Lost Medicare cost report reimbursement opportunities can account for significant revenue leakage in many healthcare systems. Rules, regulations, and documentation requirements are constantly changing, which creates a challenging environment for providers to capture all appropriate reimbursement.

OUR SOLUTION
MEDICARE BAD DEBT (MBD)

• Our proprietary MBD model reconciles each individual amount in the Medicare detailed PS&R

• We provide complete and accurate MBD listings that will withstand the scrutiny of MAC audits

DISPROPORTIONATE SHARE (DSH)

• We leverage our knowledge of each state’s complex Medicaid eligibility rules

• We provide complete and accurate DSH listings that will withstand the scrutiny of MAC audits

MEDICARE COST REPORT

• We offer complete preparation services of the annual Medicare cost report filing

• We offer complete review services that identify missed reimbursement opportunities

• We also offer focused review services, which look into specific complex cost report areas such as medical education and organ transplant

Results

We have a proven track record of delivering excellent results for our clients in a timely manner

Experience

Most of our team members have over 20 years of specific Medicare reimbursement experience, which allows them to deliver optimal services and solutions

Value

We have the expertise to work effectively with the MAC to quickly realize our client’s Medicare reimbursement opportunities