Provider Reimbursement Enterprise Services

Optimizing your organization’s reimbursement requires a deep understanding of the cost report and coordination across people, systems, and processes.

As you navigate Medicare and Medicaid’s ever-changing landscape, our professionals can deliver reimbursement solutions that support the overall strategy and operations of your health care organization—whether you’re looking for full enterprise outsourcing solutions, or help in a specific area.

Our full enterprise support includes:

In addition to staying alert to the latest regulations, our professionals have a deep understanding of how the operations of your organization, whether revenue cycle operations or billing practices, impact reimbursement.

We deliver insight on areas including:

  • Revenue cycle processes such as payer mix management, charge master, and billing
  • Regulatory interpretation of federal and state provider-based and outpatient service line assessments
  • Clinical pathway reviews for inpatient and outpatient service lines
  • Application of overhead rates including indirect cost for federal grant funding, managed care plans, and the correlation to FFS calculations

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