BESLER's proprietary Transfer DRG technology complements Geisinger’s current recovery efforts, and allows us to quickly review every Transfer claim for proper reimbursement.
Princeton, NJ (PRWEB) January 13, 2014
BESLER Consulting, a leading provider of comprehensive revenue recovery services to healthcare organizations, is pleased to announce that Geisinger Health System, based in Danville, Pennsylvania, has selected the company to assist in the identification of Medicare and Medicare Advantage Transfer DRG underpayments.
Under Medicare reimbursement regulations, when certain patients are discharged to post acute care, the discharging hospital is paid at a reduced rate. In some cases, this reduced payment is not justified by the actual post-discharge care. These underpayments do not indicate coding or billing errors on the part of the provider, but more commonly result from a change in the planned course of treatment subsequent to discharge.
BESLER utilizes proprietary software to efficiently work through the identification and follow-up tasks required to validate the accuracy of post-acute care transfer billing and to ensure compliance. BESLER also offers the BVerified(SM) suite of web-based solutions, which allows providers to bring the work of identifying, prioritizing and recovering Medicare underpayments in-house.
After undergoing a rigorous review , BESLER’s Transfer DRG Revenue Recovery Service was recently awarded the “Peer Reviewed by HFMA®” designation by the Healthcare Financial Management Association. *
“Geisinger is well known for its focus on innovation and best practices,” said Jonathan Besler, BESLER’s President and Chief Executive Officer. “Our proprietary Transfer DRG technology complements Geisinger’s current recovery efforts, and allows us to quickly review every Transfer claim for proper reimbursement. Our strong focus on compliance means that our clients can be confident that the underpayments we identify truly reflect new net revenue opportunities. We’re looking forward to working with Geisinger on this issue.”
About Geisinger Health System
Geisinger Health System is an integrated health services organization widely recognized for its innovative use of the electronic health record, and the development of innovative care models such as ProvenHealth Navigator® and ProvenCare®. As the nation’s largest rural health services organization, Geisinger serves more than 2.6 million residents throughout 44 counties in central and northeast Pennsylvania. The physician-led system is comprised of more than 20,800 employees, including a 1,000-member multi-specialty group practice, seven hospital campuses, two research centers and a 448,000-member health plan, all of which leverage an estimated $6.1 billion positive impact on the Pennsylvania economy. The health system and the health plan have repeatedly garnered national accolades for integration, quality and service. In addition to fulfilling its patient care mission, Geisinger has a long-standing commitment to medical education, research and community service. For more information, visit http://www.geisinger.org, or follow the latest Geisinger news and more on Twitter and Facebook.
About BESLER Consulting
For over 25 years, BESLER has helped hospitals recover otherwise lost revenue, increase reimbursement, ensure compliance, improve efficiency and reduce costs. BESLER’s deep domain experience in revenue cycle, reimbursement, compliance and technology has resulted in more than one billion dollars of additional revenue for our clients. For more information, visit http://www.besler.com.
- HFMA staff and volunteers determined that this service has met certain criteria developed under the HFMA Peer Review Process. HFMA does not endorse or guarantee the use of this service.
BVerified(SM) is a service mark of Besler & Co., Inc. d/b/a BESLER Consulting