Rural Hospitals
We have extensive experience in cost-based reimbursement from cancer facilities, former exempt facilities and critical access facilities. While the CAH is a relatively new program, the concept of cost reimbursement is as old as Medicare. Rural Medicare provisions tend to also affect many suburban providers. We provide consulting and implementation services to our clients in the many areas affecting cost-based reimbursement.
A representative listing of our projects include:
- Geographic Reclassification
- Sole Community Hospital Classification
- Medicare Dependent Classification
- “Hold Harmless” Strategies
- Volume Decrease Adjustments
- Lower of Cost or Charge Appeals
- Medicaid Rate Reviews (DSH and UPL)
- Clinic Design and Physician Contracts
- Focused Medicaid Cost-Based Services (Rural providers still receive cost reimbursement of most Medicaid services)
Our Critical Access Services include:
- Cost and Rate Strategic Services
- Cost Center Design
- Interim Rate Reviews
- Monthly and Quarterly Cost Settlement Projections
- Critical Access Hospital Conversions
Rural Hospital Clinics
The following lists some of the more common services we provide to our Rural Hospital clients:
- Cost Report Analysis
- Various Feasibilities (with and without opinions)
- Cost Report Appeals
- Physician Contracting
- Physician Compensation Structure
- Ownership Structure and Liability Protection Planning
- Sales and Acquisitions
- Rural Health Clinic Rate Reviews
- Rebasing for Medicaid PPS Rates
- Medicaid DSH and UPL Consulting
- Ancillary Service Ventures
- Affiliated Hospital Ventures
- Rural Health Clinic Development
- Rural Health Clinic Operations Examinations (examine the revenue collections and cycle in depth)