Our services — reimbursement

Medicaid Reimbursement
Optimization

Capture more of the revenue you've already earned through audit, appeal, and documentation process improvements. Most errors are fixable — and most facilities have more to recover than they realize.

Our focus
Reimbursement and revenue cycle analysis
Rate and payer contract reviews
Documentation and billing process review
Revenue enhancement and denial prevention
Reimbursement audit — Q2 2024
$0
Revenue recovered
This quarter
0
Claims appealed
78% success rate
Denial reasons — by volume
Insufficient documentation0%
No documentation0%
Incorrect coding0%
Other0%
Source: CMS 2024 Medicare FFS Supplemental Improper Payment Data
CMS SNF improper payment rate
0%
of SNF inpatient claims — $0B nationally
Source: CMS 2024 Medicare FFS Supplemental Improper Payment Data
Recovery pipeline
Documentation correction
47 claims · In review
$682K
Formal appeal filed
31 claims · Pending
$448K
Rate adjustment
16 claims · Negotiating
$214K
Calculating recovery…
Total recovery potential
$0
Q3
Next audit review
What we do
Review revenue cycle, documentation, and billing
Revenue cycle and payer contract reviews
Documentation and billing process audit
Denial appeals and claim adjustments
The impact
Recover earned but uncaptured revenue
Strengthen cash flow and financial position
Reduce future denials through process fixes
Better billing and documentation practices
Who this is for
Skilled Nursing Facilities
Senior Living Operators
Multi-site Operators
Management Companies
Data sources
1 Centers for Medicare & Medicaid Services (CMS). 2024 Medicare Fee-for-Service Supplemental Improper Payment Data. cms.gov/files/document/2024-medicare-fee-service-supplemental-improper-payment-data.pdf

Proud member of leading industry associations

Capture more of what you've already earned.

Optimize reimbursement. Strengthen your bottom line.

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