BESLER Consulting, a leading provider of comprehensive revenue integrity services to healthcare organizations, is pleased to announce that Eastern Connecticut Health Network (ECHN) 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 *.
“We look forward to working with Eastern Connecticut Health Network on the recovery of Transfer DRG underpayments,” said Jonathan Besler, BESLER’s President and Chief Executive Officer. “Our technology allows providers to receive every dollar to which they’re entitled under Transfer DRG regulations. We believe the combination of our software and our strong focus on compliance makes our solution the best in the industry.”
About Eastern Connecticut Health Network
ECHN is a not-for-profit health care system serving 19 towns in eastern Connecticut, through its network of affiliates that include Manchester Memorial Hospital, Rockville General Hospital, Woodlake at Tolland Rehabilitation and Nursing Center (a 130-bed nursing home and short-term rehabilitation facility), the ECHN Medical Buildings at 2400 and 2800 Tamarack Avenue, Evergreen Walk in South Windsor (2800 Tamarack Avenue houses the Women’s Center for Wellness and a series of medical practices owned and operated by ECHN; 2400 Tamarack Avenue includes Evergreen Endoscopy, Central Connecticut Gastroenterology, and the Colon Rectal Surgeons of Greater Hartford) and Visiting Nurse & Health Services of Connecticut Inc. More detailed information about the health system can be found on our Website at http://www.echn.org.
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 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