报销咨询
We provide payor negotiations 和 contracting services in addition to chargemaster reviews. LBMC has been a recognized firm in healthcare consulting for over 20 years. Our dedicated healthcare industry team provides a wide range of services, including cost report preparation 和 review, 和 reimbursement consulting services for both cost-based 和 PPS providers. We underst和 the importance that cost reporting 和 reimbursement hold for healthcare entities 和 offer a wide variety of services to help you reach your goals.
Our unique partnership approach enables healthcare providers to anticipate potential changes in reimbursement rates by proactively monitoring operational changes throughout the year, 消除利率设定的意外. We also provide chargemaster reviews 和 strategic pricing adjustments to meet today’s need for more transparency in healthcare pricing.
LBMC 医疗保健 Consulting provides a wide variety of services including:
成本报告服务
- Preparation 和/or review of Medicare 和/or Medicaid Cost Reports.
- Review 和 assistance with tentative settlements, 成本报告审计, appeals 和 other correspondence with CMS 和 MACs.
- Review of previously filed cost reports in order to identify potential exposure 和 reimbursement opportunities.
- Compilations or independent review of various Medicaid 和 other 状态 Program Reports such as Residential Treatment Centers.
付款人合同和谈判
- Chargemaster评论
- Review all current contracts for compliance, 绩效和与付款人重新谈判, 适当的, to obtain more favorable contract conditions 和/or rates.
- Review all new contract proposals 和 recommend acceptance or denial, based on potential performance 和 fit with the group’s strategy 和 goals.
- Review payor market shares in your area 和 new contract recommendations.
- Provide telephone 和 email support to your staff on questions related to payor contracts.
- Provide ongoing monitoring of contracts for payor compliance.
- 项目环境:医院, ASC, 康复中心, 精神科(住院和门诊), Physicians (hospital 和 non-hospital based) 和 Ancillary services.
咨询服务
- Identify 和 assist with opportunities for Disproportionate Share (DSH) 和 Low Income (LIP) reimbursement for medical/surgical 和 rehabilitation hospitals, 分别.
- Assist in compiling 和/or review of traditional Medicare Bad Debts 和 Medicaid “crossover” Bad Debts.
- Square Footage Analysis for proper cost allocations.
其他报销服务
- Assist with Wage Index audits 和 review for potential Geographic reclassifications.
- Consultations for various Provider based issues.
- Assistance with completion 和 filing of occupational mix surveys.
- Due diligence to assist with opportunities 和 liabilities with acquisition/merger activities.
所服务的客户类型
- 急症护理医院
- 行为健康医院(BHH)
- 关键准入医院(CAH)
- 透析中心
- Federally qualified health centers (FQHCs)
- 家庭健康护理
- 家庭办公室
- 临终关怀设施
- 长期急症护理医院
- 养老院
- 医生实践
- 农村卫生诊所
- 熟练护理设施(SNFs)
