Reimbursement & Regulatory Compliance

Cost Reporting Preparation & Review

Cost reporting is the strategic hub for many methods of governmental reimbursement. However, with an ever-changing regulatory environment, providers are confronted with the monumental task of balancing regulatory changes and staffing constraints to complete their cost reports. 

Our highly focused cost report professionals offer tailored approaches to collaboratively work with reimbursement departments. We use our deep understanding of the rapidly evolving regulatory environment to prioritize accurate and complete cost reporting.

Cost Report Workpaper Tools

Coming Soon: HFS+ streamlines cost report preparation to help deliver a concise work product and more effective review process. HFS+ was designed by healthcare finance professionals for healthcare finance professionals in coordination with Health Financial Systems (HFS), the industry’s largest provider of cost report software. In addition to cost report workpaper templates that are consistent with the latest version of HFS, users of HFS+ receive unique dashboards that can help focus cost report reviews and assist in identifying positive and negative trends impacting Medicare reimbursement.

FORVIS also offers an extensive suite of digital solutions to help meet our clients’ needs by using sophisticated technology and data analytics platforms, models, and databases.

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Reimbursement Co-Sourcing Services

As healthcare providers deal with an ever-growing demand for resources, the impact of the staffing skill set crisis, ongoing regulatory updates, and deadline reporting requirements can add to the daily challenges affecting your ability to make critical decisions. That’s why many healthcare providers turn to FORVIS for regulatory reporting and reimbursement support, including:

• In-Depth Reimbursement Department Services
• Cost Report Assistance & Training
• Timely Strategic Evaluation of Regulatory Changes
• Strategic Reimbursement Assessments
• Education & Training

DSH & Uncompensated Care Reporting

As an industry leader in Uncompensated Care Reporting, we utilize high-powered data analytic platforms coupled with proprietary software to deliver Medicare and Medicaid Disproportionate Share Hospital (DSH) services. Our team’s 30+ years of deep understanding of DSH reporting and payment issues enables our experienced professionals to assist hospitals across the country with their DSH reimbursement challenges.

Medicare Bad Debt

Our dedicated team of bad debt professionals utilizes regulatory knowledge and technical know-how to assist organizations with identifying and capturing Medicare bad debt reimbursement. This level of specialization allows our team to provide wide-ranging service, while incorporating data from multiple sources to assist in maintaining compliance and improving reimbursement.

Our subject matter professionals work exclusively with healthcare providers like you to overcome the challenges of bad debt reporting, identify opportunities for reimbursement, and assist with Medicare audits.

Strategic Reimbursement Services

Declining reimbursements are a top concern for many healthcare organizations. However, significant reimbursement opportunities are available to providers that qualify for Medicare special designations, or are entitled to Medicare Wage Index payments or medical residency credits. We can help you identify what strategic reimbursement offerings are available to you with services from our dedicated team including: 

• Time Study Services
• Worksheet S-10 Uncompensated Care Reporting
• Transfer DRG Identification
• Medicare Wage Index Reviews & Reclassifications
• Medicare & Medicaid DSH Testing
• Medical Education Reimbursement (IME/GME/Nursing Allied Health)
• Denials Management Monitoring Digital Solution

Medical Residency Reimbursement Services

Our depth of knowledge regarding Medicare and Medicaid reimbursement regulations combined with our specific medical residency experience uniquely positions FORVIS to help our clients in this niche. We can assist your organization with:

• Feasibility Analyses
• Education & Training
• Implementation of Medical Residency Programs

We use a phased approach, which can be tailored specifically to your needs, including preliminary assessment and road map, creation of financial analyses, identification of necessary business resources, and project management to help guide your organization through implementation.