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 about CMS’s fiscal year 2021 proposed rule for inpatient prospective payments, including key changes, public-comment deadlines, and more.

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
CMS is reevaluating and suspending Accelerated and Advanced Payment Program funding respectively. Learn issues regarding repayment of funds.

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.

Primary Contacts