Identifying Medicare Transfer DRG underpayments requires a detailed understanding of the clinical factors and reimbursement regulations that drive the payment calculations, as well as the circumstances that can create an underpayment situation.
Princeton, NJ (PRWEB) August 15, 2013
BESLER Consulting, a leading provider of comprehensive revenue recovery services to healthcare organizations, is pleased to announce that Charleston Area Medical Center, based in Charleston, West Virginia has selected the company to assist in the identification of 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 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*.
“Identifying Medicare Transfer DRG underpayments requires a detailed understanding of the clinical factors and reimbursement regulations that drive the payment calculations, as well as the circumstances that can create an underpayment situation,” said Jonathan Besler, BESLER’s President and Chief Executive Officer. “Our proprietary technology and experienced team allow us to effectively and efficiently recover Transfer DRG revenue for our clients, and we’re very pleased to be working with Charleston Area Medical Center on this issue.”
About Charleston Area Medical Center ("CAMC")
Charleston Area Medical Center ("CAMC") is a nonprofit, 838-bed, regional referral and academic medical center with more than 6,000 employees. CAMC is made up of three hospitals: CAMC General Hospital, CAMC Memorial Hospital and CAMC Women and Children's Hospital. CAMC is home to one of the largest heart programs in the United States; the only kidney transplant center in West Virginia; the highest level trauma center; and the only freestanding children's hospital in the state. All medical services are supported by primary care physicians throughout the region who regularly treat their patients at CAMC hospitals or refer them to CAMC for specialty consultation and treatment. For more information, visit http://www.camc.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 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.