Transfer DRG & IME/GME Run Behind

 

OVERVIEW:

Leading academic medical center in Northwest with more than 300 patient beds accounting for approximately 20,000 inpatient admissions per year. The Hospital has received recognition as a leader [...]

Transfer DRG & IME/GME Run Behind

Transfer DRG

 

OVERVIEW:

Large Midwestern not-for-profit medical complex and one of America’s best hospitals by US News and World Report

OPPORTUNITY / CHALLENGE:

The system’s internal reimbursement team found that locating the transfer DRG (TDRG) [...]

Transfer DRG

Reimbursable Bad Debt

 

OVERVIEW:

Southeastern Regional Medical Center

OPPORTUNITY / CHALLENGES:

Using HCRIS data combined with internal benchmarking, HPS estimated that the hospital had significant Bad Debt recovery potential. The hospital’s internal reimbursement team had [...]

Reimbursable Bad Debt

Disproportionate Share

 

OVERVIEW:

Lake Region Healthcare (Lake Region) is a rural 108-bed independent hospital located in Minnesota. The Hospital serves a seven-county area, and admits about 3,500 inpatients per year.

OPPORTUNITY / CHALLENGE:

For Lake [...]

Disproportionate Share

Shadow Billing

 

OVERVIEW:

Midwestern 500+bed teaching facility that handles more than 23,000 discharges per year and trains over 400 interns and residents per year. To compensate the hospital for costs associated with supervising and training [...]

Shadow Billing