Provider Reimbursement Enterprise Services

Optimizing your organization’s reimbursement requires a deep understanding of the cost report and coordination across people, systems, and processes.

As you navigate Medicare and Medicaid’s ever-changing landscape, our professionals can deliver reimbursement solutions that support the overall strategy and operations of your health care organization—whether you’re looking for full enterprise outsourcing solutions, or help in a specific area.

Our full enterprise support includes:

In addition to staying alert to the latest regulations, our professionals have a deep understanding of how the operations of your organization, whether revenue cycle operations or billing practices, impact reimbursement.

We deliver insight on areas including:

  • Revenue cycle processes such as payer mix management, charge master, and billing
  • Regulatory interpretation of federal and state provider-based and outpatient service line assessments
  • Clinical pathway reviews for inpatient and outpatient service lines
  • Application of overhead rates including indirect cost for federal grant funding, managed care plans, and the correlation to FFS calculations

We’ve Combined with Southwest Consulting Associates

We’ve Combined with Southwest Consulting Associates

Moss Adams has combined with SCA, a national leader in reimbursement services for hospitals and health-system organizations. The combination substantially expands our Health Care Consulting Practice and the scope of our service offerings.


Insights


Alert
The Centers for Medicare and Medicaid extended filing deadlines for certain Medicare cost report fiscal year ends due to coronavirus. Learn new dates.

Alert
The Centers for Medicare and Medicaid released the Supplemental Security Income (SSI) ratios for 2018. Discover applicable entities and effective dates.

Alert
The Centers for Medicare & Medicaid (CMS) appears ready for the next round of Worksheet S-10 audits. Learn how to prepare.

Alert
Learn how your organization can use lean methodologies to help staff and patients combat complications accompanying the spread of the COVID-19 outbreak.

Article
The numbers hospitals report for uncompensated care cost reports now determine future payments. Learn the importance of Worksheet S-10 and how to compliantly report to access your fair share.

Article
With increased pressure from the Centers for Medicare and Medicaid Services (CMS) to move from fee-for-service to value-based care reimbursement, more health care organizations are starting to consider alternative payment models and risk-based options.

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