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Regulatory recovery services

Regulatory recovery 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 share, bad debts, transfer 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 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?

Learn more about RSM's regulatory recovery services.

340B Drug Pricing Program services

The 340B Drug Pricing Program limits the cost of covered outpatient drugs to certain federal grantees, federally qualified health center look-alikes and qualified hospitals. Participation in the program results in significant savings for safety-net providers. The program is complex and continues to present challenges for program owners, however, and requires specialized skills and an in-depth understanding of program requirements to ensure operational efficiency and compliance. Learn more about our 340B services and how we can help.

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 tool for clients to test the reimbursement impact of potential changes to their operations, as well as allow for more accurate reserve-setting through more frequent cost report settlement calculations. Learn more about RSM’s CAH reimbursement modeling services.

Recommended Insights

INSIGHT ARTICLE

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.

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

WHITE PAPER

CMS proposes FY 2014 Medicare IPPS update

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

  • Tony Cawiezell
  • |
  • May 30, 2013

RECORDED WEBCAST

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

RECORDED WEBCAST

Health care industry issues and insights webcast series

  • November 17, 2016

IN-PERSON EVENT

Denver Adaptive Insights financial planning and analysis briefing

  • October 12, 2016

RECORDED WEBCAST

Achieving digital readiness in your nonprofit organization

  • July 12, 2016