Within the healthcare environment, revenue cycle success is a result is the following critical success factors: finely tuned infrastructure, best business practices and intellectual capital.

HES has a unique 360 degrees of perspective and experience related to the revenue cycle and recovery of the healthcare dollar.  HES works in tandem with hospitals, ASC’s, Health plans, PPO’s, ancillary providers and physician practices to achieve success.

HES seeks to partner with healthcare organizations as a “revenue cycle partner” and yield the requisite mix of products, services and intellectual capital required to meet the client defined goals on a strategic and/or operational level.  Our primary goal is to yield margin on existing and future business while improving the integration of the overall revenue cycle.

HES is complementary to existing initiatives and can provide services in a modular capacity to supplement a client’s existing infrastructure or provide a complete outsourced solution.

HES has an acute recognition of the complexity of the revenue cycle and moves past traditional AR recovery services. HES provides an integrated product offering that is top-line oriented relating to strategy, development and infrastructure as well as operationally oriented relating to the actual provision of services and outsourcing solutions.

Integrated Revenue Cycle Management provides a significant opportunity for healthcare providers to increase revenue on same store sales.  HES is a comprehensive revenue cycle partner capable of tying together the disparate functions that comprise the integrated revenue cycle.

The healthcare revenue cycle relates to all of the processes, subprocesses and enabling technologies associated with the initial patient registration through the collection of the amounts due.  The impacted areas are inclusive of:

• Pre-Registration/Registration
• Financial Counseling/Insurance Verification
• Charge/Visit Processing
• Third-Party/Patient Bill Qualification/Billing
• Account Follow-Up/Inquiry
• Utilization Review/Case Management
• Correspondence
• Data Request Compliance
• Payment Processing/Posting
• Allowance (and Voucher/Remittance) Processing
• Bad Debt Management
• Management Reporting/Usage
• Managed Care Contract Matchup to Actual Payment

HES provides a detailed assessment of the revenue cycle management function to identify deficiencies and opportunities for operational financial improvement.  The review will include an evaluation of the functional organization structure, technology usage, and performance levels.