Reimbursement Consulting

Medicare Bad Debts

There is an old joke. A man asks another man to send him a fax. The man responds, “I can’t do that because of where I live.” The first man then asks, “where do you live?” The other man responds with a snicker, “the 21st century.” Sadly, this joke applies to the way most providers and even consultants gather Medicare bad debt data.

Let us show you our unique process to get all of your bad debts reimbursment that includes required documnetation  by usung electronic paid claims data. Our computer programmers to painlessly read and parse electronic payment files to create bad debt lists.  Let us help you and you will never go back to the old fashioned method of reporting bad debts.

Cost Reporting

Cost Reporting

Medicare Cost Report Standard Pricing

  • Acute Care Hospitals $8,000
  • Inpatient Rehabilitation Hospitals $4,000
  • Inpatient Psychiatric Hospitals $4,000
  • Skilled Nursing Facilities $3,000
  • Home Health Cost Report: $1,000
  • Hospice Cost Report: $1,500
  • FQHC and RHCs $1,500
  • Home Office Cost Statements By Request

We also provide on an hourly basis to assist in preparing reports

  • Bookkeeping
  • QuickBooks Reporting and Integration
  • PointClickCare support
  • Bad debt electronic claim matching
  • Disproportionate Share Hospital payment reviews

Data Services

In the early 1990's a dream was born to reduce cost and denials in healthcare by creating a  platform to submit claim data in healthcare. What if instead of providers and payers sending and receiving claim and billing data, it could happen electronically?  A standard for just such a method for healthcare was created using Electronic Data Interchange, or "EDI."

The EDI Health Care Claim Transaction set (EDI 837) is used to submit health care claim billing information, encounter information, or both. It can be sent from providers of healthcare services to payers, either directly or via intermediary billers and claims clearinghouses.

The EDI 835 transaction set is called Health Care Claim Payment and Remittance Advice. ... The 835 is used primarily by Healthcare insurance plans to make payments to healthcare providers, to provide Explanations of Benefits (EOBs), or both.

We can help.............