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
Learn how to report COVID-19 funding on your cost report with a simple breakdown of guidance from the Centers for Medicare & Medicaid Services (CMS).

Alert
On August 6, 2020, CMS published a proposed rule affecting Medicare DSH reimbursement calculations. Hospitals can submit comments until October 5.

Article
CMS rules require new supporting documentation to be included with Medicare cost reports. Learn the details.

Alert
CMS published the FY 2021 final rule, which impacts freestanding psychiatric hospitals and units.

Webcast
Join us for an overview of the fiscal year 2021 Medicare Inpatient Prospective Payment System (IPPS), including the latest updates and reimbursement issues for hospitals, key changes that are on the horizon, and how you can help your organization prepare.

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

Primary Contacts