Regulatory recovery services

Recovery audit services for the health care industry

RSM's regulatory recovery audit services are designed to identify high-impact, Medicare cost report-related opportunities, including Medicare disproportionate shares, bad debts, transfer diagnosis related groups (DRG) and other related issues.

If these questions resonate with your organization, our team can help:

  • What is your current disproportionate share (DSH) process for obtaining Medicaid and supplemental security income (SSI) eligibility?
  • How are your traditional, crossover and charity bad debt lists compiled?
  • Do you have Medicare audit issues related to these items?
  • What is your process for recouping transfer DRG underpayments?

Critical Access Hospital reimbursement modeling

Critical Access Hospitals (CAHs) and other provider types with cost-based reimbursement under the Medicare program are often challenged with quantifying the impact to their future reimbursement from modifications made to their charge practices, cost structure and other related items. To assist CAHs in this effort, RSM health care consultants have developed a customizable, user-friendly CAH reimbursement modeling tool for clients to test the financial impact of a recovery audit, as well as allow for more accurate reserve setting through more frequent cost report settlement calculations.

Learn more about RSM's regulatory recovery services.

Recommended Insights


Revenue integrity webcast series: Part 2 recap

This webcast summary focuses on regulatory updates for the health care industry recently released from the Federal Register.

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  • February 05, 2016
CMS proposes FY 2014 Medicare IPPS update


CMS proposes FY 2014 Medicare IPPS update

This white paper provides an analysis and commentary on federal health care issues.

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Proactive planning for HIPAA HITECH and IPPS proposed rules for 2014

Join us for a two-part webcast on two critical regulations impacting the health care industry: the HIPAA/HITECH Act and IPPS Regulations and Notices.

  • May 23, 2013

How can we help you?

To discuss how our team can help your business, contact us by phone 800.274.3978 or

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Events / Webcasts


Join us for our Urgent Care CFO Boot Camp

  • August 07, 2017


RSM Health Care Finance Forum: Sharing insights with CFO colleagues

  • May 02, 2017


Health care industry issues and insights webcast series

  • April 27, 2017