The healthcare landscape is rapidly changing. Now, more than ever before, it's vital to ensure your hospital is accurately compensated by Medicare and Medicaid. Our team has recovered more than $1 billion for over 600 hospitals around the country. Global giants such as Siemens, Ingenix and AmerisourceBergen have partnered with us to achieve well-documented success in recovering due compensation.
Rapid mapping and completion of data extraction requirements needed to define the potential size of the recovery opportunity
Retrospective and prospective recovery initiatives rather than a sequential focus used by many other firms
Minimizing potential disruption to employees and support staff
Retroactive and Prospective years Medicare Disproportionate Share Hospital (DSH) maximization
Transfer Diagnosis Related Groups (TDRG) - Review Medicare claims for misapplication of the Post-Acute Care Transfer Policy
Medicare 340B programs - Assist hospitals in qualifying for and maintaining 340B status
A/R Batch Analysis - Determine missed revenue opportunities by reviewing Medicaid, Medicare, Medicaid/Medicare HMOs, Tricare, etc.
10-25% Improvement over in-house approaches
600+ Hospitals served around the country
Over $1.2 Billion recovered for our clients
There are multiple advantages to utilizing the expertise of Government Program Specialists.
For each client, our team:
Our professionals have very strong client references that will attest to our results
|State||Number of Hospitals||Total Increases in Reimbursement|
|Average of $1.5 Million per hospital|