Ochsner Health System Selects MCare Solutions for Transfer DRG Review Services

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Ochsner Health System, consisting of nine acute care hospitals based in southeast Louisiana, has contracted with MCare Solutions to review Transfer DRG revenue recovery opportunities for both Medicare Fee-for Service and Medicare Advantage.

MCare remains committed to helping clients recover underpayments, and looks forward to extending our reach to help even more providers realize their full, entitled Medicare payments.

MCare Solutions – one of the first companies to provide Transfer DRG (TDRG) reimbursement recovery services to acute care providers – announces that Ochsner Health System of southeast Louisiana, including its flagship hospital Ochsner Medical Center located in the New Orleans metropolitan area, has selected MCare Solutions to assist with Transfer DRG underpayment recoveries.

MCare’s TDRG underpayment recovery services will help Ochsner Health System address the impact of the Centers for Medicare and Medicaid Services’ (CMS’) post-acute transfer policy that only checks for the overpayment of TDRGs, while leaving it to the responsibility of individual providers to identify when claims have been underpaid.

Since 2005 when Medicare started its TDRG payment methodology, MCare Solutions has analyzed millions of discharges – and recovered more than $150 million in reimbursements. This extensive history of reviewing millions of TDRG claims associated with Medicare Fee-for-Service and Medicare Advantage payers, combined with proprietary technology, allows MCare to assist clients in finding unrecovered funds that are available and compliant.

“We are pleased to join forces with Ochsner Health System, a progressive organization that shares our understanding of the considerable complexity involved in resolving healthcare revenue cycle payment issues,” said David Jupp, Founder and Chief Executive Officer of MCare Solutions, Inc. “MCare remains committed to helping clients recover underpayments, and looks forward to extending our reach to help even more providers realize their full, entitled Medicare payments.”

About Ochsner Health System
Ochsner Health System is southeast Louisiana’s largest non-profit, academic, multi-specialty, healthcare delivery system. Driven by a mission to Serve, Heal, Lead, Educate and Innovate, coordinated clinical and hospital patient care is provided across the region by nine hospitals, both owned and managed, and more than 40 health centers in Louisiana. Ochsner has been named the Consumer Choice for Healthcare in New Orleans for 17 consecutive years and is the only Louisiana hospital recognized by U.S. News & World Report as a “Best Hospital” across 8 specialty categories. Ochsner employs more than 14,000 employees, over 900 physicians in over 90 medical specialties and subspecialties and conducts over 300 clinical research trials annually. Ochsner Health System is proud to be a tobacco-free environment. For more information, please visit [http://www.ochsner.org.

About MCare Solutions
MCare Solutions, Inc. was one of the first companies to provide TDRG reimbursement recovery services to acute care providers. In addition to that initial fee-for-service focus, offerings now include discharges related to Medicare Advantage payers, Medicare Inpatient Rehab, and Medicare Advantage IME reimbursement. MCare also offers Payer Verification that turns probable Self Pay write-offs into third party revenue. MCare’s client list includes approximately 350 for-profit and not-for-profit hospital systems as well as individual community hospitals and other healthcare providers from across the country. For more information, please visit http://www.mcare-solutions.com.

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Jerry Swarzman

David Jupp
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