Service Offerings

Disproportionate Share Hospital

Disproportionate Share Hospital (DSH) reimbursement packages are usually highly detailed, extensive, and require a complex level of reporting. It can be complicated and tedious to prepare.  Errors, missing documentation, or non-compliant information can lead to significant cash flow losses.

Healthcare Reimbursement Services, Inc. (HRS) provides a comprehensive, turn-key DSH solution, from data analysis to complete package preparation, follow-up with the fiscal intermediary (FI), and support all the way through audit.

Partnering with HRS means support before, during, and after package preparation through audit and resolution. Our DSH solution can be completed and submitted to the FI during various stages:

●    "As filed" cost report

●    Prior to the audit

●    Appeals

We file reopening, appeals and group appeals surrounding the complex issues related to the Medicare DSH calculation and Medicare Bad Debts.

Why HRS?

We explain our process and the logic used to our clients and their auditors, as well as provide all of the necessary supporting documentation required by the auditors to finalize the DSH calculation.

●    Quick turnaround time - once the initial download is received

●    High audit and approval ratings - our packages have a 98% acceptance rate nation wide,
      and our reopenings translate into hundreds of thousands of dollars in additional client
      reimbursement

●    Easy access to DSH-focused experts - a dedicated team of experts help you with the
      details

●    Compliant and comprehensive reporting - we file only Medicaid eligible days that have
      been validated and fully supported

HRS' DSH services leverage proprietary technical platforms, analytics, reporting, and business intelligence to provide responsive, consistent, high quality services.  Healthcare Reimbursement Services' unique technology enabled services are delivered by an experienced, dedicated, multidisciplinary team.

Our proprietary technology also allows us to pass along unique competitive advantages to our clients. The technology ensures a consistent work product, gives us the ability to respond rapidly to meet changing market demands, as well as deliver high productivity from our staff. 

Medicare Bad Debt Services - Crossover and Charity Bad Debts

Accurate logging. Timely billing.  Healthcare Reimbursement Services' (HRS) Bad Debt solution gives you the power to take advantage of more reimbursement opportunities.

With today's federal government reimbursement constantly decreasing, unbilled crossover claims can prevent you from claiming unpaid deductibles and coinsurance - resulting in missed opportunities and reduced cash flow. HRS' Bad Debt solution helps you increase reimbursement potential and decrease possible compliance issues, focusing on accuracy and thoroughness.

The comprehensive and accurate billing and logging behind HRS' Crossover and Charity Bad Debt solution helps you:

●    Identify and document valid Bad Debt claims

●    Avoid logging errors (i.e. duplicate claims)

●    Submit valid supporting documents in aid of the Bad Debt claims

●    Ensure remittance advices are easily accessible at time of audit

●    Reduce sampling errors, which decrease audit adjustments

●    Meet HIPAA and HITECH compliance

Crossover Bad Debt solution:

●    Prevent Medicaid claims that include professional fees from being improperly logged

●    Eliminate"holes" in the automatic crossover process and ensure all appropriate
      crossovers have occurred

Charity Care Bad Debt Solution:

●    Review and analyze the hospital's Medicare Charity Care Bad Debts

●    Review Charity Care policy and process for qualification

●    Verify, document, validate claims, and produce a charity bad debt log