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Services Overview

Compliance Services

As HRSA continues to scrutinize the program and increase the number of audits it performs, we can assist you in navigating the compliance requirements. Our services include:

  • Policies and Procedures review
  • Quarterly compliance monitoring
  • Annual compliance audits
  • HRSA audit preparation and on-site assistance
  • Patient definition review
  • Medicaid duplicate discount review
  • Staff education and training
  • Third-party system review and selection
  • New implementation guidance
  • IT data extracts and transfer

Revenue Optimization

We can assist you in making sure that you are receiving the optimal financial benefit from the 340B Program relative to the inherent compliance risks of participating in the program.

We are offering a Complimentary Financial Analysis of your 340B Retail Pharmacy Program. If you would like one of our 340B consultants to analyze your retail program for possible revenue opportunities, feel free to contact us.

340B Implementation Assistance

  • Provider-Based location development
  • Revenue analysis
  • Medicare cost report compilation
  • Contract pharmacy negotiation
  • 340B software selection
  • HRSA registration
  • Program monitoring
Medicaid Managed Care Organizations

Kentucky Medicaid Managed Care Organizations Changes

Pursuant to KRS 205.640 and managed care contracts, Kentucky Medicaid Managed Care Organizations (MCOs) are required to provide a Paid Claims Listings (PCLs) to all in-state hospitals. The department and each Medicaid Managed Care Organization shall supply a Paid Claims Listing (PCL) to each hospital within ninety (90) days of the last day of the […]

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Volume Decrease Adjustment

Volume Decrease Adjustment: What You Need to Know

The Volume Decrease Adjustment (VDA) is a lump sum payment available to Sole Community Hospitals (SCH) or Medicare Dependent Hospitals (MDH) who have experienced more than a 5% decrease in total discharges of inpatients as compared to the immediately preceding cost reporting period. The decrease in total discharges must be caused by circumstances that are […]

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Photo of hospital walls. Wage Index Survey general photo.

Wage Index Survey: What Hospitals Need to Know

In this environment of uncertainty, it is important for hospitals to optimize all reimbursement opportunities while staying in compliance with Federal Regulations. One way that hospitals can identify additional reimbursement opportunities is by reviewing their Hospital Wage Index Survey. Since the calculation is complex, it is important for hospitals to understand how the data reported […]

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Connect with our team.

To learn more about our services and areas of expertise, send us a message.