THE SITUATION
As a result of a recent merger of numerous facilities, a large urban healthcare system was faced with streamlining the development of Medicare Bad Debt logs across all its hospitals. Prior to the merger, each facility had followed its own unique methodology with varying degrees of success. In fact, several of the larger hospitals were experiencing complete failure at audit, primarily due to improper documentation.

Faced with merger-related constraints and staff reductions, the Health System turned to RSG Inc. to consolidate the data and provide standardized procedures in order to produce accurate and sustainable Medicare Bad Debt logs, and recoup the associated revenue.

THE SOLUTION
Because the hospital retained paper Medicare/Medicaid remits instead of electronic records, RSG Inc. sorted and electronically recorded the hundreds of boxes of remittances containing millions of records. Once this database was in place, we were able to reconcile the Medicare and Medicaid data in order to identify valid balances as Bad Debt for each hospital within the Health System.

THE RESULTS
As a result of our efforts, RSG Inc. helped the Health System produce over $30 million in audit sustainable Medicare Bad Debt logs, including accounts with dates of service up to six years prior.