Medicare and Medicaid cost reporting in healthcare can be complicated and time-consuming. Why not let Crowe do it for you? By combining automation with deep healthcare regulatory expertise, our government reimbursement solutions make it easy to accurately report the services your organization provides.
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Using Crowe RCA, we’re able to leverage transaction-level detail for government reimbursement filings, enabling your team to focus on other priorities.
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Getting the most out of government reimbursement comes down to three things: 1) accurate Medicare cost reporting, 2) a well-defined financial assistance policy (FAP), and 3) consistent compliance with the FAP on the part of your health system.
Maximizing your organization’s share of the CMS uncompensated care pool is one piece of the puzzle. It’s also critical to have a process in place to identify risk to minimize adverse Medicare Administrative Contractor (MAC) audit adjustments, for both Worksheet S-10 and Medicare bad debt.
If your organization is a disproportionate share hospital (DSH), it can be challenging to automate internally. Automation requires a deep and sustained level of collaboration with your data team. It also takes quite a bit of time and effort to build out the reports needed for Worksheet S-10 and Medicare bad debt. Finally, you need the capacity to pivot frequently to comply with the often-changing requirements of CMS for the Medicare cost report instructions.
That’s the long answer. The short answer to automating government reimbursement is to outsource it. The Crowe team of healthcare government reimbursement specialists has already built a solution with the required automated government reimbursement functionality. We update the automation to stay current with Medicare cost reporting changes so you don’t have to.
If your healthcare organization uses the Crowe RCA solution, our healthcare government reimbursement specialists can use that data to complete Medicare cost report schedules. Our team starts by reviewing your organization’s FAP and the transaction mapping within Crowe RCA. Then we can implement a standardized process to assimilate the appropriate data from Crowe RCA for CMS exhibits, including Medicare bad debt and Worksheet S-10 cost report schedules. Using technology in this way enables more accurate and efficient Medicare cost reporting for government reimbursement.
If your organization is using Crowe RCA, we can get started (with little work from your team) once we have your FAP and a statement of work is in place.
If you’re preparing Medicare S-10 worksheets the way you’ve always prepared them, you could be creating extra work for your team. There’s room to be more nimble by hiring outside healthcare government reimbursement specialists who have access to automated Medicare cost reporting tools and up-to-date knowledge of the changing requirements of CMS.
Having a specialist in your corner who can help your organization navigate MAC audits is extremely valuable. Cost reporting requirements change so frequently that sometimes even the MACs have a difficult time staying up to date with the appropriate instructions for Medicare cost reports and related schedules.
Crowe is positioned to provide our clients with MAC audit support. Our healthcare government reimbursement specialists have worked extensively with MAC auditors across the United States and understand what they are usually looking for. Furthermore, while dozens of consultants exist in the healthcare reimbursement space, only Crowe has the Crowe RCA data platform. Undergoing semiannual independent, external audits, Crowe RCA is a trusted data source in the healthcare industry, which makes it a great choice to provide accurate, timely, and compliant listings required to complete Worksheet S-10 and other government reimbursement requirements.
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