BESLER Consulting, a leading provider of comprehensive revenue recovery services to healthcare organizations, is pleased to announce that WNC Health Network Inc. (“Network”) has named BESLER as a preferred vendor for the provision of Transfer DRG revenue recovery services to its members. The Network is a regional group purchasing organization with 51 health system members representing 93 hospitals in six states.
Under Medicare reimbursement regulations, when certain patients are discharged to post acute care, the discharging hospital is paid at a reduced rate. In some cases, this reduced payment is not justified by the actual post-discharge care. These underpayments are not reflective of coding or billing errors on the part of the provider, but more commonly result from a change in the planned course of treatment subsequent to discharge.
BESLER uses proprietary software to efficiently work through the identification and follow-up tasks required to validate the accuracy of post-acute care transfers and to ensure compliance. BESLER also offers the BVerified℠ suite of web-based solutions, which automates the work of identifying, prioritizing and recovering Medicare underpayments.
“We’re very pleased to partner with the Network to offer our Transfer DRG services to its members,” commented Jonathan Besler, BESLER’s President and Chief Executive Officer. “We believe our compliance-focused revenue recovery services are the most effective in the industry.”
“We believe BESLER’s Transfer DRG services will provide significant value to our hospital members,” said Tim Bugg, Senior VP Group Purchasing for WNCHN. “In addition, we’re looking forward to working with BESLER to provide educational resources that can help our members improve their operational efficiency.”
About WNC Health Network
In 1995, a group of dedicated individuals decided to make a difference in healthcare in western North Carolina. They began to identify, explore, and implement opportunities to save money and collaborate among the area’s hospitals and healthcare systems. WNC Health Network initially included 16 hospitals in western North Carolina. Today, 51 health systems representing 93 hospitals collaborate within the Network. These hospitals are located throughout the Carolinas, southern Virginia, eastern Tennessee, Pennsylvania and Kentucky.