BESLER Consulting, a leading provider of comprehensive revenue recovery services to healthcare organizations, is pleased to announce that Elliot Health System 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℠ 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’re pleased to be working with Elliot Health System on the recovery of Transfer DRG underpayments,” said Jonathan Besler, BESLER’s President and Chief Executive Officer. “These underpayments usually occur for reasons beyond the control of the discharging hospital. Our proprietary technology allows us to review every Transfer DRG claim to be sure our clients receive all of the revenue they’ve earned.”
About Elliot Health System
Elliot Health System is a non-profit organization serving the healthcare needs of the community since 1890. The largest provider of comprehensive healthcare services in Southern New Hampshire, Elliot Hospital, a 296-bed acute care facility and the first community hospital in the state, serves as the cornerstone of the health system. Elliot is home to Manchester’s designated Regional Trauma Center, Elliot Breast Health Center, Elliot Urgent Care, a Level 3 Newborn Intensive Care Unit, Elliot Physician Network, Elliot Regional Cancer Center, the Elliot Senior Health Center, Visiting Nurse Association of Manchester and Southern New Hampshire, Elliot 1-Day Surgery Center, Elliot at River’s Edge and New Hampshire’s Hospital for Children. For more information about any of Elliot’s services, call Elliot Direct at 603-663-1111 or visit http://www.elliothospital.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, call 609.514.1400 or follow us on Twitter @BeslerDotCom.
*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℠ is a service mark of Besler & Co., Inc. d/b/a BESLER Consulting