Assistance For

Cost Report Compilation & Review

Medicaid

TPR can assist with the compilation and analysis of your Medicaid cost report and related fiscal intermediary audits.

• TPR has experience with the nuances of many State cost report filing requirements and can assist your Hospital compile and submit the necessary information to ensure an appropriate Medicaid settlement.
• TPR utilizes its experience dealing with fiscal intermediaries to review and craft responses to proposed Medicaid audit adjustments.
• TPR provides assistance with Medicaid audit adjustment appeals and has experience drafting position papers for providers.
• We can prepare retrospective cost report review assessments.
• We can help your institution with its cost report appeal, re-opening and amendment assistance.

Medicare

TPR has vast the experience to assist your management team with all your cost report filing needs.

• We can assist with the compilation and submission of an acceptable and compliant Medicare cost report.
• We can provide an executive summary analysis of key cost report settlement items is presented to each client's management team to ensure a complete understanding of the net reimbursement amount due to or due from the Medicare program.
• We can be your advocate with Medicare and Medicaid Fiscal Intermediary audit adjustment assistance and negotiations.
• We can prepare retrospective cost report review assessments.
• We can provide cost report appeal, re-opening and amendment assistance.
• We can supply Provider Reimbursement Review Board (PRRB) position paper support.

Data Management & Analysis

TPR's data professional team has the experience and expertise to effectively manage & analyze your organization's large or complex system data sets and reports

• TPR leverages multiple technologies such as ACL (Audit Command Language), Monarch, Microsoft Office, and others to provide a comprehensive approach to deliver the critical decision information and data support your organization needs
• TPR's knowledge and expertise with ACL data technology provides us the following capabilities to manage and analyze your data:
  • Provides complex data analysis capabilities efficiently & effectively beyond the capabilities of MS Excel
  • Capable of processing over 100 million records in a fraction of the time of MS Access or SQL Server
  • Automated scripts & functions assists in truly analyzing the anomalies in 100% of a data set beyond the 90% most professionals can only address using MS Excel or other data analysis tools or techniques
  • Enables TPR to assist our clients in understanding their data and identifying opportunities which could lead to considerable positive impacts to their bottom line
  • TPR has assisted clients facing data extraction challenges by developing data extraction models using tools such as Monarch to retrieve data stored in complex reports which are not readily available in a useable format
  • Despite the technical nature of our approach, TPR's end goal and focus is to produce accurate and easy-to-read deliverables and presentations of your data in a format suited for your needs

Cost Report Appeals & Re-Openings

TPR can assist your management team with all your cost report filing needs.

• TPR can provide assistance with the compilation and submission of an acceptable and compliant Medicare cost report.
• TPR can provide executive summary analysis of key cost report settlement items is presented to each client's management team to ensure a complete understanding of the net reimbursement amount due to or due from the Medicare program.
• We can help with Medicare and Medicaid Fiscal Intermediary audit adjustment assistance and negotiations.
• TPR can prepare retrospective cost report review assessments.
• We can help your institution with cost report appeals, re-openings and amendment assistance.
• We can prepare Provider Reimbursement Review Board (PRRB) position paper support.

Intermediary Audit Adjustments

The management team of TPR has assisted many Hospitals analyze proposed audit adjustments and draft professional responses to contest proposed adjustments before they are final. TPR believes it is prudent to be proactive and address issues / proposed adjustments before they become final to avoid the long appeal process.

• TPR will assist with the compilation and submission of an acceptable and compliant Medicare cost report.
• TPR will prepare an executive summary analysis of key cost report settlement items is presented to each client's management team to ensure a complete understanding of the net reimbursement amount due to or due from the Medicare program.
• We can assist with Medicare and Medicaid Fiscal Intermediary audit adjustments and negotiations.
• We can prepare retrospective cost report review assessments.
• TPR can help advise you with cost report appeals, re-openings and amendment assistance.
• We can prepare Provider Reimbursement Review Board (PRRB) position paper support.

Geographic Reclassifications

TPR has the expertise to assist individual Hospitals and Hospital groups to file Medicare Geographic Reclassification applications. If you are not sure if your Hospital will qualify for reclassification, TPR can help you explore and analyze the various options available under current Medicare regulations.

• We utilize a “Turn Key” approach and methodology to assist clients file accurate and compliant wage index and occupational mix data.
• TPR has unmatched Wage Index specific experience with most fiscal intermediaries.
• We have experience with testifying in front of the Provider Reimbursement Review Board on wage index issues.

Department Outsourcing

TPR can provide the solutions to your long-term or short-term reimbursement department staffing needs.

• We can be retained as a monthly third party reimbursement analyst and help with contractual reserve analysis as well as month end close assistance.
• We can assist you with Fiscal Intermediary audit adjustment analysis and negotiations.
• We can help with regulatory filings – cost reports, wage index, occupational mix data.
• TPR can provide due diligence assistance for merger and acquisition opportunities.

Department Education

Depending on the skill level of your staff and the types of services your Hospital provides, TPR will develop a Hospital specific program to meet your Educational needs.

• TPR can be retained for reimbursement staff education and training.
• TPR findings on the latest regulatory findings and decisions can be shared with your staff.