What is your typical experience for hospitals in the Medicare DSH process? Most hospitals see an increase in DSH payments from 10% to 35%.
We already addressed internally or with the help of another firm, how can you help now? Even when the hospital has engaged other consulting firms, Gordon Kimberly Partners generally finds 10-15% additional DSH reimbursement.
How much time of hospital personnel will this project take? All circumstances vary, but the average time for hospital personnel is 15-30 total hours
Is my reimbursement team not doing their job if there is this opportunity? Most hospital reimbursement staffs have many responsibilities other than DSH reimbursement. Gordon Kimberly Partners specializes in Medicare DSH payments, and has much more experience than most hospital employees.
What if our facility does not want to reopen/appeal prior years cost report issues because we are concerned that the Medicare Intermediary will reopen for issues that will hurt the hospital? In the 30 plus years that Gordon Kimberly Partners has been reopening Medicare Cost Reports, we have never seen a Medicare Intermediary reopen for negative issues during a hospital requested reopening. Medicare typically makes all of their negative adjustments during their initial audit.
How long until we see results? While each case is different, most hospitals will receive additional reimbursement with 6 -18 months from the inception of work being performed.