Medicaid presents unique challenges as well as additional reimbursement opportunities for hospitals and health systems, both prospectively and retrospectively. With varying reporting requirements and payment limits depending on the state, these complexities can make navigation difficult.

Our team brings extensive experience in Medicaid reimbursement, operations, and reporting requirements, and we stay current with evolving regulations to provide the best possible support while ensuring compliance. Through our consultants’ commitment to continuous industry education and client service, we help your facility secure optimal reimbursement and appropriate supplemental Medicaid payments at both the state and federal levels.

Our Medicaid Services include:

• Settlement and Upper Payment Limit Issues
• Medicaid Appeals
• Medicaid Disproportionate Share Hospital (DSH) Examination and State Surveys
• Low Income Pool Cost Limit Reconciliations
• Supplemental/Enhanced/Pool Payments Optimizations
• Medicaid Prospective Payment Rates
• Special Designation Requests
• Medicaid Cost Report Preparation
• Uncompensated Care Pools
• Charity/Financial Assistance Policy Consulting