MEDICAID SERVICES

Medicaid presents a unique set of challenges and additional reimbursement opportunities for hospitals and hospital systems, both prospectively and retrospectively. Hospital systems across the country may face different reporting requirements or payment limits dependent on the state in which your facility resides creating further complexities.

Our Medicaid team has a broad range of experience with Medicaid reimbursement, operations, and reporting requirements, and we diligently stay apprised of evolving regulations and rulings to best assist clients while maintaining compliance. Our consultant’s dedication to continued industry knowledge education and client service, ensures we are providing your facility with the optimal and maximum reimbursements and appropriate supplemental Medicaid payments at both the state and federal level.

DSH Audits and Experience
Medicaid Disproportionate Share Hospital (DSH) payments are intended to compensate hospitals that serve a large number of Medicaid and uninsured individuals. These payments are vital to a hospital’s financial wellbeing and have become increasingly more complex throughout the years. Our team’s in-depth understanding and thorough experience with DSH payments and audits make us the most well-equipped to assist clients in this regard. We can assist in the DSH audit preparation process to ensure you are retaining payments and the necessary and updated documents for successful audits and long-term financial accuracy and stability.

Our Medicaid Services include:

• Settlement and Upper Payment Limit Issues
• Medicaid Appeals
• Medicaid Disproportionate Share Hospital (DSH) Examination and State Surveys
• Low Income Pool Cost Limit Reconciliations
• Supplemental/Enhanced/Pool Payments Optimizations
• Medicaid Prospective Payment Rates
• Special Designation Requests
• Medicaid Cost Report Preparation
• Uncompensated Care Pools
• Charity/Financial Assistance Policy Consulting