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.

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How can we help you?

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

Events / Webcasts


Healthcare and Life Sciences Private Equity and Finance Conference

  • February 20, 2019


Health care M&A webcast: Latest trends and best practices

  • December 04, 2018


Health care industry 2018 fall webcast series

  • November 15, 2018