Reimbursement Services

Our areas of expertise include the following:

• Medicare Cost Report Reviews and Preparation
• Disproportionate Share and Medicaid Eligibility Reviews (DSH)
• S10 Review and Refiling
• Medicare Geographic Classifications
• Wage Index Opportunity and Analysis
• Medicare Appeals and Regulatory Analysis
• Reimbursement technology
• Organ Acquisition

Medicare Cost Report Reviews and Preparation

The cost report can be complicated to complete, and some simple errors can have a substantial impact on provider reimbursement.

BESLER offers a range of solutions to help ensure that your hospital submits an accurate cost report that optimizes revenue potential.  Our approach focuses on both clinical and financial data to identify opportunities for revenue enhancement and to position your organization for regulatory and industry changes.

Cost report preparation

An end-to-end service that includes completion and submission of the cost report to a hospital’s specific Medicare Administrative Contractor.

The BESLER team works closely with each hospital’s internal reimbursement team to prepare supporting documentation and ensure that appeal rights are preserved.

Cost report reviews

For hospitals that prepare their own cost report, an external review prior to submission can identify potential compliance issues. Our experienced reviewers can fix common errors allowing hospitals to receive corrected payments without having to wait for final settlement of the Medicare Cost Report.

Easy Work Papers

Reduce the time you spend preparing your Medicare Cost Report by up to 75 percent!

Easy Work Papers is a software solution that automates the majority of the preparation for hospital cost reports and supporting workpapers.

You’ll spend less time preparing the cost report and more time more time addressing critical issues that are specific to your hospital.

WHITE PAPER: The Value of an Independent Cost Report Review

Disproportionate Share and Medicaid Eligibility Reviews (DSH)

BESLER’s DSH service optimizes a hospital’s Medicaid eligible days by capturing and validating every patient day eligible to be included in the Medicaid fraction of the Disproportionate Share calculation with the purpose of providing a clean log that identifies every possible account.

Hospitals can effectively optimize their empirical DSH reimbursement and enhance their opportunity to qualify for the uncompensated care payment and the 340 B Drug Program.

S10 Review and Refiling

Now that WS S-10 Schedules are used to distribute uncompensated care pool funds, hospitals must ensure that all uncompensated and indigent care costs are included on WS S-10.

Our technology utilizes an automated approach to populating the S-10 schedules, complemented by expert consultant reviews. BESLER can prepare WS S-10 for filings while identifying areas of opportunity and ensuring regulatory compliance.

Medicare Geographic Classifications

A hospital’s geographic classification impacts its wage index affecting all facets of Medicare reimbursement. The BESLER team can help your hospital determine if applying to the Medicare Geographic Classification Review Board for reclassification may be beneficial. We’ll help review the criteria needed and even help file the application.

Wage Index Opportunity and Analysis

The Medicare wage index affects the majority of a hospital’s Medicare reimbursement. BESLER assists hospitals with the submission of a clean and accurate account of their wages that will optimize their potential reimbursement while staying compliant.

BESLER works with individual hospitals on the wage index and can also bring multiple hospitals together on a project if the impact is significant across a county or CBSA.

SPECIAL REPORT: Medicare Wage Index: What it is, how it works, and why it is important

SlideShare: Medicare Wage Index: What it is, how it works, and why it is important

Medicare Appeals and Regulatory Analysis

BESLER has a proven track record with the successful completion of Medicare and Medicaid appeals for hundreds of hospital rate years.

BESLER has prepared re-openings and documentation to support appeal issues and ensure corrected payments. Our core group of highly qualified and innovative consultants can work with your reimbursement department to navigate complex appeal issues.

Reimbursement technology

iRotations – ensure your facility is reimbursed for every Resident FTE it’s entitled to 

iRotations is a secure, web-based tool used to manage and track interns and residents as they rotate through ALL facilities and contracted offices. Accurately calculate IME and GME FTEs and schedules for documentation purposes.

Providers who previously used other methodologies for tracking FTEs have reported as much as 20% increase in their intern and resident FTEs.

MCEL

With MCEL, hospitals can identify and document all of their potential Medicaid eligible patients and the type of Medicaid eligibility that each patient has. The software provides auditable and verifiable supporting information for DSH calculations, based on a facility’s actual data — NOT estimates.

Organ Acquisition

Organ Acquisition reimbursement is one of the few “pass through costs” of the cost report. A thorough review to improve accuracy and compliance can help hospitals capture every dollar of potential reimbursement.

The review includes all aspects of organ acquisition reimbursement including direct costs, indirect costs, organ counts, organ acquisition charges and days, and organ revenue offsets. A detailed report recommends proposed adjustments and supplies supporting documentation.