Services

Government Programs and Reimbursement Services "Relieve the headache...our expertise is your medicine to a healthier organization"

John E. Pfeiffer Principal, Director of Government Programs & Reimbursement Services

Management:
Strategic reorganization and redesign of the operations reimbursement and cost reporting divisions for organizations including of three of the nations largest healthcare providers.

Operations:
Develop and implement standard policy, procedures and effective third party government compliance programs. Pre/Post file reviews, audits, standardized work papers, standardized effective requests for information, yearly event planning.

Financial:
Strategic/Defensible pricing and outlier analysis. OIG/DOJ investigation assistance and shadow audits. Corporate Integrity Agreements/IIndependent Review Organization.

Regulatory:
Medicare/Medi-Cal and OSHPD cost report preparation and review, appeals, rate setting. Disproportionate Share Reimbursement, IME/GME, Wage Index, Geographic Reclassifications, Volume Decline Studies, Bad debt assistance, organ acquisition and all other aspects of reimbursement from both the Federal and State Governments.