Medicare Bad Debt

You provide patient and claim level data from your patient financial services (PFS) system and remote, read-only access to your PFS system so that we can answer any questions on our own. This takes a significant burden off your staff.

We perform a retrospective and/or prospective review by running the data through our proprietary rules and algorithms, quickly uncovering qualifying patient claims. Our Medicare bad debt experts thoroughly review 100% of claims to assure Medicare compliance and accurate documentation.

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 MAC on any follow-up issues or questions.

Experienced and professional auditors provide comprehensive support until the Medicare cost report is finalized and a Notice of Program Reimbursement is issued. We share our deep expertise with best-practice policies and procedures for ongoing improvement.