Healthcare Reimbursement Services, Inc.

The HRS business philosophy focuses on maximizing Medicare reimbursement, and today the firm is recognized as an industry leader in this very specialized discipline. Hospitals and healthcare consultants alike engage HRS’ experienced, nimble core management group to draw upon technical and legal resources supplying best practice service offerings for:

    (1) Optimizing DSH/UCC calculations;
    (2) Pursuing recourse with authoritative appeals at the regulatory level and within the judicial system; and
    (3) Supplying DSH and Crossover Bad Debt documentation packages for filing and/or audit.

HRS extensive experience is solidified through partnerships with hospital associations, healthcare legal firms and other strategic resources to bring solutions for our clients.

HRS DSH Reimbursement Packages

HRS provides a comprehensive, turn-key Disproportionate Share Hospital (“DSH”) solution, from data analysis to complete package preparation, follow-up with the Medicare Administrative Contractor (“MAC”), and support all the way through audit.

Medicare Bad Debt

HRS’ Bad Debt solution helps you increase reimbursement potential and decrease possible compliance issues, focusing on accuracy and thoroughness. HRS offers two Crossover Bad Debt solutions: logging & billing.

Disproportionate Share (DSH) Hospitals

HRS offers a wide variety of DSH services including DSH/UCC calculation optimization, analysis and strategic services for accurate S-10 reporting, all designed to maximize DSH factor 1&3 reimbursements.

Disability Advocacy Service

SSI and SSDI eligible patients often slip through a hospital’s Medicaid screening process. HRS Disability Advocacy Service identifies and advocates for their rights to benefits – converting uninsured patients to Medicaid and/or Medicare coverage.

340B

340B Hospitals partner with outside pharmacies, taking advantage of deeply discounted drugs for outpatient prescriptions, and sharing margin revenue as a result.

Bad Debt Listings

With Crossover Bad Debt and Charity Care reimbursements on the decline, HRS offers solutions that help increase reimbursement potential and decrease possible compliance issues, focusing on accuracy and thoroughness.

Appeals and Reopenings

Utilizing top notch counsel with extensive experience before the PRRB and in Federal Court, HRS offers hospitals several appeal opportunities, with a “no risk” contingency-based fee structure.

Safeguards

HRS’ security risk management process covers the administrative, physical, and technical processes addressing compliance requirements that govern electronic information data entry, processing, transmission, storage and retrieval.