SUCCESS STORIES
State of Washington HRSA Program (Medicaid) & Critical Access Hospital Payments
Worked (at no charge to the State or our clients) directly with State officials to remove the lesser of cost to charge ratio limitation on inpatient Medicaid services performed in CAH hospitals. Estimated total effect: over $500,000 among five or six CAH's in the State.
State of Washington Department of Health & HRSA Program (Medicaid)
Successfully worked (at no charge to the State or our clients) with both to institute a swing bed "conversion" program, which allowed critical access hospitals with attached nursing homes in the State to convert the nursing home beds 
to swing beds and to service their nursing home patients in the hospital as long term hospital patients. This conversion program resulted in $100,000-$200,000 increases in Medicare and Medicaid reimbursement for each CAH that took full advantage of the conversion opportunity.
State of Oregon DMAP Program (Medicaid) & Provider-Based Rural Health Clinics
Successfully worked (at no charge to the State or our clients) with federal officials to require the State of Oregon DMAP program to reimburse provider-based rural health clinics over $6,000,000 in settlements past due for six years. Also worked with the DMAP program to institute a rural health clinic payment system that was both compatible with federal regulations and acceptable to the rural health clinics in the State.
State of Idaho Department of Health & Welfare (Medicaid) & Federally Qualified Heath
Successfully worked with State officials and with Idaho FQHCs to maximize reimbursement in accordance with State and federal regulations.
Critical Access Hospital, Tonasket, WA
Successfully worked with the hospital district to generate an additional $200,000-$300,000 per year in Medicare and Medicaid reimbursement, which allowed the facility to become more financially solvent and gave local voters the incentive to further support the hospital by approving a $12,000,000 capital improvement and remodel levy. Currently working with the hospital district regarding the allocation of the capital funds to maximize their return - expected to be another $200,000-$300,000 per year.
California Hospital Association Rural Healthcare Center
Facilty participant and sponsor of the 24th Annual Rural Health Care Symposium in Sacramento, CA. Outstanding reviews for our dedication and program involvement to the rural and critical access hospitals of California.
Some of the comments from attendees on our presentation:
"Outstanding!"
"Great info! Thank you for opening our eyes!"
"Excellent information with 'real-world' application"
