Retrospective Look Back
Our Retrospective Look Back involves a comprehensive review of a healthcare provider's previously written-off Medicare bad debts. The purpose of this project is to identify and reclaim any amounts that may have been improperly categorized or inadequately pursued, ensuring compliance with Medicare regulations.
Our specialized consultants work with your team to conduct this detailed analysis of historical patient accounts and billing practices. By identifying inaccuracies or missed opportunities in the original bad debt reporting, providers can recover funds that might otherwise be lost.
This process not only enhances the financial health of the institution but also strengthens its compliance with regulatory requirements, minimizing the risk of penalties or issues in future Medicare audits.
Current Year Filing
During a Current Year Filing project our team undergoes a systematic process of identifying, documenting, and submitting eligible bad debts to the Centers for Medicare & Medicaid Services (CMS) for reimbursement within the current fiscal year.
This project requires a thorough understanding of current Medicare regulations, close coordination between various departments like billing, patient accounts, and compliance, and meticulous attention to detail to ensure accuracy.
Proper execution of a current year filing project ensures timely recovery of eligible bad debts, compliance with all regulatory requirements, and maximization of reimbursement, supporting the financial stability and operational efficiency of the healthcare provider.
Concierge Audit Support
We don't walk away once the initial filing is done. Instead, we are right there with you through the first Notice of Program Reimbursement (NPR), providing concierge audit support tailored to your needs.
Our expert team helps you navigate the complex NPR, ensuring that the reimbursement due to you for Medicare services is accurate and compliant with all relevant regulations. Whether it's analyzing the intricate details of the NPR, offering guidance on potential appeals or adjustments, or simply helping you understand the Medicare reimbursement process, our support aims to make the process as smooth and efficient as possible.
By partnering with us throughout this process, healthcare providers can ensure that they receive the appropriate reimbursement, fostering financial stability, and minimizing the risk of future compliance issues.