Revenue Cycle Management

HR Control Solutions is your partner for all of your Revenue Cycle Management (RCM) requirements. Our focus is providing RCM options to Federally Qualified Health Centers (FQHC), hospitals, physicians, and medical facilities. We have a track record for providing our clients with experienced consultants that are assets to organizations because they are subject matter experts in their field and are driven by results.

We work collaboratively with our clients during the implementation phase to ensure a smooth transition to the new system. Our team specializes in managing projects, defining requirements, configuring and customizing the solution, and testing to ensure functionality.

During the go-live phase, we provide support and guidance to our clients to ensure a successful launch and minimize any issues or disruptions during the transition period.

Our team works closely with key stakeholders and end-users to provide training, resolve any issues, and provide ongoing support post-implementation. Overall, we approach our implementations and go-lives with a focus on seamless execution, effective communication, and a consultative approach to ensure client satisfaction.

Our management team can provide you with consultants to join your in-house team or work on outsourced projects that we manage for you.

Outsourcing - You can outsource your RCM responsibilities to us and we will manage the project from beginning to end. We provide a dedicated management team and experienced consultants to ensure the project stays on target and meets the overall objectives. This approach proves to be a WIN-WIN for our clients since many clients do not have the available resources, budgets or time to dedicate to all aspects of their RCM process.

What makes us UNIQUE?

We invest in our consultants. We provide our consultants with industry and systems training so that they can continually provide value to clients. This training provides our consultants with a competitive edge. We want you to know that we are your business partner and that you can count on us to provide cost effective strategic solutions for your RCM and medical staffing needs!

Core Competencies

Metrics, Systems & Compliance

·Revenue Cycle Management - We provide insurance recovery solutions to hospitals, physicians and medical facilities. Our consultants are skilled in A/R follow-up, billing, coding and collections for Medicaid, Medicare and commercial insurance carriers.

· Staffing & Recruiting- We are skilled in providing qualified candidates to meet all your business needs. Based on your directives, we also partner with you to provide the best strategies and solutions for staff augmentation and workforce development.

· Billing and Debt Collections – We provide collection services in a professional manner with a focus on maintaining positive client relations.

· Project Management, IT, Auditing and Business Support Services - Our team has the expertise to provide consulting, management and business support services to provide strategic solutions that minimize costs and maximize efficiencies and revenue. Auditing services include conducting Medicare Audits, contract reviews and controls testing.

Metrics, Systems & Compliance

Metrics:

· Recovered over $1.2 billion in uncollected revenue for clients since 2016.

· 95% turn-around on recovering insurance denials.

Systems:

· EHR - EPIC, Cerner, AllScripts, Meditech, eClinicalWorks

· MediSoft - Advanced Patient Accounting System

· Outpatient Prospective Payment System

Compliance:

· Health Insurance Portability and Accountability Act (HIPAA)

· Patient Protection and Affordable Care Act

· Fair Debt Collection Practices Act

· CPT and ICD-10 codes

Differentiators

Metrics, Systems & Compliance

Differentiators

Experience – Our Consultants are subject matter experts in Revenue Recovery and provide strategies, services and solutions to hospitals, medical facilities and physician groups.

Cost Savings – Our strategies improve A/R, cashflow and revenue while minimizing bad debt write-offs; therefore, increase net profit

and ROI.

Integrated Solutions Teams – We provide project specific teams for each client to ensure their objectives and budgetary goals are met.

Clients - United Healthcare/Optum, CAMcare Health Corp., Mayo Clinic, Emory Adventist Healthcare, Peace Health Systems, Fairfield Medical Center, Lehigh Valley Medical Center, Olmsted Medical Center.