A feasibility study is an assessment of the practicality of a proposed project plan. Our team of experts will conduct an initial feasibility study to assure that RHC is a benefit to your group.

Each state has some basic requirements for initial RHC certification and changes, and often times they have additional elements to complete these processes. Our RHC team reaches out to your State RHC analyst to ensure that all requirements are met and received.  

Our RHC P&P manual has been compiled by experience and expertise. Our manual meets all RHC compliance requirements and is raved about by the CMS accreditation surveyors.  We customize each manual and can create universal manuals for use across a large network.  All manuals are prepared in hardcopy and e-version for ease of future editing.

We schedule a face-to-face clinic visit with your staff to review your facility. We will inform the clinic of ways to identify and remedy any deficiencies or complete missing information before the surveyor completes the official site survey. Following the mock, you will receive a report identifying which areas are at risk and non-compliant which will be used to set you on the right track for years to come.

Medicare and many state Medicaid plans require cost and visit projections to set initial rates. We work with clinics to rate set with Medicare and Medicaid.

Whether you are using the State, QUAD A or The Compliance Team, we are here to guide you through the entire survey process. We will work with you to complete the paperwork and request letter for survey.

• We prepare RHC and FQHC cost reports in compliance with Medicare and Medicaid requirements and regulations.
• We work with RHCs and FQHCs to ensure maximum reimbursement through their Medicare and Medicaid cost reports.
• We prepare interim/mid-year cost reports to provide insight on a clinic’s trajectory toward year end reimbursement and provide insight into revenue maximization opportunities.

Projected rate for initial RHC

Medicare and many state Medicaid plans require cost and visit projections to set initial rates.  We work with clinics to rate set with Medicare and Medicaid.

Rate review for established RHC

Once established, final rate setting may be needed with Medicaid.  We determine what and when final rate setting is needed.  We work with clinics to attain final PPS rates with Medicaid.  We also work with clinics to determine if a change has occurred that may allow for a rate increase with their state Medicaid agency.

We review clinic financial and operational data for areas to maximize revenue.

• Enter patient demographic, insurance, and charge information (depending on level of service).
• Enter patient charge information (dependent on level of service)
• Manage electronic claim submissions
• Receive and post remittance advice
• Denial Management and Claim Resubmission
• Submit secondary claims for payment where appropriate;
• Produce and send patient statements
• Produce monthly financial, productivity, collection, aging, and payment reports.
• Transfer bad debt to outside agency for collection
• Provide annual fee analysis/recommendations

• We have a proven record of success.
• Our services save your time and help you get paid more efficiently.
• We are aware of new, old and upcoming billing changes and partner with political leaders who deal directly with policy and billing changes.
• We bill claims with the correct codes and forms to ensure clinic visit count and payment data will match final cost report filing information.
• Billing reports are geared to directly flow into the annual cost report.

Health Services Associates Inc. provides a state of the art, HIPAA compliant, Virtual Private Network. This system allows us to provide real-time account access to our clients’ front-end staff in order to update patient information and collect outstanding balances more efficiently. Clinic management can access all available financial reports from Real-Time instantly as needed.

• Data entry sharing with client to increase efficiency and lower cost.
• Real-time patient balance, account inquiry, and reporting system.
• Full scale financial reporting and user permission management.
• Fully HIPAA Compliant.
• Monthly Financial Reporting and Performance Assessment.
• Free Annual Fee Schedule Analysis, Recommendations, and Implementation

The complicated reimbursement environment of today’s healthcare industry requires increasing specialization in all area of medical practices: clinical, operational, and financial. By outsourcing billing, your practice will:

• Reduce internal personnel requirements in time and money.
• Maximize focus on patient care.
• Reduce cost of collections.
• Increase the efficiency of the front desk.
• Enjoy significant economies in business office operations not possible in individual practices.
• Co-opt significant expertise in streamlining business office operations.
• Co-opt the knowledge of skilled professionals with proven track records of success and put it working for you.

Doing billing in-house?  We will train your staff in the complexities of RHC billing, forms, codes, etc.

HSA billing service software is customized to meet the criteria for RHCs and is built to flow seamlessly into cost reporting.

When your Tax ID or ownership is changing, CMS requires notification! We will walk you through the process & handle the enrollment forms for your RHC. We offer a la carte services, so you decide what you want us to handle during this tedious and time consuming process. 

When you’ve made the tough decision to terminate your RHC, let us handle your notification requirements for Medicare, the State, and CMS. We can also tackle your final terminating cost report. 

Enrollment revalidation is required every 3 to 5 years, depending on the payer. When you receive that daunting revalidation request, let us handle that request. Our Credentialing Specialists will provide a friendly, professional, secure and quick response. 

Sometimes new organizations or individual practitioners require new NPIs or updates to the existing NPI. Let our experienced Credentialing Coordinators handle these situations for you and your organization. 

Our Experienced Credentialing Specialists understand that EFT is typically required upon initial enrollment. Anytime there is a bank account change or Tax ID change, let us help you with the paperwork. All information is kept safe, secure, and organized. 

Many States agencies or payers require CAQH enrollment for individual practitioners and organizations. You supply us with the information, and we complete and submit the enrollment(s) on your behalf. 

HSA will conduct onsite and/or virtual assistance to review the overall operations of the RHC to ensure it is functioning at its maximum capacity.

Our team will develop an individualized work plan based on various patient elements and overall clinic function. We provide a written analysis and training for ongoing improvement of your facility.

Do you have a vision for a future clinic? We assist in developing an overall strategy from the ground up to help you bring your dream into reality.

We can help you enhance provider productivity by conducting an analysis of time studies, billing, coding and reimbursement and offering recommendations and training for your facility.

Our team can assist with methods for recruiting providers. We also review contracts and facilitate issues to help retain providers.   

NHSC is a loan repayment program. We enroll your clinic by collecting necessary documents, completing the application and monitoring the process to full approval as an NHSC site.