RETROSPECTIVE MEDICAID ELIGIBLE DSH DAYS ZERO FACTOR REVIEW PROGRAM ​​

HRS will perform an analytic Retrospective Review of additional Medicaid Eligible DSH Days due your hospital(s).  The full-service HRS Analytical Review will demonstrate the financial impact of additional Medicaid Eligible DSH Days for prior period years that have not been accounted for due to a myriad of different reasons.  HRS uses expansive knowledge information systems, state of the art algorithms, and other proprietary matching techniques that enable us to examine and recalculate and identify additional Medicaid Eligible DSH Days which increases DSH reimbursements above and beyond that of in-house personnel and/or outside vendor(s). 

HRS will provide our Medicaid Eligible DSH Report Findings to your hospital(s) no later than 90 days after we receive the completed requested data files of the year(s) under review.

Our special Success Pricing Fee guarantees your hospital(s) positive bottom line results with zero downside risk and no out of pocket costs. Our Success Pricing Fee will not be due until the additional reimbursements and/or adjustments are realized and settled with your hospital(s). 

Our Retrospective Medicaid Eligible DSH Days Zero Factor Review Program is the only one in the Country that can make these claims and guarantee you positive bottom line results with zero downside risk and no out of pocket costs.

HRS provides hospitals nationwide the ability to recover additional DSH reimbursements using our state-of-the art recovery methods and proprietary software systems. As an innovator in a continually changing and challenging healthcare environment our Zero Factor - Retrospective Medicaid Eligible DSH Days and Medicare Enhancement SSI% Programs guarantee your hospital(s) positivebottom line with additional DSH reimbursements.​

HRS is a full-service nationwide firm that specializes in the recovery of lost revenue due to complex Medicaid and Medicare reimbursement issues and/or adverse audit adjustments.

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HRS was created to ensure that your hospital is maximizing all of its revenue opportunities with no out of pocket costs. We require minimal, readily available datainformation from your organization to initiate our Retrospective Medicaid and Medicare Enhancement Programs.

Over the last 20 years our clients have received over $1 billion dollars in Medicare and Medicaid reimbursements. There are no up front costs associated with any of our programs, with guaranteed positive bottom line results, and zero disruption to your daily workflow.

 

 

​​RETROSPECTIVE MEDICARE ENHANCEMENT SSI% ZERO FACTOR REVIEW PROGRAM​​​

Medicare Disproportionate Share Reimbursement (DSH) is based on a formula comprised of 2 components: the SSI% and the Medicaid Fraction. To the extent that either of these components increases, the corresponding Disproportionate Share payment will increase. Medicare uses the Federal Fiscal Year to determine the annual SSI%. The beginning date of the cost report determines the applicable Federal Fiscal year to be used in settling the cost report. For example, if the Federal Fiscal Year is 10/01/00-09/30/01, the corresponding cost reporting year will be 07/01/01-06/30/02 for a hospital with a June 30 year-end as the report begins on July 1, 2001 (during the Federal Fiscal Year).​

A hospital has the option of electing to have its SSI% computed based on its own fiscal year rather than the Federal Fiscal Year through a "Request for Redetermination." The resulting SSI% percentage will become the final SSI% percent for that year whether the SSI% increases or decreases. As a result many Hospital(s) have been hesitant to request a Redetermination of the SSI% for fear that the SSI% could decrease. HRS uses expansive knowledge information systems, state of the art algorithms, and other proprietary matching techniques that enable us to examine and recalculate your Medicare SSI% in advance of filing a request for Redetermination with Medicare. 

 

HRS will provide our Medicare SSI% Report Findings to your hospital(s) no later than 90 days after we receive the completed requested data files of the year(s) under review from Medicare.

Our special Success Pricing Fee guarantees your hospital(s) positive bottom line results with zero downside risk and no out of pocket costs. Our Success Pricing Fee will not be due until the additional reimbursements and/or adjustments are realized and settled with your hospital(s). 

Our Retrospective Medicaid Eligible DSH Days Zero Factor Review Program is the only one in the Country that can make these claims and guarantee you positive bottom line results with zero downside risk and no out of pocket costs.

 Medicare and Medicaid Reimbursement