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What Services are Offered by HPRS?
We provide medical insurance recovery services and private pay
collections designed to supplement
your internal billing department or external billing
company's efforts. We take over your claims after a
reasonable amount of time has elapsed and the claim remains
outstanding. Our professionally trained staff has years of experience
in collecting outstanding debts, resolving problem claims and appealing denied payments.
What Sets You Apart from the Competition?
Our staff. In order to provide the industry’s most effective service to clients, our staff consists of
highly trained and HIPAA compliant administrators, claims
representatives, debt collectors, appeals specialists and technical support
personnel.
How Successful is the Company?
Our extensive medical revenue recovery background and rates
of success are among the best in the hospital and healthcare
provider sector. Since we only handle health care accounts,
we are able to collect on many claims and outstanding
balances that other agencies would be forced to terminate.
Can I Expect this Level of Success?
Yes. The degree of success typically correlates directly to the type and timeliness of the referral, as well as their willingness to pursue all available remedies contained in their managed care agreements and as stated by regulatory, statutory, and legal authority.
What Type of Cases Can I Refer?
Given our capabilities and our operating philosophy, we accept referral of any case that has been denied by a third party
payer or private pay accounts that remain outstanding. We thrive on the challenge of a varied inventory and accept: all
payers, all care locations, and all denial types.
How Long Are We Obligated to Work with You?
As long as you like. Since we believe that our success will speak for itself, we use a nonbinding, nonexclusive
contract to describe the relationship between the client and
HPRS. If your situation changes or you are no longer interested in our services, you can just stop referring cases to us. However, we believe that our success and service will result in a longstanding relationship that you will be pleased to continue.
Do You Provide Regular Status Reports?
Effective communication is one of the keys to a successful relationship. Our
custom designed system is engineered to track detailed data that enables us to
to provide you with custom reports on all of your account
activity. Rather than tell you what reports our system can
generate for you, we ask you what reports you would like,
then deliver them in the format and via the medium of your
choice.
What are the Fees for Your Service?
HPRS establishes fees for handling denied claims on a contingency basis.
These fees are based on several factors including the
number of cases forwarded to us, the average dollar value
of the claims, the age of the claims, and others. Unless we recover on a claim, we receive no fee for our work. In many respects, then, working with us is
risk free.
How do I Refer Cases to You?
In order for us to successfully appeal denials of payment, we need to have access to the basic documents used in processing and working a claim in the hospital.
Our IT staff is able to import your data regardless of the
format. The use of our custom designed software speeds up the entire process while reducing the human resource commitment for our clients.
What about Privacy?
Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA),
medical facilities and their service providers are required to adopt rules protecting patient privacy, both in the setting of care and by subsequent users of protected health information. In keeping with the tenets of the Privacy Rule,
HPRS has established HIPAA compliant policies and practices to ensure patient privacy. In addition, we routinely establish a Business Associate Agreement with each client that spells out our obligations under HIPAA.
How Can I Get Additional Information?
We enjoy talking about our work almost as much as we like getting
claims resolved! Please give us a call at
(877) 265-7770 or send an e-mail to info@hprsonline.com. It would be our pleasure to call or send you additional materials.
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