BESLER Consulting, a leading provider of comprehensive revenue recovery services to healthcare organizations, is pleased to announce that UF Health Shands 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(SM) 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 UF Health Shands 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: UF Health University of Florida Health is the Southeast’s most comprehensive academic health center. With two main campuses in Gainesville and Jacksonville, UF Health includes six health colleges, six research institutes, the UF Health Shands family of hospitals and services, and a host of physician medical practices and outpatient services throughout north central and northeast Florida. Our mission is to promote health through outstanding and high-quality patient care, innovative and rigorous education in the health professions and biomedical sciences, and high-impact research across the spectrum of basic, translational and clinical investigation.
UF Health includes two teaching hospitals and two specialty hospitals, as well as the UF colleges of Dentistry, Medicine, Nursing, Pharmacy, Public Health and Health Professions, and Veterinary Medicine, which includes both a large animal hospital and a small animal hospital. The system also encompasses six UF research institutes: the Clinical and Translational Science Institute, the McKnight Brain Institute, the Genetics Institute, the UF Health Cancer Center, the Institute on Aging, and the Emerging Pathogens Institute.
The full spectrum of patient-care services is provided through the private, not-for-profit UF Health Shands family of hospitals and programs. UF Health Shands Hospital in Gainesville includes UF Health Shands Children’s Hospital and UF Health Shands Cancer Hospital. The specialty hospitals, UF Health Shands Rehab Hospital and UF Health Shands Psychiatric Hospital, are also located in Gainesville. UF Health Jacksonville is the system’s northeast Florida academic medical center.
UF Health offers a network of outpatient rehabilitation centers, UF Health Rehab Centers, and two home-health agencies, UF Health Shands HomeCare, as well as more than 80 UF physician outpatient practices located throughout north central and northeast Florida.
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 unmatched software solutions 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