REIMBURSEMENT SERVICES
Your hospital may be leaving money on the table if you haven’t carefully followed Medicare and
Medicaid regulations in filing for reimbursement. QHR’s Health Finance & Reimbursement (HFR)
experts closely monitor and report on the impact of legislative and regulatory changes. We help
you file accurate cost reports. Our goal is to make sure your hospital is appropriately reimbursed,
regardless of size or classification. |
Specific reimbursement services include:
■ Contractual Account Review
(for Critical Access and Prospective Payment
System Hospitals)
■ Cost Report Analysis (CAH and PPS
Hospitals)
■ Critical Access Hospital Studies
and Implementation Assistance
■ Critical Access Hospital Reimbursement
Review
■ Reimbursement Advisories on
Legislative/Regulatory Changes
■ Provider-Based Clinic/Rural Health
Clinic/Free Standing Physician Clinic
Study
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■ Medicare Cost Report Audit Adjustment Review
■ Medicare Cost Report PRRB Appeals
and Litigation Support
■ Medicare Geographic Reclassification
& Wage Index Reviews
■ Medicare/Medicaid Regulatory Research
and Problem Resolution
■ End Stage Renal Dialysis
(Exception Payment Request)
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FINANCIAL ADVISORY SERVICES
QHR consultants can support your decision-making process with financial analysis. To help your hospital
offer competitive pricing, we conduct rate modeling and strategic pricing analysis. For proposed service
lines, HFR consultants perform contribution margin analysis to ensure you don’t enter into an unprofitable
business venture. |
These services include:
■ Product Line Cost Study
■ Rate (Price) Sensitivity Studies (CAH and PPS hospitals)
■ Strategic Pricing Today
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