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Medicare/Medicaid Opportunities

Are you staying on top of changing Medicare regulations? Are you capturing all of your potential Medicaid dollars? Do you understand a resident’s acuity level and what operational expenses may affect future reimbursement? How well does your hospital or physician organization handle disproportionate share, bad debts, and reimbursements relative to medical education? How well does your long-term care or senior living organization manage operations and expenditure levels in relation to the various Medicare and Medicaid reimbursement components on a monthly or quarterly basis?

Missed opportunities can deny your organization hundreds of thousands of dollars in revenue each year. At Crowe Horwath LLP, we know where to look for greater reimbursements. We implement systems to capture the right data and help you improve your documentation. We help you understand where Medicare and Medicaid rules are heading, and how changes might affect your organization.

Our Medicare and Medicaid regulatory services include:

  • Preparation of and consulting on cost reports;
  • Billing compliance;
  • Disproportionate Share Hospital (DSH) solutions;
  • Medicare bad debts;
  • Medical education (IME/DME);
  • Third-party audit support services;
  • Quality assessment fee or provider tax consulting; and
  • Medicare resident acuity management and documentation.

We also assist with appeals if claims are disputed by health funding agencies.

Our clients are impressed by the regulatory reimbursement opportunities we uncover.

For more information, contact one of our executives today:

Dave Frank, Healthcare Services Group

Jim Ridenour, Long-term Care and Senior Living Services Group