Our Approach

Thorough Analysis of Medicare Cost Reports

TPR excels in analyzing audited Medicare cost reports within the three-year reopening window, alongside the accompanying supporting documentation. This includes Medicare cost report supporting work papers, intermediary audit adjustment supporting work papers, intermediary audit adjustment summaries, and NPR letters. Our thorough evaluation scrutinizes these documents for potential revenue recovery opportunities.

We employ a meticulous approach to either analyze or prepare schedules of unrecorded differences. This ensures that no crucial detail goes unnoticed during the due diligence process.

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How will our services help you?

Key Benefits

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Precision in Cost Reports

For cost reports that haven't been filed, we carefully analyze or prepare the current-year estimates. These estimates are compared against settlement estimate data and crucial input factors, all cross-referenced with supporting documentation, ensuring precision in projections.

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Delving into Intermediary Adjustments

TPR dives deep into the most recent NPR (Notice of Program Reimbursement) intermediary adjustments. We evaluate whether these adjustments have been factored into future cost reports, providing a clear picture of potential reimbursement exposure.


Exhaustive Reimbursement Data Evaluation

Our experts comprehensively evaluate key reimbursement data across all unaudited filed cost reports. This includes vital aspects like Settlement Data, DSH (Disproportionate Share Hospital) and Uncompensated Care, Bad Debts, IME (Indirect Medical Education) and GME (Graduate Medical Education), Nursing and Allied Health, Medicaid OP Settlements, Cost Finding Methodologies, and other pertinent factors as warranted.

Identifying Opportunities

TPR has the technical and regulatory expertise to turn vast amounts of data into meaningful insights that your health system can act on. Through various data mining techniques and technologies TPR finds data anomalies, patterns and correlations within large data sets to predict outcomes and to identify and capture new revenue opportunities for our clients.

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