Government Reimbursement: Hurdles, Trends, Audits, and More

Start time:
March 18, 2025 10:00 AM PT
Duration:
1 hour
Location:
Online
Credits:
1
Contact:
Jamie Pennington, Moss Adams, (469) 587-2139
Cost to attend:
Complimentary

Join us for our webcast, Government Reimbursement: Hurdles, Trends, Audits, and More.

We’ll cover an array of topics in the evolving government reimbursement landscape, including:

  • Medicaid redeterminations and their significant impact on Medicare disproportionate share hospital (DSH) payments and 340B qualification
  • Strategies for covered entities to safeguard their 340B eligibility due to changing circumstances
  • Additional challenges faced by hospitals, including common MCReF warnings and pitfalls in the new Medicare cost report templates, focusing on Worksheet S-10 and Medicare bad debt
  • The latest trends in the federal Uncompensated Care (UC) pool and insights from the most recent nationwide S-10 audits
  • A review of ongoing litigation surrounding Medicare DSH payments and the critical implications of the recent 1115 waiver decision

Don't miss this comprehensive state of government reimbursement session that aims to provide hospitals with the tools and knowledge needed to navigate this complex regulatory environment.

Register

Speakers

Jonathan Mason, Partner, Moss Adams

Jonathan has worked in health care finance since 2004, with a concentration in government reimbursement. He currently focuses on Medicare DSH, state and federal (S-10) uncompensated care, and Medicare bad debt engagements for hospital clients ranging from small rural facilities to large corporate hospital systems.

Jonathan’s experience includes preparing Medicare DSH, bad debt and Worksheet S-10 data for initial and amended cost report filings, reviewing and drafting hospital financial assistance policies, and overseeing audits and appeals.

Since 2017, Jonathan and his team have completed over 900 fiscal years of detailed Worksheet S-10 reviews for 260 hospitals in 32 states.

Heather Keser, Senior Manager, Moss Adams

Heather has worked in the health care finance industry since 2011. Her primary area of focus is provider reimbursement, in which she assists hospitals and health systems report their Medicare DSH and uncompensated care reimbursement.

Heather prepares Medicare DSH and Worksheet S-10 data for initial and amended filing cost reports, reviews and drafts hospital financial assistance policies, oversees Medicare DSH and Worksheet S-10 audits and appeals, and prepares Medicare Bad Debts for providers.

Mandy Mori, Senior Manager, Moss Adams

Mandy has worked in the health care industry since 2003. She primarily works with health care executive leaders to drive strategic planning, service line optimization, and create sustainable financial growth.

Mandy specializes in assisting clients with strategic analysis and development of internally integrated and externally oriented strategic plans that assess market demand, identify service gaps, and build clarity on the long-range strategic direction.

Registration Form

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CPE Information

Program Level:
Overview
Credits:
Specialized Knowledge and Application: 1
Delivery Method:
Webcast
Learning Objectives:

After completing this training, participants will be able to explain the impact of Medicaid redeterminations on Medicare DSH payments and 340B program eligibility; identify effective strategies for covered entities to maintain their 340B eligibility in response to evolving circumstances; describe common MCReF warnings, pitfalls in the new Medicare cost report templates, trends in the federal UC pool, and nationwide S-10 audit findings; and discuss the critical implications of the recent 1115 waiver decision and ongoing litigation related to Medicare DSH payments.

Prerequisites:
None
Refund Policy:

For more information about administrative policies regarding CPE, refunds or complaints, please contact Jamie Pennington at (469) 587-2139 or send her an email.

Moss Adams is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State Boards of Accountancy have the final authority on the acceptance of individual course for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.nasbaregistry.org.

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