BESLER Consulting, a leading provider of comprehensive revenue recovery services to healthcare organizations, is pleased to announce that Tanner Health System, Carrollton, GA, has selected BESLER to conduct a Transfer DRG underpayment recovery audit.
BESLER’s proprietary recovery process typically identifies 30% additional revenue when conducted after another vendor or an internal process.
“We are very pleased to be working with Tanner Health System,” commented Jonathan Besler, President and Chief Executive Officer of BESLER. “Our findings often lead to operational changes that help our clients more efficiently manage the Transfer DRG reimbursement process while reducing outside fees paid.”
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 transfers and ensure compliance. BESLER also offers a web-based solution, BVerified℠ – Transfer DRG, which automates this process to quickly identify, prioritize and recover Transfer DRG underpayments.
About Tanner Health System
Tanner Health System is a nonprofit regional health system serving a nine-county area of west Georgia and east Alabama. Tanner’s medical staff is comprised of more than 250 physicians representing 35 unique medical specialties. For more information, visit www.tanner.org.