Medicare & Medicaid Reimbursement Consultant Services
Medicare and Medicaid reimbursement assistance from CampbellWilson can help you maximize healthcare reimbursement, while keeping you in compliance with government regulations. We focus on your individual needs and bring the Medicare and Medicaid reimbursement services that you need to the project. Our healthcare consulting firm was founded in 1988 to help healthcare institutions understand regulatory changes and better manage their financial impact. We are focused on providing regulatory solutions that protect your cash flow and optimize the fiscal health of your entire enterprise. If you're looking for dedicated healthcare consultants who can protect and enhance your bottom line, contact CampbellWilson. We offer the most effective approach to the ever-changing federal and state regulatory environment.
We help you implement effective responses to regulatory changes
Medicare and Medicaid reimbursement help from CampbellWilson include products and services that project the impact of regulatory changes prior to implementation, allowing you time to implement strategic responses. We can help you with diagnosis related group issues, UB-92's, and much more. Our services include:
Reimbursement
- Preparation of Cost Report
- Cost Report Compliance Review
- Medicaid Upper Payment Limit (UPL)
- Medicaid Disproportionate Share Adjustment (DSH)
- Supplemental Security Income (SSI)
- Wage Index
Appeals
- Drafting of New Legislation
- PRRB Hearing
- Medicare/Medicaid Appeals
- State Medicaid Rate Hearings
CampbellWilson also offers its proprietary ASPECT® software that determines the result of the Medicare Outpatient Prospective Payment System and defines the correct co-insurance amounts to be collected from your patients. ASPECT will process your UB-92 Medicare Outpatient claims which can be sent electronically to CampbellWilson. As ASPECT processes your UB-92 claims, it evaluates claim and line item rejections-RTPs, APC (ambulatory patient classifications) vs. cost based reimbursement, payment amounts including stop loss, monthly contractual adjustments, and pass-throughs. We will process your claims and return reports detailing your expected payments and contractuals.
CampbellWilson can help you meet most any regulatory challenge
CampbellWilson offers a powerful mix of what it takes to help you thrive even as the regulatory environment changes. We can assist you with a wide range of issues including licensing and applications, strategic planning and financial forecasting, revenue cycle services, regulatory compliance and much more. We have increased revenues for our clients by over $2 Billion and returned to providers an additional $500 Million in recovered revenues. Don't waste time and money wading through confusing state and federal regulations. With CampbellWilson on your side, you'll be ready to meet most any regulatory challenge.
Want to maximize your revenues? Find out more about CampbellWilson's healthcare consulting products and services.
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