Client Background

A rural, 282-bed sole-community hospital providing medical care for patients in a rural area.

The Situation

The organization needed an advisor to help them analyze their policies and prepare their Medicare Bad Debt reports. This organization had always completed their reports in-house, but realized they needed someone with broad based experience to guide them.

The Solution & Results

Moss Adams analyzed the hospital’s policies and practices and had several findings that exposed them to compliance and audit risks and found material additional reimbursement not previously claimed. Moss Adams helped the organization identify the issues and provided three specific solutions:

• We educated the revenue cycle and reimbursement team in how to identify and report various transaction codes, which enabled them to remain compliant and capture more allowable Medicare Bad Debt reimbursement.
• We helped the revenue cycle and reimbursement team correct areas of risk bringing them into compliance with Medicare rules and regulations.
• We identified a process error that was resulting in incorrect account balance reporting. We helped them correct this reporting issue and return to compliance with federal regulations concerning the reporting of their account balances.

Through our personalized and detailed approach, we not only prepared their Medicare Bad Debt reports, but we also helped the hospital return to a foundation of compliance and accuracy.

We're Here to Help

For more information on Medicare Bad Debt or to receive a complimentary policy review, please contact your Moss Adams professional.

Additional Resources

• Health Care Consulting Services
• Provider Reimbursement Enterprise Services