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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

Wage Index Impacts of MAC Reviews - Do you have a plan for challenges?

Wage Index Impacts of MAC Reviews – Do you have a plan for challenges?

With the September 2, 2025, deadline for hospitals to submit revision requests to their Worksheet S-3 wage data for the Federal Fiscal Year (FFY) 2027 Wage Index now passed, and […]

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Preparing for the 2025 Medicare Occupational Mix Survey For FFY 2028: What Hospitals Need to Know

Preparing for the 2025 Medicare Occupational Mix Survey For FFY 2028: What Hospitals Need to Know

The Centers for Medicare & Medicaid Services (CMS) require hospitals subject to the Inpatient Prospective Payment System (IPPS) to complete the Occupational Mix Survey (OMS) every three years. While CMS […]

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From Missed to Maximized: Medicare Bad Debt Crossover Potential Revealed | patient in a mask sitting on an examination table speaking to a doctor in a white coat and mask with a nurse in the background

Medicare Bad Debt Crossover Potential Revealed

Beginning June 7, 2024, Indiana Medicaid launched a transformative new program: PathWays, a managed long-term service and support (MLTSS) initiative designed to streamline care for aging Hoosiers. This program partners […]

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Connect with our team.

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