(Princeton, NJ, November 17, 2015) BESLER Consulting today announced the publication of a white paper entitled “The Value of an Independent IME Review”.
In 1997, CMS put in place a procedure to pay teaching hospitals for the medical education portion of their reimbursement through a complex system of multiple claim submissions for Medicare Advantage inpatient acute discharges. This system costs hospitals in the US well over $100 million each year through missed payments. The continued year-over-year growth of Medicare Advantage enrollment means that these costs will only increase. Even non-teaching hospitals are at risk due to subsequent regulatory activity. A specialized third party review of a hospital’s billing process can ensure both proper revenue capture and compliant billing while providing a roadmap for process improvement.
This white paper discusses Medicare Advantage enrollment trends, reasons why IME revenue is missed and the benefits of an independent shadow billing review.
The white paper is available for download HERE.
About BESLER Consulting
For over 25 years, BESLER has helped hospitals enhance and protect their Medicare revenue. BESLER’s deep domain experience in revenue cycle, reimbursement, compliance and software development has resulted in more than $2 billion of additional revenue for our clients. For more information, visit www.besler.com.