HOW WE HELP/SERVICES

HRCS specializes in high-value, high-touch project work such as credit balance clean-up, A/R catch-up, and pre-visit eligibility verification, and we’re glad to fill in or catch you up in a pinch or take the burden off of you longer term.

We work with your existing staff and systems to deliver the results you need. Now. Have multiple systems or a complex workflow process? No problem. We’re expert at interfacing with a myriad of systems and workflows in order to tackle the challenge so you don’t have to. We’ve been doing it for 20 years. No matter how big or small the project, we’re here to help. Really

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.

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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.

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Featured Resources

Case Studies

Credit Balance Data Analysis

 

WE WOULD LOVE TO HELP YOU.

Contact us today to get started.