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Missie Bramhall – Billing Manager

Laryngological Clinic
Missie Bramhall Billing Manager Missie Bramhall has been in the healthcare field for more than 5 years. She started off working in Long-term Care eventually working her way up to Business Office Director for one of Nebraska’s largest nursing homes. Missie earned a degree in Business Management and also Healthcare Management from the University of...

Janet Lytton – Director of Reimbursement

Director of Reimbursement
Janet Lytton has lived in rural America all her life and resides on an acreage near Shelton, NE, with her husband, Gary. Janet Lytton has been in healthcare for over 27 years, starting with Rural Health Development. Janet is currently the Director of Reimbursement for RHD and HHS Solutions. Janet works with both provider based and independent rural health clinics across the United States. Janet is well known with the Medicare circuit and regularly gives workshops on billing, coding, and maximizing reimbursement for members of RHD and HHS Solutions. Janet also consults with Critical Access Hospitals and assists in their implementation. Janet assists in completing cost reports for numerous facilities to help ensure the maximum reimbursement from Medicare, Medicaid and Private Insurances.