Disproportionate Share Hospital

You provide patient demographic and claim level data from your patient financial services (PFS) system. No remote access to your system is necessary.

We perform a retrospective and/or prospective review by running your data through our proprietary rules and algorithms and completing a detailed manual analysis. We compile a clean and accurately formatted file to submit directly to individual State Medicaid eligibility databases.

We provide a detailed patient listing with allowable Medicaid eligible days to help you recover all the revenue you are entitled to. We ensure clean and accurate file submission directly to individual State Medicaid eligibility databases and work directly with the MAC on any follow-up issues or questions.

Our highly skilled auditors provide comprehensive support until the Medicare Cost Report (MCR) is finalized and a Notice of Program Reimbursement (NPR) is issued. We share our deep expertise with best practice policies and procedures to ensure ongoing improvement.