Government Navigation Suite

SSI Redetermination

Identify and recover underreported Supplemental Security Income (SSI) percentages with Cloudmed’s award-winning Revenue Intelligence™ solution for Supplemental Security Income (SSI) redetermination.

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Optimize underreported Supplemental Security Income (SSI) redetermination

Secure additional Disproportionate Share reimbursement through our Supplemental Security Income (SSI) redetermination services. Industry-recognized expertise precisely and accurately identifies redetermination opportunities.

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SSI Redetermination Overview

Rely on decades of proven Medicare reimbursement expertise to uncover opportunities for increased Supplemental Security Income (SSI) percentages. The powerful CloudmedAI platform accurately captures all regulatory changes from 1988 forward for precise Supplemental Security Income (SSI) recalculation and determination of Disproportionate Share benefit.

Cloudmed SSI Redetermination is used by finance and reimbursement leaders to optimize government benefits revenue.

Leverage our unmatched Medicare experience

Trust Cloudmed’s solid relationships and experience with Medicare Administrative Contractors (MACs) and Centers for Medicare and Medicaid Services (CMS) to optimize your results.

Benefit from a full-service solution

From Supplemental Security Income (SSI) recalculation until the Notice of Program Reimbursement (NPR) is issued, we’re with you every step of the way with specialized knowledge and Medicare Administrative Contractor (MAC) audit support.

Zero IT and minimal staff involvement

Minimize disruption and overwork. We achieve results utilizing our own Centers for Medicare and Medicaid Services (CMS) portal and publicly available databases.

Better results with an optimized process

Be assured that partnering with Cloudmed means best practice processes and accurate results. There’s zero risk with our 100% contingency fee-based model. Here’s a look at how we work together:

Startup

We take on 100% of the work, analyzing Supplemental Security Income (SSI) patient information through our secure Centers for Medicare and Medicaid Services (CMS) portal.

Review

We use the Centers for Medicare and Medicaid Services (CMS) data and publicly available Medicare Cost Report (MCR) information to perform calculations. The first calculation checks the original result from the Centers for Medicare and Medicaid Services (CMS) for comparison to the audited Medicare Cost Report. The second calculation shifts the discharges from the federal fiscal year to the hospital fiscal year.

Recovery

We compare the results, and if there is a positive benefit to request a recalculation, we prepare the re-opening packages for you. We provide full Medicare Administrative Contractor (MAC) audit support until the cost report is finalized and a Notice of Program Reimbursement (NPR) is issued.

Continuous Improvement

We share our deep expertise with best practice policies and procedures for ongoing improvement.

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Find out how Cloudmed SSI Redetermination Revenue Intelligence solution leverages our decades of Medicare expertise to identify and recover underreported Supplemental Security Income (SSI) percentages resulting in increased Disproportionate Share reimbursement.

Discover top trends affecting the revenue cycle – and how to address them –  with the 2023 Revenue Intelligence™ Data and Insights Report.

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