Our Team

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Our team is comprised of experts with over 25 years of cumulative experience

It is a delight to see how our customers react to our knowledge and interpersonal relationship skills. Our team is located in Lincoln, Nebraska, though we help people across the country meet their billing needs

Ron Ross, President of HHS Solutions.

Ron Ross


“I believe the biggest reason for our success has been in delivering value to our customers. We enjoy an excellent reputation based on our ability to meet the needs of our clients, at a fair price.”

Ability and desire- the two traits necessary to get a job done! There is no substitute for experience and expertise, however, when we add the additional ingredient of passion, we have the recipe for success. “Our clients deserve to contract with a company that has the skills and the drive necessary to make sure that quality work gets done in a timely manner.” Today, Ron is the CEO and President of several family-owned companies, including HHS Solutions. Ron saw a need for medical billing services in the Midwest, which is how HHS Solutions is able to serve communities today.

Prior to Ron creating HHS Solutions, he and his brother, Roger Petrik, started the nursing home management & consulting company, Rural Health Development (RHD), in 1990. As President of RHD, Ron provides leadership for the staff and their facilities.

Ron also served the State of Nebraska when Governor Mike Johanns appointed him to his Cabinet in 1999. His entrepreneur spirit helped him lead the Department of Health and Human Services (Nebraska) for five years at a time when the national economy forced State Government to improve programs with fewer resources. When the Nebraska State Treasurer resigned, the Governor asked Ron if he would fill out the remaining three years of the term. There were many candidates for this position but the Governor had confidence in Ron’s integrity and work ethic.

Since returning to RHD in 2007 and subsequently creating HHS Solutions, Ron continues to look towards the future, anticipating the health care needs of Midwestern communities and bringing services to those that can benefit.

Matt Ross, Vice President of HHS Solutions.

Matt Ross, N.H.A.

Vice President

Matt grew up in Cambridge, Nebraska and graduated from Doane College in 2001 with a degree in Business Finance/Management. Matt’s first job out of college was working for the Nebraska State Treasurer’s Office to implement the State’s centralized child support collection program. This led to a Program Specialist position with the Department of Health and Human Services, where he continued to work with Nebraska’s child support program. Matt was soon hired for a Business Analyst position with DHHS, and worked there until he made the move toward obtaining his Nursing Home Administrator’s license. Matt worked as the Administrator at Glen Haven in Iowa after receiving his license.

Matt is currently the Vice President of HHS Solutions, in addition to his duties with Rural Health Development. Through his knowledge gained from seeing the managed nursing homes and hospitals with RHD, and his position as a nursing home administrator, Matt is able to understand the complexities of the business office. Matt believes that HHS is the answer to so many board members and administrators concerns about the financial well-being of their buildings. While no one can predict everything that will happen in the future, HHS Solutions is able to appropriately obtain reimbursement to medical facilities for all the hard work they do and give them the best chance they have for thriving in today’s regulatory environment through its consulting and billing services.

Matt enjoys spending time with his fiance, Anne, and their dog, Ace, as well as golfing, playing cards, and going to music concerts.

Janet Lytton, Director of Reimbursement for HHS Solutions.

Janet Lytton, R.H.I.T., N.H.A.

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.

Missie Bramhall, Billing Manager for HHS Solutions.

Missie Bramhall

Billing Manager

Missie Bramhall has been in Healthcare since 2009.  She has worked as a Business Office Manager of one of Nebraska’s largest nursing facilities holding 293 beds with an average rate of 87% Medicaid.  Missie works closely with Medicare and Medicaid to ensure payment to facilities that provide services to our elderly population.  Missie came on board with HHS Solution in January of 2013 as the Billing Manager.

Missie is a graduate of Lincoln School of Commerce with an Associates Degree in Business Management and is currently working on her Bachelors Degree for Healthcare Management from the University of Phoenix.

Jo Fuller, Office Management Consultant for HHS Solutions.

Jo Fuller, N.H.A.

Office Management Consultant

Jorena (Jo) Fuller is the Office Management Consultant for Rural Health Development and HHS Solutions.  Jo has been in the healthcare industry for over 15 years and has extensive knowledge on multiple EMR systems and Quick Books.  Jo has been a Director of five hospital-based rural health clinics and also holds an Administrator’s License for Skilled Nursing Facilities.  Along with her administrative duties, she continued to help other long-term care facilities with their Medicare billing issues, as well as helping with rural health clinics, including some independent RHC cost reporting.

Jo lives in Cambridge, Nebraska. She is the mother of three married children, and is blessed with two grandsons and two step-granddaughters. Jo is a councilman for the City of Cambridge, and has been for several years. She is a member of the First Congregational Church in Cambridge, NE where she has served as their Moderator and Choir Director. Jo loves sports, music, and a good book.

Ashly Lannin, Graphic Designer for HHS Solutions.

Tory Moghadam

Graphic Designer

Tory joined HHS Solution’s parent company Rural Health Development in October of 2013 as the Graphic Designer & Marketing Assistant. Tory attended Southeast Community College in Lincoln, NE.

During his free time,Tory enjoys playing music, making short films, drinking coffee, and spending time with friends and family.

Anna McClain, Accountant for HHS Solutions.

Anna McClain


Anna joined HHS Solutions in April of 2013 as the Accountant. Anna attended Southeast Community College in Lincoln, NE, where she earned her A.A.S. in Business Accounting in 2008, and a Bachelors Degree in Business Accounting from Doane in 2012.

During her free time, Anna enjoys spending time with her family and friends, going to music concerts, playing softball, traveling, and being outdoors.

ShellyShelly Bergonia

Billing Specialist

Shelly joined HHS Solutions in August of 2015. She grew up in Nebraska City, Nebraska. She received her Medical Billing and Coding degree from Herzing University in 2012. Prior to her time with HHS Solutions she worked for a Skilled Nursing Facility in the Billing Department.

During her free time, Shelly enjoys spending time with her husband, 2 children and 2 dogs, Bella and Gracie. She also enjoys spending time with her friends, cooking, reading and being outdoors.

Anna McClain, Accountant for HHS Solutions.

Emily Plageman

Chief Operating Officer

Emily began working for RHD, HHS Solutions’ sister company, in 2010. Prior to her time with RHD and HHS Solutions, Emily worked for the Nebraska State Patrol in their Criminal Identification Division. Following her time with the State Patrol, Emily was employed by several State of Nebraska Departments, including the Department of Health and Human Services, Division of Medicaid and Long-Term Care and the Department of Corrections in their Human Resources area. After her time spent working with the State, Emily was employed with CEDARS as a Family Partner in the Emergency Shelter, assisting families and youth.

While being employed with RHD, Emily has met a lot of great folks at all of the long-term care communities that RHD manages and is excited to continue being able to benefit those same types of places with HHS Solutions. Emily loves her work at HHS Solutions as she is surrounded by a great team of hard-working, and caring people who want nothing more than to help communities thrive. The opportunity to work with different areas of the business, such as operations, the business office, and with marketing allows Emily to enjoy all of her business interests in one job.

Emily and her husband, Brendan, are proud new parents of a baby girl.  During her free time, Emily enjoys gardening, cooking, reading, and being outdoors.


Jessica-RidderJessica Ridder began working for the billing department for HHS solutions in June 2015. She is currently attending the University of Lincoln Nebraska, and majoring in Business Management. Prior to joining the team at HHS she worked in a Dermatology clinic and at ALN Medical Management as a medical billing specialist. Some of Jessica’s hobbies include being outdoors, and spending time with friends and family.