Attestation Services
- Financial statement audits
- Financial statement reviews
- Financial statement compilations
- OMB Circular A-133 single audit
- Employee Retirement Plan audits
- Budgets
- Financial Feasibility Studies
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Cost Report Preparation
- Medicare cost reports
- Hospitals
- Nursing Homes
- Rural Health Clinics
- Federally Qualified Health Centers
- Home Health Agencies
- Exempt Units
- Medicaid cost reports
- Cost report consulting
- Review of Intermediary proposed adjustments
- Interim rate reviews
- Re-opening requests
- Provider Reimbursement Review Board (PRRB) Appeals
- Identification of alternative methods available for cost report purposes to improve reimbursement.
- Rate Analyses
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Health Care Consulting Services
- Cost Containment Analysis
- Operational audits
- Evaluation of staff productivity
- Salary and wage analysis
- Design of flexible budgeting systems
- Inventory management
- Analysis of lease/purchase decisions
- Revenue Enhancement Analysis
- Review of rates for the purpose of maximizing cash flow
- Review of ICD-9 and other third-party coding to improve payments
- Analysis of lost charges and development of monitoring systems
- Design of "what if" microcomputer models to evaluate the financial effect of changes in payor mix, utilization, and other factors
- Accounts Receivable Management
- Review of billing procedures for the purpose of reducing outstanding patient accounts receivable and increase cashflow
- Implementation of electronic billing
- Analysis of credit and collection policies and procedures
- Review of internal collection procedures
- Design of microcomputer programs for monitoring patient accounts receivable and calculation of allowance accounts on a monthly basis
- Financial Planning
- Long-range planning
- Strategic planning
- Financial feasibility studies for debt issuance, internal decision making and other purposes
- Present value analysis and reports
- Cashflow projections
- Third-Party Contracts
- Contract negotiations
- Analysis of the financial effect of various discount contracts and other third-party payor arrangements
- Physician Joint Ventures
- Contract negotiations
- Financial analysis of the effect on the facility and physicians
- Rural Health Clinics
- Assist with the application for both hospital-based or free-standing rural health clinic
- Preparation of Medicare and Medicaid cost reports
- Analysis of Medicare and Medicaid reimbursement to maximize reimbursement
- Budgeting
- Analysis of charges and costs
- Internal Control
- Evaluation of segregation of duties
- Testing compliance with existing internal policies and procedures
- Review of accounting systems to improve efficiency
- Sales, B&O, Excise Tax Return Preparation and Advice
- Certificate of Need Application
- Preparation of all information required for application
- Development of strategies to obtain approval
- Development of strategies to prevent approval of other applications
- Presentation of the application at public hearings and other meetings
- Information Systems
- Review of existing data processing systems
- Assist with the selection of equipment and software
- Corporate Reorganization
- Nursing Acuity Analysis
- Financial Statements
- Development of internal financial statements
- Preparation of financial statements for foundations, retirement plans, and other health care organizations
- Tax Planning
- Preparation of tax returns for tax-exempt and for-profit organizations
- Identification of unrelated business income
- Development of strategies to protect tax-exempt status
- Tax research of specific issues
- Analysis of benefit programs
- Analysis of tax implications of joint ventures and other arrangements
- Board Education
- Assist management with programs to educate new board members
- Retirement Communities and Senior Housing Projects
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