Healthcare Cost Report Preparation & Reimbursement Consulting

Breaking down prior year cost reports can offer insights into roadblocks that hindered your reimbursement in the past and help you pinpoint future opportunities for improvement. We can help you:

• Identify coding inconsistencies that impacted previous cost reports
• Better understand where costs were captured appropriately and where errors occurred
• Determine reporting opportunities to better support your business and any possible appeals

Seeing cost by department and/or the total cost of the organization is a great way to review your overall operating effectiveness and better understand the factors that contribute to the success or failure of a service line. Our experts can help you cut unnecessary spending and develop strategies for better expense management, by working with you to:

• Conduct an analysis of cost per unit by provider and payor source
• Analyze your total revenue and costs on a per unit basis
• Drill down to the specific area of your organization that is incurring the highest costs
• Determine what is generating the greatest amount of net revenue and returns (financial and programmatic)

Our proprietary software can help you assess your organization’s performance, compare it to your peers and make better business decisions based on the data. We can compare your organization against:

• Other organizations with the same NAICS code
• Others with the same SIC code (U.S. only)
• Similar organizations in your geographic area

When assembling your cost report, it’s also imperative to evaluate its potential impact. Depending on the type of rates that may be affected by the cost report, we will:

• Project the impact the cost report will have on current and future rates
• Provide suggestions for overspending in areas that impact your rate reimbursement where possible
• Review your rate history and determine whether there are opportunities for corrections or appeals

Healthcare and nonprofit organization complexities and ever-evolving regulations can make staying compliant increasingly complicated. During your cost report evaluation, we will:

• Compare your current practices and compliance measures with the latest regulations and pinpoint gaps or areas of potential exposure and their impact on your organization
• Uncover opportunities to keep your compliance program active and up to date

Don’t leave your planning up to chance. By utilizing our predictive analytics and forecasting capabilities, you can strengthen your decision making and better anticipate problems and opportunities. Our experts can help you strategically leverage your data to:

• Identify what-if scenarios and forecast their potential impact on your bottom line
• Predict the effect of adding a service or line of business on your overall operations
• Pinpoint areas for improvement to better protect your future reimbursement