Our Services

Our Services

HRSI is uniquely positioned to provide its clients with a full range of expertise in new technology procedure sales, marketing, management and reimbursement.

Strategic Planning: Development/Marketing

How can you accurately strategize growth if you?re not in control of the reimbursement for your product?

HRSI can create and implement a timeline of device reimbursement events and milestones including where to increase sales representation, when and what payer groups to approach, when to apply for new codes, when to avoid applying for new codes, and how to influence payment if the procedure is valued too low.

Pre-Market Strategy

Most medical devices undergoing FDA clearance/approval are eligible for medical device reimbursement during clinical studies.

Advantages to pursuing reimbursement during clinical trials:

• Immediate revenue pathway
• Establish why payers like new technology
• Establish what the payers dislike about the new technology
• Understand what additional tools will be need to be developed to secure expedited payer acceptance
• Initiation of procedural value
• Obtain strategic edge for growth

Payer Strategy and Contracting

Be prepared?you will encounter payer resistance with the introduction of new technologies. Payers may develop medical policies specifically declining coverage for your new technology. Payers will deny claim benefits and payer presentations are useless. Unless you have a strategic reimbursement plan.

HRSI can prepare and implement a strategic reimbursement plan to meet the unique needs of your technology. The goal is to secure positive payer coverage decisions and secure contracting on a local, regional and national level?with or without permanent coding.

Approval Programs:

At HRSI we don?t just prepare Reimbursement Billing Guides and Coding Sheets?we do the work for your customers.

Pre-Authorization: On an individual basis, HRSI will contact the patient?s insurance company to provide the payer with clinical and financial education about the technology. Each package is created specifically to reflect the patient?s individual medical history.

Appeals: Custom appeals packages are created specifically to address each patient?s medical history.

Scheduling

Securing end users to do procedures and obtaining pre authorization from payers is useless until the procedure is scheduled and performed. It has been our experience that many revenue generating procedures have not been performed due to the lack of initiative to get them scheduled. Because HRSI partners with clients and fees are paid upon collection, we are focused and determined to schedule procedures in the most expeditious time frame. HRSI acts as a liaison between the patient, physician, facility and technician to secure the procedure date.

Claim Submittal

The submission of clean and detailed claims is essential to expediting the payment process and maintaining user excitement and loyalty. HRSI?s years of experience has allowed us to manipulate, fine tune and perfect the initial claim submittal process. HRSI performs this function on behalf of your users to ensure successful submissions and alleviate the burdens from user practices.

Collections

The last critical component of the reimbursement process is actually receiving ADEQUATE reimbursement. Too many times clients contact us for assistance because their technology has been undervalued by the payer market. Without guidance, users set a precedence of accepting payments that have been determined by the payer that do not adequately reflect the value of that procedure or worse yet, accepts no payment as payment. With HRSI?s reimbursement solution, no payments will be undervalued.

Education & Training

Customer Education & Training (marketing, sales, and technicians): Training your sales representatives in reimbursement is mandatory to ensure successful emerging technology adoption. The reimbursement story is just as important as the clinical story. Your technology will not be successful if you don?t have both. Any member of your team that comes in contact with your end users should have reimbursement tools available. Building end user confidence that the whole team is on board with the strategy for procedure acceptance is vital to user retention. You users need to know that you are their partner, not just another technology sales company.

User Education (physicians, facilities, payers, patients):

• Physicians, Facilities & Patients

• Payers

• Referral process education
• Procedure performance process education
• Authorization, appeals, billing and collection process education
• Patient advocacy
• Clinical Efficacy/Medical Necessity education
• Financial/Cost Saving Demonstration
• Claim Adjudication Process education
• Payment valuation education

HRSI can provide individual presentations or seminars via phone, webinars or on site for your sales/marketing team, customers, payers and patients.

Reimbursement Hotlines

The number one killer of utilization and technology adoption are the challenges your customers encounter with reimbursement denials, low payments, and lack of clean claim submittal s. If you?re not considering our full reimbursement service, then at minimum you need to consider a reimbursement hotline.

Customer Reimbursement Hotline:

A toll free service, designed to help your customers (physicians, facilities) and Sales/Marketing team with reimbursement questions and concerns. The hotline provides general product and reimbursement information that will step by step walk your customers through the hurdles of pre-authorization, denial interpretation, appeal packages, claim submission and payer contracting.

A hotline also acts as a sales and marketing tool for potential and current customers inquiring about reimbursement for your technology. Our hotline representatives are available for three way conference calls when sales representatives are with a potential account that has reimbursement questions or concerns. Our hotline representatives are also trained to identify potential leads by asking the right questions of interested customers. The goal is to create solid, trusting relationships with users by professionally and accurately responding to questions and concerns and securing a lead for your sales team for customer call backs.

Patient Reimbursement Hotline:

The hotline provides patients with product and reimbursement education, sends marketing packages, encourages patients to seek a physician consultation, secures physician referral appointments for patients, tracking and reporting to identify geographical growth markets. Patients are also speaking with a compassionate team of representatives that will take time to clearly and accurately explain the product and process. Many times customers or internal staff doesn?t have the time or knowledge to appropriately assist a patient.

TELEMARKETING

HRSI has created a telemarketing department that functions as a lead generator for sales teams. It has been our experience that the best utilization of a sales team is to have them spend time with a warm market. HRSI can provide the cold calling to create a warm market for your sales team.

AR COLLECTIONS

The difference between profits and losses for your business may depend on your ability to collect from your delinquent customers. You work hard to keep your business profitable and the revenue you lose to payers who fail to pay is affecting your bottom line.

HRSI ?s collection division specializes in expediting the collection of monies owed to you, resolving problem accounts, and locating and recovering your dead accounts ? money you thought you?d never see again.

At HRSI, we focus on your business needs, functioning as an extension of your organization. There are no upfront fees and no limits on balance size. Our knowledgeable, courteous professionals will work with you to take a personalized, comprehensive approach to your revenue recovery, significantly increasing the likelihood of collecting previously unpaid revenues.

Sophisticated recovery strategies are implemented in a manner that gets results, while preserving your image and reputation. HRSI?s support systems monitor, assist, and improve the efficiency and effectiveness, of each collection effort while providing management information for daily, hands-on decision making.

HRSI COLLECTION DIVISION PRODUCES:

• Millions of dollars in collections for clients without using hardball or intimidating tactics.
• More cost effective than pursuing accounts internally
• Reduce days revenue outstanding & write-offs without alienating payers or patients
• No Up Front or Set Up Fees
• We get paid only when you get paid
• 24 hour, Real time web site tracking. You can see exactly what your collection company is doing for you.
• Highly skilled and motivated collection managers

Related Links

• Why Choose HRSI
• Contact Us
• New Technology News