Services

Reimbursement and Consulting Services

Analysis of hospital inpatient and outpatient Medicaid rates
Medicare disproportionate share reviews
Development/implementation of reimbursement strategies under the Federal Upper Payment Limit Program
Development of reimbursement models for Medicaid disproportionate share funds
Rate analysis for nursing homes and other institutional providers
Revenue maximization reviews
Managed care rate reviews
Detailed claims reviews for compliance with Medicaid billing requirements
Fiscal impact analysis of legislative proposals
Responses to request for proposals or Invitations to Negotiate
Litigation support

State and Federal regulatory and reimbursement policies
Legislative health care strategic planning
Development of state plan changes for submission to the Centers for Medicare and Medicaid
Review and design of health plan anti-fraud and abuse measures