Provider Reimbursement Enterprise Services
Our professionals help deliver reimbursement solutions that impact the overall strategy and operations of your healthcare organization.
Provider Reimbursement Enterprise Services
Optimizing your organization’s reimbursement requires a deep understanding of the cost report and coordination across people, systems, and processes.
As you navigate Medicare and Medicaid’s ever-changing landscape, our professionals can deliver reimbursement solutions that support the overall strategy and operations of your healthcare organization—whether you’re looking for full enterprise outsourcing solutions, or help in a specific area.
Spotlight
What to know about Medicare bad debt
Learn what you need to know about Medicare bad debt and how you can help your hospital navigate reporting challenges.
CMS Transmittal 18: Medicare DSH, Worksheet S-10, and bad debt reporting
The Centers for Medicare & Medicaid Services (CMS) issued Transmittal 18 requiring more data, and not preparing could hurt reimbursement.
How to choose a qualified Medicare reimbursement partner
Explore key attributes hospital providers should consider to select the right partner for Medicare reimbursement and consolidate activities with one firm.
Our full enterprise support includes:
- 340B Program-related services
- Medicaid eligibility matching, including identifying patients eligible for medical assistance under state-approved plans under Title XIX for inclusion in the as-filed Medicare cost report
- Medical education programs
- Medicare and Medicaid cost reimbursement
- Medicare bad debt logs
- Medicare cost report and DSH appeals
- Medicare Disproportionate Share Hospital (DSH) reimbursement analysis for initial cost report filings and retrospective reviews
- Medicare Organ Acquisition & Transplant Programs
- Outsourcing & Staff Augmentation
- Provider-based licensure and certification
- Rural reimbursement support
