Since 1974, our firm has helped providers obtain accurate and complete reimbursement from payors. RSG Inc. has evolved our proprietary methodology to ensure that providers successfully optimize Medicare reimbursement opportunities through the annual Cost Report.
Our Medicare Bad Debt reimbursement services identify unpaid Medicare residuals that qualify for inclusion on the Medicare Cost Report. With an average 97 percent approval rate upon audit, RSG Inc. offers the greatest expertise to hospitals seeking to include every qualifying dollar in the Cost Report.
For eligible hospitals, our Disproportionate Share reimbursement services help you to meet and maintain qualifying thresholds. We identify additional Medicaid-covered days to increase overall reimbursement value. We also work with detailed SSI data from CMS to ensure that documented discrepancies can be pursued through appeal.
Our Medicare Bad Debt Compliance Review service puts your claim through a rigorous 31-step validation process, pinpointing errors and red flags so that your organization can be prepared at time of audit. Our proprietary validation process is conducted by Medicare Bad Debt experts who have participated in hundreds of audits with Fiscal Intermediaries across the nation. Our in-depth regulatory knowledge is applied to your claims to ensure accuracy.
For hospitals that serve End Stage Renal Disease (ESRD) patients, Medicare rules allow for an add-on payment that is handled through Cost Report settlement. The opportunity requires correctly reconciling eligibility and clinical data. RSG's technical expertise enables providers to ensure complete and accurate reimbursement.
