At Strategic, you will find a team who, on average, has more then 20 years of hands-on experience prepared
to provide comprehensive reimbursement and third-party consulting services to meet your institution’s needs.
Now more than ever, experience is essential to ensuring proper reimbursement. At Strategic we have assembled
a team of talented and passionate professionals who have the perspective and experience to help guide you
through the complex and rapidly changing regulatory landscape.
We partner with clients and focus on digging deep into the details to provide solutions that deliver results. Strategic specializes in the entire spectrum of regulatory services from full departmental outsourcing, uncompensated care, disproportionate share, and bad debts to cost report preparation and review. We pride ourselves on providing hospital administration with the necessary resources to meet their individual organization’s reimbursement needs whether this is limited to annual cost report preparation or complete management of all day-to-day reimbursement activities.
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Medicare Cost Reports
Preparation & Review
The Medicare cost report has been Strategic’s central focus since its founding nearly 50 years ago. We have the knowledge and experience necessary to ensure compliance with the regulations and to recover all reimbursement that the provider is entitled. Consistent with our philosophy, we will not simply send you a request for information and file the reports from a distance. We believe that it is necessary to spend time on-site interviewing your department heads and understanding the current environment of your organization. This will ensure the cost report reflects actual operations and your total reimbursement is reflective of the care provided to your Medicare beneficiaries. The cost report is critically important even if you are not a cost reimbursed provider. It is used to develop your cost to charge ratios that impact PPS payments, Medicare wage index, DRG costs weights, and may also be viewed by external stakeholders who want to learn more about the impact your hospital has on the community.
Disproportionate Share Hospital
Analysis & Verification
Strategic views the Medicare Disproportionate Share (DSH) add-on payment as a complex solution that isn’t focused entirely on the level of Medicaid days and the SSI percentage. Instead, we recognize the level of uncompensated care costs, and 340B eligibility, are critical components to consider too. The shift in the DSH add-on payment to focus more on uncompensated care than on Medicaid eligibility for hospitals serving low-income patients is significant. It is also a major focus for the Medicare Administrative Contractors during audit. Strategic will not only ensure that all eligible days are captured, validated, and maintain the appropriate documentation, but we ensure that every opportunity to qualify for uncompensated care payments and the 340B drug savings program are also pursued.
Medicare Bad Debts
Compilation Reviews & Audit Assistance
Strategic has an experienced team dedicated to providing a comprehensive approach to preparing or reviewing the hospital’s Traditional, Cross-Over, and Charity Medicare Bad Debts logs. In an environment where Medicare Administrative Contractors (MAC) across the country are enforcing more stringent requirements for hospitals to demonstrate reasonable collection efforts and requiring large amounts of documentation, Strategic’s process ensures accurate logs in accordance with the Medicare regulations and MAC requirements. Our team has extensive experience working with MACs across the country helping our clients meet the evolving procedural requirements necessary to ensure proper Medicare Bad Debt reimbursement.
Interim Director of Reimbursement
As Needed Expertise
It is becoming increasingly difficult for hospitals to recruit experienced reimbursement staff to oversee the constantly changing, and complex reimbursement environment most hospitals and healthcare systems face today. More and more clients are seeking longer-term assistance with the management and operational aspects of a reimbursement department, from staffing during busy seasons to interim leadership. Strategic has the experience and perspective to meet this demand. Many members of the Strategic team have lead reimbursement departments, been part of large systems' operational and financial teams, or served as chief financial officers. We currently serve several hospitals and large health systems in a variety of Interim Director of Reimbursement roles.
Our focus in the capacity of an Interim Director of Reimbursement is not just the completion of routine work, but also the organization’s mission, supporting senior leadership, internal and external audit support, month-end and year-end close processes, contractual allowances, and third-party reserve reporting. Our interim services are a spectrum of services that will constantly evolve to meet your needs. Time without proper reimbursement departmental leadership can be costly, we will help mitigate any problems and ensure a smooth transition when you're ready.
Years of Industry Experience
US States Served
Experience with all nationwide
Cater to Your Specific Needs
We recognize that each organization is unique and the healthcare environment in which you operate is ever changing. Our goal is to be cognizant of your changing needs. We provide comprehensive reimbursement services catered to your specific needs are.
Our consultants are hospital focused and consider themselves part of your team first with Strategicbeing an extension of your organization. We care about you, your staff, and your organization and take pride in becoming part of your team. Strategic feels this focus builds strong relationships that generate both immediate reward as well as long term success.
We operate as a close-knit team of professionals with backgrounds working directly for the Medicare Administrative Contractors as well as large healthcare systems. Most of our consultants have worked together for decades and we feel that success is a team approach accomplished through effective and consistent communication and team work to bring new ideas and the latest information to you. Lean more about our team on our about page.
Unlike our competitors, Strategic maintains an efficient cost structure avoiding unnecessary expenditures (such as expensive corporate offices or advertising initiatives). Our efficiency allows us to provide you with cost reporting services and reimbursement administration at affordable and sustainable rates.
Give us call at (630) 530-7100Contact Strategic