Optimize results with an accomplished partner
Leverage our expertise and knowledge of this unique environment for the best results and long-term success. Here’s a look at how we work together:
You provide patient demographic and claim level data from your patient financial services (PFS) system. No remote access to systems is necessary.
We perform a retrospective and/or prospective review by running the data through our proprietary rules and algorithms and completing a detailed manual analysis. We compile a clean and accurately formatted file to submit directly to individual State Medicaid eligibility databases.
We provide a detailed patient listing with allowable uncompensated care claims and associated dollar amounts to help you recover all the revenue you are entitled to. We ensure clean and accurate file submission directly to individual State Medicaid eligibility databases and work directly with the Medicare Administrative Contractor (MAC) on any follow-up issues or questions.
Highly skilled auditors provide comprehensive support until the Medicare Cost Report (MCR) is finalized and a Notice of Program Reimbursement (NPR) is issued. We share our deep expertise with best practice policies and procedures for ongoing improvement.