RSG Inc. helps eligible hospitals attain complete Disproportionate Share (DSH) reimbursement, protecting an increasingly important revenue stream for providers serving a sizable Medicaid population.

Ensuring accurate DSH payments involves keeping up with evolving CMS regulations and case law that leads to clearer interpretation of the rules. RSG Inc. has extensive experience with the DSH reimbursement process in jurisdictions nationwide. We understand and can meet Medicare auditors' demanding documentation requirements, including Medicare eligibility reconciliation, segregation of Medicaid payment categories, out of state cases, mother/baby matching, among others. Our data warehousing and analysis capabilities help providers optimize reimbursement opportunities by identifying additional Medicaid days - including those that are eligible but not paid.

Our total partnering approach means RSG Inc. supports our clients before, during, and after the audit through to settlements, reopenings and appeals. We accompany our clients to auditor meetings in order to explain the logic used, and to provide all necessary supporting documentation required by the auditor to determine the appropriate reimbursement.