Reimbursement

How does your organization stay up to date with new regulation and changes in the reimbursement landscape? How do you improve care and reduce costs?

Our team of reimbursement professionals—including CPAs, former hospital controllers and reimbursement managers, ex-Medicare auditors, and more—provides leading-edge reimbursement services to some of the most prominent hospital systems in the country. Our professionals stay up to date on regulatory changes and help clients save millions of dollars in reimbursement opportunities each year.

Who we serve.

We work with a wide variety of healthcare organizations, including hospitals, skilled nursing facilities, continuing care retirement communities, home health agencies, Rural Health Clinics (RHC), and Federally Qualified Health Centers (FQHC), and more.

Services Overview

  • Medicare/Medicaid cost reports
  • Medicare cost report adjustment review and appeals
  • Medicare bad debts
  • Medicare disproportionate share
  • SSI consulting
  • Medicaid disproportionate share
  • Leveraging programs and supplement payment reviews
  • Self-pay reviews
  • 340B consulting
  • Wage index and occupational mix reviews
  • Managed care contract reviews
  • Interns and resident consulting and analyses
  • Mergers/acquisitions – reimbursement impacts
  • Feasibility studies
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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Individual working medicare/medicaid bad debt

Medicare/Medicaid Crossover Accounts: Are They At Risk?

Medicare recently published updated bad debt regulations and the time is NOW to safeguard your Hospital’s reimbursement. Are you following proper guidelines to ensure you can write-off your Medicare/Medicaid crossover accounts? The first step to ensure you are following proper guidelines is to review the “Must-Bill policy” for reimbursement of crossover bad debts below. The easiest […]

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09.10.20 Bad Debt

CMS Finalized Ruling- Medicare Bad Debt Summary

On September 2, 2020, CMS released its final ruling. It is effective beginning October 1, 2020, for FY 2021. This means it will go in to effect the first day of your fiscal year 2021. Below you will find a summary of the finalized regulations put in place by CMS for the Medicare Bad Debt […]

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Connect with our team.

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