and patterns in denials in order to resolve them at their root cause.
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
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.
Don’t spend time and money on staffing. We can integrate with your systems or provide you with ours.
We can also do credentialing, training, establishment of protocol and coding advice, and more.
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.
WE WOULD LOVE TO HELP YOU.
Contact us today to get started.