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
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 WOULD LOVE TO HELP YOU.
Contact us today to get started.