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About Us

Our Mission Statement:

Our mission is to maximize your reimbursement and give you more time to focus on what you do best – meeting the needs of your community and residents.

At HHS Solutions, we take the complication out of the confusing world of medical billing. With over 40-plus years combined experience, we understand the rules and regulations to medical billing and we keep up with the ever-changing rules that are presented in the industry.

Our company maximizes your reimbursement by billing your medical claims for you, which allows your staff to better take care of patients/residents. We specialize in long-term care billing, skilled nursing billing, physician clinic billing, urban and rural clinic billing and physical therapy billing.  We also complete cost reports, provide operational analysis and strategic planning.

What sets us appart:

Over 40 plus years combined experience.
Hands-on billing involvement
Billing and Nurse consultants with Administrator licenses
Complete focus on A/R management
Significantly increases cash flow
Aggressive claims follow-up
Your success is our success

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, 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.

Shelly Bergonia

QA Manager/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.

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 Phoenix. In her spare time she enjoys being an advocate for the elderly helping them enroll in their healthcare benefits such as Medicare, VA benefits and Medicaid. When she is not busy helping others, Missie enjoys reading and spending time with her family.

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.

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.

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.

Tory Moghadam

IT Consultant/Marketing Specialist

Tory joined Rural Health Development in October of 2013 and has been helping RHD with its Marketing and IT needs. Tory has helped RHD facilities by advising better IT infrastructure to help with workflow. He has also been doing graphic design and marketing for over 10 years and has designed many digital and printed marketing materials on top of being an IT admin. Tory also likes to solve office issues by writing programs to perform repetitive tasks for his co-workers.

In his free-time he writes and performs music,designs and 3D prints electronic gadgets, films tutorials on computer software, and enjoys keeping up to date on the latest technology.

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.

Erin Brady

Billing Specialist

Erin worked in the customer service field in one way or another from high school until she went back to school in the summer of 2014.

Erin graduated from Southeast Community College with my Associates of Applied Science for Office Professional with Medical focus in 2015.  She then started working for Conifer while she was finishing up school working Blue Cross follow-up.  After graduation, Erin was moved up to Medicare Billing Specialist. In January of 2017 she was hired by Rural Health Development to become a Billing Specialist for their sister company HHS Solutions. Erin enjoys reading, swimming and spending the day at the lake.

Mindy Price

Billing Specialist

Mindy has been working in the healthcare field for more than 7 years. She received a Medical Billing and Coding degree in 2018 from Community Care College in Tulsa OK and attended Doane University where she studied psychology and English literature from 2013 to 2016. Prior to her time with HHS Solutions, she worked as a medical biller in a Cancer Clinic located in Lincoln, Nebraska.

Mindy has 3 children, 1 dog and a cat. During her free time, she enjoys spending time with her family. She loves nature and to be outdoors in her free time.

Jessica Ridder

Billing Specialist

Jess has been in the medical billing and special projects field for over 10 years. She grew up in Malcolm, Nebraska but now resides in Lincoln. Jess graduated Doane University in December 2018 with a Bachelors of Arts. She majored in Business Management and loves to use her education and life experiences when ever she can in her career. Her expertise resides in medical billing, medical billing software, accounting, and special projects. Jess is married and they share a 3 year old son and a 6 month old daughter. In her free time she enjoys spending time outside with her family. You can catch her spending most of her spare time on her family’s farm riding her horse.

Elizabeth Haver

Billing Specialist

Coming soon!

Vicki Lepant

Nurse Consultant

Coming soon!

Kathy Schmid

Nurse Consultant

Coming soon!