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reimbursable-bad-debtHPS provides a full range of Medicare Reimbursable Bad Debt services from initial bad debt log preparation to retrospective reviews with expertise in crossover, charity and self pay bad debts.

With our unparalleled research capability and AccuTrack™ software, we can estimate how much additional reimbursement you are owed on previously filed cost reports and provide a customized Medicare Reimbursable Bad Debt analysis.

The RCM software from major providers doesn't have the granularity and functional processes to identify and collect the final 3-5% of reimbursable revenue. Capturing those incremental dollars requires a significant knowledge of the dynamic changes to Medicare and Medicaid, a close working relationship with all of the individual financial intermediaries, direct access to Medicare and Medicaid EDI feeds and access to data analysis engines to make faster and more informed recovery determinations.

Additional complicating factors are that the necessary data to make these nuanced determinations comes from several departments, staffing requirements are increasingly demanding given turnover and the inability to bring full time and often timely focus to this effort.

HPS Solution:
  • End-to-end recovery process completely supporting bad debt logs through audit by the MAC with a 98% recovery success after audits
  • Recovery of the low dollar copays and deductibles of high volume accounts using our proprietary Accutrack software system that aggregates and reconciles potentially millions of lines of patient data from different sources in a fraction of the time it would take with a manual review.
  • Current fiscal year and reopenings on a flat fee or contingency-basis.
Market Distinction:
  • Complements your internal efforts by starting with your detailed PS&R data
  • Utilizes our Accutrack software to Review 100% of your deductibles and coinsurance
  • Ensures that all proper collection activity has been completed and documented
  • Prepares pre-qualified and audit-ready bad debts logs
  • Provides complete and timely audit support including quick turnaround of documentation to support audit sampling.
 


Healthcare Payment Specialists | 8401 Jacksboro Highway, Suite 550 | Ft Worth, TX 76135