After serving mostly the Hospitals of our home State of Texas for nine years, we decided to expand our geographic service area in 2009.  The expansion has proved to be a great success.  In 2009, we recovered a cumulative total in excess of half a million dollars of lost reimbursement for four Hospitals located in the State of Georgia.  We have also recovered smaller dollar amounts, from $10,000 to $120,000 each, for Hospitals located in Colorado, Maine, New York, Oklahoma, West Virgina, Wisconsin and Wyoming.  During this time, we have also initiated relationships with Hospitals or Hospital Corporations located in Arkansas, Florida, Idaho, Louisiana, Mississippi, Missouri, New Mexico, Nebraska, Oregon and Tennessee. 

We recently completed a review of a CAH’s methods for cost assignment, reclassification and allocation.  This review was based upon a 2006 Medicare/Medicaid Cost Report, but was intended to help them improve their reporting for the FYE 2007.  Their 2006 report was prepared to a well respected accounting firm that specializes in small and mid-size facilities.  Over the course of our review, we found several material opportunities in each of the areas within the scope of the project.  We project an increase in reimbursement of approximately $140,000 for the FYE 2007 Medicare/Medicaid Cost Report .  Our client has also ask us to go back and collect the reimbursement that was lost due to these errors in prior years through the cost report reopening process.  Our fee for the initial review, including expenses, was less than $7,500, so the return-on-investment for our client on this project will be outstanding.