BESLER Consulting, a leading provider of comprehensive revenue recovery services to healthcare organizations, is pleased to announce that Ministry Health Care, headquartered in Milwaukee, WI, 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 awarded the “Peer Reviewed by HFMA®” designation by the Healthcare Financial Management Association *.
“We’re pleased to be working with Ministry Health Care on the recovery of Transfer DRG underpayments,” said Jonathan Besler, BESLER’s President and Chief Executive Officer. “Our proprietary technology and our focus on compliance allow us to effectively identity additional, legitimate revenue for our clients, facilitating their ability to carry out their mission in healthcare.”
About Ministry Health Care
Ministry Health Care is an integrated healthcare delivery network serving more than 1.1 million people across Wisconsin and eastern Minnesota. Ministry generates nearly $2.2 billion in annual operating revenue with 15 hospitals, 46 clinics, and more than 12,000 associates including 650 physicians and advanced practice clinicians. Ministry Health Care recently joined Ascension Health as the second healthcare ministry in Wisconsin. Ascension is the largest Catholic and not-for-profit healthcare system in the nation.
Ministry is ranked among the top 20 percent of healthcare systems in the country according to Truven Health Analytics and five Ministry hospitals are ranked in the top 10 in Medicare’s Hospital Value Based Purchasing (VBP) program in the state. Ministry’s Network Health has again received 4 ½ star recognition by the Centers for Medicare and Medicaid Services (CMS) for its Medicare Advantage plans.
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.
BVerifiedSM is a service mark of Besler & Co., Inc. d/b/a BESLER Consulting