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
CMS 340B Hospital Drug Cost Survey Due May 15, 2020

CMS 340B Hospital Drug Cost Survey Due May 15, 2020

The White House Office of Management and Budget (OMB) approved the Centers for Medicare & Medicaid Services’ (CMS) plan, proposed September 30, 2019, to survey 340B hospitals for their net costs for 340B-purchased drugs billed to Medicare Part B, including sub-340B ceiling price discounts and 340B penny prices. CMS announced the final survey requirement on […]

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COVID-19 and the Impact on 340B

COVID-19 and the Impact on 340B

This article was originally published on March 25th and was updated on April 23rd. It is being updated as new information becomes available. We wanted to provide updates on the most recent HRSA announcements that could impact your 340B Program during the COVID-19 crisis. 340B Eligibility HRSA recently announced that it “is allowing some entities, […]

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Webinar: Navigating the Legislative Landscape for Healthcare Providers in the Coronavirus Pandemic

On-Demand Webinar: Navigating the Healthcare Legislative Landscape due to the Coronavirus Pandemic

In this webinar, we are addressing how healthcare providers can navigate coronavirus response legislation and continue to be successful in serving patients. We will cover topics including: Legislative Highlights Healthcare Implications (including Telehealth) Reimbursement & Regulatory Issues Cash Flow & Access to Capital Duration: 1 Hour Speakers: Mike Alessandrini, Director Derek Gray, Director Tony Javorka, […]

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Connect with our team.

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