Reimbursement
Addressing the complexities of reimbursement.
We have significant expertise with reimbursement consulting matters involving a wide range of government programs and commercial payers. From answering specific single-issue questions to establishing a system-wide Medicare strategy, we routinely establish complex reimbursement strategies.
Our team can bring seasoned knowledge to the discussion and speed track finding your best solutions. We have a vast, detailed understanding of the healthcare reimbursement landscape, including but not limited to:
- Medicare and Medicaid rules and regulations
- Commercial payer claims processes
- Value-based strategies
- Telemedicine
- Billing and coding
When you work with Advis, we focus on tracking and interpreting emerging healthcare trends to support the financial health of your organization. We work to ensure your eligibility to receive and retain appropriate reimbursement levels, for both today’s measures and well into the future.
DSH Payment and Uncompensated Care Audit Response Plan
CMS has announced new regulations that will alter how DSH payments are calculated this upcoming fiscal year. These regulations will also launch a new wave of government audits scrutinizing historic claims for uncompensated care.
Advis has developed a specialized five-step response plan to help providers navigate these new rules. To implement its response plan, Advis will work directly with your organization to perform the following vital tasks in the lead-up to these changes:
- Review policies for charity care write-offs, bad-debt collection, and self-pay discounts.
- Assess current operations for compliance with all related policies.
- Interview targeted stakeholders to identify procedural gaps.
- Review patient-level data and financial statements for uncompensated care claims.
- Conduct DSH payment calculations to predict impact to provider revenues.
