How we work
How a billing
review works.
Before you hand a single claim to anyone, here's what working with HRI looks like — how we start, what we ask for, and what you get back.
- Operator-led, not a call center — the same senior partners stay accountable for your work.
- No PHI to start. We scope the whole first conversation without any patient data.
- Findings you can act on. The review tells you what's worth fixing before you spend on anything else.
The engagement, in four moves
Start. Send a little context through the billing-review form — no patient data required.
Scope. Chris or Pete gets back to you as quickly as possible, then a short discovery call clarifies the problem, your workflow, and the evidence available.
Secure. Only the minimum information needed is requested — and only through a secure process, after a Business Associate Agreement.
Deliver. You get plain-English findings and a recommended next step — a targeted fix, recovery work, or full-service RCM.
Questions we hear a lot
Straight answers before you commit anything.
The things treatment-center owners and operators ask before handing over a revenue cycle. If yours isn't here, ask us directly.
What is a billing review, exactly?
A focused look at where revenue is leaking in your book — denial patterns, payer friction, underpayments, and aged claims — with a plain-English summary of what is worth correcting first. It is a diagnostic, not a sales call. It costs nothing, and it needs no patient data to start.
Which levels of care do you work with?
RTC, detox, PHP, and IOP programs, along with multi-level and specialized behavioral-health providers. Behavioral-health and substance-use revenue cycle work is our primary focus, not a side line.
Do you take over our existing aged AR and backlog?
Yes. Aged AR recovery is one of our modules — we prioritize stalled and stale claims by what is still collectible and work them alongside your current claims.
How do you handle denials and appeals?
We triage each denial to its root cause with a seven-point diagnostic, then build evidence-backed appeal packets through each level using a structured workflow: documentation, submission, appeal letter, and follow-up. First-level appeals are part of the billing work; deeper levels are scoped before they start.
How do you decide which claims to work first?
Every open claim gets a recoverability score based on likelihood of payment, dollar value, payer behavior, and effort to resolve. The highest-value, most-winnable claims move to the top of the queue.
Is our patients' information safe with you?
Yes. We do not accept PHI through the website or normal email. Protected information moves only through a secure process after a Business Associate Agreement is in place, with named accounts, MFA, role-based access, and encryption.
Are we handing our billing to a call center?
No. HRI is operator-led — the same experienced partners stay accountable for your work, your decisions, and your communication. You are not passed to an anonymous queue.
What does it cost?
One model, and it is published: HRI Managed carries a monthly minimum set from your program, and where we run the billing, we bill that minimum or a percentage of what we collect, whichever is greater, never both — and there is no setup fee when your operation is ready as it stands. Your exact numbers are set on a written quote after the billing review, which is how we work out what is worth doing.
How does onboarding work, and how soon do we see results?
We baseline your key revenue-cycle measures during onboarding and define turnaround then, so expectations are set against your real payer mix and claim volume rather than a generic promise.
What does switching billers look like — do claims stop moving?
No. Nothing cuts over until the setup gates are closed (insurance, access, payer routes, records, remittance, and the handoff from your current vendor) and we issue a written Live Work Notice. Until then your current operation keeps running, and patient data stays where it is. From the live date forward, new claims are ours; claims from before it stay with whoever worked them unless we scope a recovery project to take them over. Who owns which claims, from which date, is in writing before anything moves.
What might you recommend after the review?
It depends on what we find — a targeted fix for a workflow or payer-follow-up issue, denial or appeals recovery, an underpayment sweep, a broader review, or full-service RCM. You get a clear recommendation you can act on now or sit with.
Ready when you are
Start with a billing review.
Send a little context: where you are on claims, what keeps denying. You'll get back a short list worth acting on. No obligation to go further.