BESLER Consulting, a leading provider of comprehensive revenue integrity services to healthcare organizations, is pleased to announce that Denver Health of Denver, CO has selected the company to assist in the identification of Medicare and Medicare Advantage 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℠ 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 recently awarded the “Peer Reviewed by HFMA®” designation by the Healthcare Financial Management Association *.
“Denver Health was already utilizing our BVerified sanctions screening solution with great success,” said Jonathan Besler, BESLER’s President and Chief Executive Officer. “We’re very pleased that we’ll now be implementing our Transfer DRG underpayment recovery solution as well. We’re looking forward to working with Denver Health on this issue.”
About Denver Health
Denver Health is the Rocky Mountain Region’s Level I academic trauma center, and the safety net hospital for the Denver area. The Denver Health system, which integrates acute and emergency care with public and community health, includes the Rocky Mountain Regional Trauma Center, Denver’s 911 emergency medical response system, Denver Health Paramedic Division, eight family health centers, 15 school-based clinics, the Rocky Mountain Poison and Drug Center, NurseLine, Denver CARES, Denver Public Health, the Denver Health Foundation and the Rocky Mountain Center for Medical Response to Terrorism, Mass Casualties and Epidemics.
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 software development has resulted in more than one billion dollars of additional revenue for our clients. For more information, visit www.besler.com.
SM BVerified is a service mark of Besler & Co., Inc. d/b/a BESLER Consulting
*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.