Princeton, NJ (PRWEB) July 08, 2013
BESLER Consulting, a leading provider of comprehensive revenue recovery services to healthcare organizations, is pleased to announce that WellStar Health System of Marietta, Georgia has selected the company to assist in the identification of Medicare 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 are not reflective of 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 uses 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.*
“We’re pleased to be working with WellStar Health System on the recovery of Transfer DRG underpayments,” said Jonathan Besler, BESLER’s President and Chief Executive Officer. “These underpayments typically occur for reasons beyond the control of the discharging hospital. Our proprietary technology allows us to review every Transfer DRG claim to be sure our clients receive all of the revenue they’ve earned.”
About WellStar Health System
Recognized as the fifth most integrated healthcare delivery system in the country, WellStar Health System is the largest not-for-profit health system in Georgia and serves a population of nearly 1.3 million residents in five counties. The vision of WellStar is to deliver world-class healthcare. A national leader in the transformation of healthcare delivery, WellStar launched two initiatives in late 2012 – the Center for Health Transformation and the Georgia Health Collaborative – that will have far reaching effects on healthcare both locally and nationally. WellStar includes WellStar Kennestone Regional Medical Center (anchored by WellStar Kennestone Hospital) and WellStar Cobb, Douglas, Paulding and Windy Hill hospitals; the WellStar Medical Group; Urgent Care Centers; Acworth Health Park; Health Place; Homecare; Hospice; Atherton Place; Paulding Nursing Center; and the WellStar Foundation. For more information, call 770-956-STAR or visit WellStar.org.
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 unmatched software solutions 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 Transfer DRG Revenue Recovery 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