Pre-billing controls
Know what must be verified, what needs to be held and what is actually ready to release.
HCRS for Agencies & Employers
Build Medicaid revenue-cycle capability that does not live in one person’s head.
HCRS gives the professionals responsible for Medicaid revenue a common operating foundation, practical judgment and an individually earned credential.
Enrollment
Sponsor one professional or several.
Every HCRS seat follows the same certification standard. Sponsor one professional or several through the same HCRS Enrollment page.
Employer-sponsored enrollment
Each sponsored learner receives the National Core, one state qualification, certification assessment, weekly live training webinars and the opportunity to earn HCRS individually.
Sponsor progress reporting and applicable seat-assignment and replacement protections are governed by the Enrollment Terms.
The operating risk
Your agency does not lose revenue because someone forgot how to click Submit.
Revenue fails when important conditions break somewhere upstream or nobody recognizes what the status actually means.
Authorization changes are not caught before the claim is built.
EVV exceptions are discovered only after billing or denial.
Payer routing, clearinghouse and software responsibilities blur together.
Accepted or transmitted claims are treated as finished instead of reconciled.
Denials are corrected one at a time without addressing the recurring cause.
One experienced employee knows the payer lane, portal and exception history everyone else depends on.
What HCRS builds inside the agency
A common operating language around the revenue cycle.
Denial diagnosis
Separate the payer-reported result from the evidence-proven cause and assign the right owner.
State-specific operating lanes
Connect the national operating method to the payer, EVV, aggregator, clearinghouse, portal and source requirements that drive the learner’s state.
Cross-trained capability
Reduce dependence on one veteran biller by cross-training the people who actually touch the work.
Manager visibility
Create a clearer language for status, ownership, exceptions, hold/release decisions and escalation.
Verifiable competency
Each sponsored learner completes the work and earns the credential individually under the HCRI standard.
Without a standard / with HCRS
Protect the expertise. Share the judgment.
| Without a standard | With HCRS |
|---|---|
| Tribal knowledge | Documented operating framework |
| Revenue knowledge depends on one person | Shared revenue-cycle capability |
| Fix the denial | Diagnose the failure |
| EVV problems discovered after billing | Pre-billing verification |
| “Transmitted” treated as done | Full-cycle reconciliation |
| Turnover creates operational panic | Training-investment protection |
Put numbers around the problem
What are Medicaid denials actually costing your agency?
Use 90 days of your own claim, denial, recovery, write-off and staff-rework data. The calculator is free and does not require email to use.
Use HCRS against a real operating problem.
If the numbers show meaningful denial exposure, ask whether the agency knows where those failures begin, who owns the correction, what should be held or released, and how to stop the same issue from repeating.
Product proof
See what your team will actually do.
Review one complete HCRS National Core lesson from teaching to written reinforcement, applied exercise, knowledge check and job aid.
Julio Barea · Founder & Executive Director
The industry made good people learn by trial and error—then made agencies depend on what only they knew.
Over the past 10 years, my team and I have worked directly with more than 5,000 home care agencies. The strongest revenue people I have met did not become valuable because they memorized a software screen. They learned to connect payer rules, authorization, EVV, claims, denials, cash and evidence. HCRS is designed to make that operating judgment teachable and verifiable.
Employer-Sponsored Enrollment Protection
The credential stays with the professional. The sponsoring organization still gets protection.
Unused seat
The sponsoring organization may assign or reassign an unused purchased seat to the employee it chooses.
Leaves before certification
The sponsored enrollment can be reassigned under the published terms rather than being lost with the departing employee.
Leaves after certification
One qualifying replacement enrollment is included per agency purchase when a newly certified sponsored learner leaves within the 90-day protection period. The departing professional keeps any credential already earned.
Replacement protection is not permanent seat reuse and does not apply to failure, inactivity or inability to pass. See the complete Enrollment Terms.
State qualifications
Every paid seat includes one state qualification for that learner.
Each sponsored learner may choose the state qualification appropriate to their revenue responsibilities.
Current planned launch paths: Michigan, Illinois, Florida, Virginia, Texas, Ohio, Pennsylvania, Oregon and Massachusetts. Availability and delivery commitments remain subject to the published terms.
Sponsored enrollment onboarding
Buy the learner count you need. Then set up the people and states.
1. Sponsor
Confirm the enrollment sponsor who receives progress and credential-status reporting.
2. Roster
Submit the purchased number of sponsored learners.
3. States
Select one included primary-state qualification for each learner.
4. Begin
Learners enter the National Core and complete certification individually.
HCRS Enrollment
Build capability without buying seats you do not need.
Start with one. Make two your shared operating capability. Expand as your revenue operation actually requires it.