How we work
How a billing
review works.
The Health Revenue Intelligence (HRI) billing review costs nothing. We scope the problem on a discovery call, then send plain-English findings.
- Operator-led: the same senior partners stay accountable for your work.
- No patient data (PHI) to start.
- Findings you can act on. The review names what is worth fixing first.
The engagement, in four steps
Request. The billing-review form takes a little context.
Discovery call. We get back to you within one business day, then a short call clarifies the problem, your workflow, and the evidence available.
Secure intake. We request only the minimum information needed, and only through a secure process, after a Business Associate Agreement.
Findings. You get what we found and a recommended next step: a targeted fix, recovery work or full-service RCM (revenue cycle management).
Questions we hear a lot
What owners ask before starting a billing review.
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.
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.
Do you take over our existing aged AR and backlog?
Yes, as a recovery project. 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 trace each denial to its cause with our seven-point diagnostic. The appeal then follows the same workflow at every level: documentation, appeal letter, submission 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 claims that score highest 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 once a Business Associate Agreement is in place, with named accounts and role-based access. Client records are kept secure: every user is required to register multifactor sign-in, and client files are encrypted in storage and in transit.
Are we handing our billing to a call center?
No. The experienced partners who run HRI answer for your work, your decisions and your communication. You are not passed to an anonymous queue.
How does onboarding work, and how soon do we see results?
Onboarding is setup in writing: insurance, system access, payer routes, records, remittance and the handoff from your current biller, then a written Live Work Notice. Friday claim reporting starts with the first claims we work. We set your baseline measures during onboarding, so results are read against your real payer mix and claim volume.
What does switching billers look like? Do claims stop moving?
No. Nothing cuts over until onboarding setup is complete 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?
What we find decides it: a targeted fix for a workflow or payer-follow-up issue, denial or appeals recovery, an underpayment sweep, or full-service RCM. You get a clear recommendation you can act on now or sit with.
Next step
Start with a billing review.
Tell us the levels of care you run and which claims keep denying. You get back a short list worth acting on, with no obligation to go further.