Doctors Medical Center - San Pablo Campus, CA Enlists MCare Solutions for Transfer DRG, Shadow Claim Reimbursement Review, and Payer Verification Services

Share Article

Doctors Medical Center, a full service, acute care hospital owned and operated by the West Contra Costa Healthcare District in San Pablo, CA has selected MCare Solutions to review Transfer DRG and Shadow Claim underpayment recovery opportunities and Payer Verification for insurance discovery on billed Self Pay receivables.

When Accuracy Counts. MCare Solutions.

“MCare Solutions remains committed to helping clients recover underpayments, and we look forward to assisting Doctors Medical Center 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 Doctors Medical Center – San Pablo Campus, a full-service, acute care hospital serving the residents of west Contra Costa County for over 50 years, has selected MCare Solutions to assist with Medicare underpayment recovery. Doctors Medical Center is supported by local taxes and owned and operated by the West Contra Costa Healthcare District.

MCare’s TDRG reimbursement recovery services will help Doctors Medical Center 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. Additionally, MCare’s expertise in the area of finding unbilled events will enable Doctors Medical Center to prepare and submit undiscovered shadow claims. Finally, MCare’s Payer Verification service will review self pay accounts and then search for insurance coverage that was active at time of service but previously undiscovered.

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.

“MCare Solutions remains committed to helping clients recover underpayments, and we look forward to assisting Doctors Medical Center realize their full, entitled Medicare payments,” said David Jupp, Founder and Chief Executive Officer of MCare Solutions, Inc. “

About Doctors Medical Center – San Pablo Campus
Doctors Medical Center, located in San Pablo, CA, is the largest medical facility in west Contra Costa County and a full-service, acute care hospital supported by local taxes that has served their community for over 55 years. It is owned and operated by the West Contra Costa Healthcare District, is a public agency formed under the State of California Local Healthcare District Law and was formed by the residents of west Contra Costa County in 1948. For more information, please visit http://www.doctorsmedicalcenter.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.

Share article on social media or email:

View article via:

Pdf Print

Contact Author

Jerry Swarzman

David Jupp
Visit website