Healthcare Accounting - Buffalo Rochester CPA
Healthcare Accounting - Buffalo Rochester CPA
Healthcare Accounting - Buffalo Rochester CPA
Healthcare Accounting - Buffalo Rochester CPA

Reimbursement Consulting

Freed Maxick is a premier provider of financial consulting and advisory services for healthcare organizations. Our team of experts specializes in reimbursement consulting, a vital area of expertise for healthcare providers.

Reimbursement consulting involves advising healthcare providers on how to optimize their revenue streams from various sources, such as Medicare, Medicaid, private insurance, and other payers. With the ever-changing regulatory landscape and complex reimbursement rules, it’s crucial to have a partner who can help you navigate the maze of regulations and maximize your reimbursement.

At Freed Maxick, we have a wealth of experience in reimbursement consulting and can help you:

  • Identify opportunities for revenue optimization and cost savings
  • Optimize your billing and coding processes
  • Negotiate contracts with payers
  • Manage denials and appeals at both Federal and State levels
  • Ensure compliance with regulatory requirements

Impactful Reimbursement Guidance

We evaluate each client’s unique reimbursement outlook across both governmental and commercial third-party payors.

Wage Index Deep Dive Reviews

The Wage Index is based mostly on the facility wide average hourly pay rate – a very important figure that we help our clients maximize through a granular review process.

Medicare Bad Debt Optimization

The path to claiming reimbursement for this bucket of funding is littered with regulatory pitfalls. At Freed Maxick, we help create value for providers and will stay with you through the entire audit process.

Outsourced Reimbursement Directors

Turnover happens for many reasons, but facility-wide, reimbursement must remain high for decision makers to work with an actionable operating budget. We have over 40 years of combined experience leading this function for providers.

IGT Financing Optimization

Certain publicly owned hospitals may tap funding authorized in the State’s Medicaid Waiver to be directed towards said hospitals and ancillary facilities. The computation of the benefit is very complex and requires a data-driven analysis to capture the best result.

State Medicaid Funding Assistance

We assess the provider’s ability to increase its net allocation of State Medicaid Funding – both at the claims level and at the pools level.

Federal and State Cost Reporting

The various Federal and State cost reports are a critical anchor point for large chunks of a provider’s facility-wide reimbursement. Whether it’s dollar for dollar cost settlement, optimizing your rate structure, or setting crucial cost benchmarks – there are impacts to how accurately your cost reports are completed.

Other services also include:

  • S-10 Filing and Audit Support
  • Disproportionate Share (Medicare) Scrubbing
  • Geographic Reclassification Preparation and Review
  • Appeals and Re-openings – Medicare Parts A, B, C and Medicaid Agency (including Departments within)

Our team of experts is fully versed in the latest healthcare reimbursement policies and regulations, ensuring that your organization receives the level of service it deserves. With our help, you can focus on providing the highest quality of care to your patients. Don’t leave your reimbursement to chance – partner with Freed Maxick and take control of your revenue streams. Contact us today by filling out the form below and learn how we can help you achieve your financial goals.