Overview: HEOPS, Inc. is a premier provider of healthcare revenue cycle outsourcing solutions including strategic revenue cycle management, credit balance recoveries, denial management, outsourced network development, expedited network development, outsourced managed care and accelerated receivables. Understaffed? DSO increasing? Short on cash? Denials out of hand? We know the issues, the reasons, the strategies and have the "roll up the sleeves" resources to address the problems. HEOPS hands on assistance, outsourcing and strategic guidance identifies the root cause, recovers the outstanding receivables and either outsources or educates your staff on "go forward" strategies. HEOPS has denial management programs that can supplement existing staff activity or serve as a turnkey outsourced product. HEOPS also outsources aged receivables that have aged due to systems conversions, mergers or staff turnover so that your team can invest valuable time in higher ROI current claims. Don't delay; each passing day lowers the collectibility of your receivables. HEOPS has significant experience in the recovery of acute care and ancillary receivables including laboratories. Need to build a provider network? Quick? On time? On budget? Want to bid on an RFP, but don't have a network? HEOPS has developed a distinctive competency outsourcing network development activities to supplement or replace existing resources. Network Development is a race, not a marathon. Most internal network operations departments are not prepared for the race. Strong planning, database management, and direct response techniques help HEOPS create a unique approach to network development that yields outstanding results. Our typical assignment ranges from 30 - 180 days and can span LOA conversion to contracts, temporary networks for RFP's, specific state expansion networks, specific specialty networks...etc. HEOPS has extensive experience in both physical and behavioral medicine networks. If you need results...contact HEOPS today to discuss your network development projects. Credit balances result from several key factors: coordination of benefits duplicate billings manual edits and complex reimbursement. HEOPS provides credit balance recoveries for payors, TPA's, PPO's or Medicaid Agencies seeking to recover overpayments from healthcare providers. Our approach is provider centric and facilitates strong working relationships due to HEOPS' familiarity with provider processes. We recognize the provider's need to address all balances above the target threshold and do not "optimize" collections for high dollar balances only. By working the full credit balance portfolio, there is greater opportunity to assess key issues for both the hospital and payor. We bridge the communication gap and strengthen payor-facility relationships. We use staff that have high competency levels and ensure that we are sending "valuable" resources on site to provide analytical services. Clients know when a HEOPS representative has been on site based upon the service quality and level of assistance provided. HEOPS has significant Medicaid experience and focuses on credit balance services specifically for Medicaid Agencies complying with OIG requirements. We will partner with your agency to ensure state specific goals and regulatory requirements are met. Contact HEOPS today...for comprehensive credit balance services.

HEOPS Customer Pledge: "At HEOPS, we seek to provide unparalleled insight and demonstrated passion in every facet of our work. We are personally involved and invested in the success of our customers and the improvement of revenue cycle processes. Above all, we have a commitment to excellence second to none and care deeply about our customers, the success of our team and the ability to create positive change."