Healthcare Reimbursement & Regulatory Compliance

Cost Reporting Preparation & Review

Cost reporting is the strategic hub for many methods of third-party and governmental reimbursement. However, with an ever-changing regulatory environment, providers face the monumental task of balancing regulatory changes and staffing constraints to complete their cost reports.  Our highly focused cost report professionals offer tailored approaches to collaboratively work with reimbursement departments. We use our in-depth understanding of the rapidly evolving regulatory environment to prioritize accurate and complete cost reporting.

Cost Report Workpaper Tools

Coming Soon: HFS+ streamlines cost report preparation to help deliver a concise work product and more effective review process. HFS+ was designed by healthcare finance professionals for healthcare finance professionals in coordination with Health Financial Systems (HFS), the industry’s largest provider of cost report software. In addition to cost report workpaper templates that are consistent with the latest version of HFS, users of HFS+ receive unique dashboards that can help focus cost report reviews and assist in identifying positive and negative trends impacting Medicare reimbursement.

Forvis Mazars also offers an extensive suite of digital solutions to help meet our clients’ needs by using sophisticated technology and data analytics platforms, models, and databases.

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Reimbursement Co-Sourcing Services

Healthcare providers continue to navigate resource shortages, skill set deficiencies, and deadline-driven reporting requirements within an ever-changing regulatory environment. These challenges can affect your ability to make critical decisions for your organization. That’s why many healthcare providers turn to Forvis Mazars for regulatory reporting and reimbursement support, including:

• In-Depth Reimbursement Department Co-Sourcing Services
• Cost Report Assistance & Training
• Timely Strategic Evaluation of Regulatory Changes
• Strategic Reimbursement Assessments
• Education & Training

DSH & Uncompensated Care Reporting

As an industry leader in uncompensated care reporting, we utilize high-powered data analytic platforms coupled with proprietary software to deliver Medicare and Medicaid DSH services. With over 30 years of experience, our team has a deep understanding of DSH reporting and payment issues that enables us to assist hospitals across the country with their DSH reimbursement challenges.

Uncompensated Care (Worksheet S-10) Reporting

We understand the complexities and nuances of reporting charity care and bad debt on Worksheet S-10. Our dedicated professionals help providers improve reimbursement while maintaining audit readiness.

Medicare Bad Debt

Our dedicated team of bad debt professionals uses regulatory and technical knowledge to assist organizations with identifying and capturing Medicare bad debt reimbursement. We provide wide-ranging services, incorporating data from multiple sources to assist in maintaining compliance and improving reimbursement.

Our subject matter professionals work exclusively with healthcare providers like you to overcome the challenges of bad debt reporting, identify opportunities for reimbursement, and assist with Medicare audits.

Strategic Reimbursement Services

Declining reimbursements are a top concern for many healthcare organizations. However, significant reimbursement opportunities are available to providers that qualify for Medicare special designations or are entitled to Medicare wage index payments or medical residency credits. We can help you identify the strategic reimbursement offerings available to you with services from our dedicated team, including: 

• Transfer DRG Identification
• Medicare Wage Index Reviews & Reclassifications
• Denials Management Monitoring Digital Solution

Medical Residency Reimbursement Services

Our depth of knowledge regarding Medicare and Medicaid reimbursement regulations, combined with our specific medical residency experience, uniquely positions Forvis Mazars to help our clients in this niche. We can assist your organization with:

• Feasibility Analyses
• Education & Training
• Implementation of Medical Residency Programs

We use a phased approach, which can be tailored specifically to your needs, including a preliminary assessment and road map, creation of financial analyses, identification of necessary business resources, and project management to help guide your organization through implementation.

Time Study Services

Time studies measure a physician’s time spent on various activities over a specific duration. They can help your organization allocate physician and mid-level costs and identify reimbursable expenses on the cost report that aren’t otherwise noted. Our mobile-friendly web tool helps simplify the time study process and can be customized to your facility’s measurement needs.

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