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Plante Moran’s reimbursement experts work with providers across the entire care continuum to help you prosper and develop strategies for the future. You’ll appreciate their range of knowledge as they help your organization develop responses to healthcare reform.

Reimbursement and Payment Advisory Services

Most payment reforms under the Affordable Care Act began in 2011 and 2012, but the final round of changes will not be complete until 2016. By then, reimbursement to healthcare providers could decrease as much as 10 percent.

At the core of the reform plans and among the most challenging to implement is a preventive care model designed to contain costs while improving access and quality. The model calls for coordination of care across a continuum of providers including hospitals, skilled nursing facilities, CCRCs, ICF-IID facilities, and hospice and home care agencies.
How do you cope with these radical changes? Our reimbursement experts, who are accustomed to working with providers across the entire care continuum, are uniquely positioned to help you prosper in the current environment and develop strategies for the future.

Use your cost reports as blueprints for improvement.
Our reimbursement team has been doing cost reports since Medicare began and they are experienced in the Medicaid systems utilized in each state. The team includes 10 partners and more than 30 staff members located throughout the firm’s offices. Together they complete more than 1,000 cost reports each year.

You can depend on them to dig deeply into your cost reports to uncover every opportunity to optimize your Medicaid and Medicare reimbursements, as well as to understand the changing world of managed care pricing and costing.

More than providing accurate reports delivered on time, you will appreciate how our reimbursement specialists analyze your cost reports, compare them to benchmarks when appropriate, and provide you with actionable items to improve your operations and finances.

Whether you are a hospital, skilled nursing facility, CCRC, ICF-IID facility, or provide hospice and home care, our reimbursement experts can look at your Medicaid and Medicare cost reports and compare your organization to other facilities in your market. You can use that valuable information for your current decision making and strategic planning.

Call us about a complimentary report comparing your financial and operational results to your peers.

Contact Us

Mike Baker

231-932-5612

Jeff Heaphy

614-222-9035

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“The product is very good and the Plante & Moran’s team has been excellent, very responsive. I’ve been using EPSi more and more to drill down when analyzing budget variances. Since EPSi is easy to use, our Directors were able to provide meaningful variance notes soon after implementation. It definitely streamlined our budgeting process and gives us information about our operations on a timelier basis”.

Mike Ambrosiani, CFO
Knox Community Hospital, Mt. Vernon, OH