BESLER Consulting, a leading provider of comprehensive revenue integrity services to healthcare organizations, is pleased to announce that Athens-Limestone Hospital of Athens, AL has selected the company to assist in the identification of Medicare Transfer DRG underpayments.
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 transfer billing and to ensure compliance. BESLER also offers the BVerified (SM) suite of web-based solutions, which allows providers to bring the work of identifying, prioritizing and recovering Medicare underpayments in-house.
After undergoing a rigorous review, BESLER’s Transfer DRG Revenue Recovery Service was awarded the “Peer Reviewed by HFMA®” designation by the Healthcare Financial Management Association.*
Traci Collins, Compliance Officer for Athens-Limestone Hospital, said, “We know our processes are good but we also know that after discharge things happen that are beyond our control. We’re confident that BESLER Consulting will be able to help us to recover Transfer DRG underpayments in a thorough and compliant manner.”
“Our proprietary Transfer DRG technology allows us to review every transfer claim to be sure our clients receive all of the revenue they’ve earned,” stated Jonathan Besler, BESLER’s President and Chief Executive Officer. “We’re looking forward to working with Athens-Limestone Hospital.”
About Athens-Limestone Hospital
Athens-Limestone Hospital is a non-profit hospital affiliated with the Huntsville Hospital Health System. Services provided include: The Baby Place, diagnostic services, education classes, emergency services, a sleep disorders clinic, surgical services, therapy services, wellness facilities, and a Long-term Acute Care Facility coming in 2014. The hospital focuses its attention on the health needs of the Tennessee Valley Region of Alabama. Our hospital provides most services needed to treat the needs of a fast-growing middle size community. It is our mission at Athens-Limestone Hospital to provide each patient with the exceptional quality care, service, and compassion we want for our loved ones. Athens-Limestone Hospital is proud to have the lowest infection rate in North Alabama.
About BESLER Consulting
For over 25 years, BESLER has helped hospitals recover otherwise lost revenue, increase reimbursement, ensure compliance, improve efficiency and reduce costs. BESLER’s deep domain experience in revenue cycle, reimbursement, compliance and unmatched software solutions has resulted in more than one billion dollars of additional revenue for our clients. For more information, visit https://www.besler.com.
*HFMA staff and volunteers determined that this service has met certain criteria developed under the HFMA Peer Review Process. HFMA does not endorse or guarantee the use of this service.
BVerified(SM) is a service mark of Besler & Co., Inc. d/b/a BESLER Consulting.