Specialists in Medicare bad debt and VDA
Medicare bad debt and Volume Decrease Adjustment are all we do. Both reward deep knowledge of the rules and documentation that holds up at audit. The senior person who starts your review sees it through to settlement.
No recovery, no fee.
Medicare Bad Debt Recovery
Using Medicare PS&R and 835 remittance data, we find allowable bad debt account by account and support it through settlement, for this year’s cost report and for prior years that can still be reopened.
- Dual-eligible (crossover) accounts and Medicaid remittances
- Indigent non-dual-eligible accounts
- Non-indigent accounts under the 120-day collection rule
- Exhibit 2A listings, reopenings, and audit defense
Volume Decrease Adjustment
We build complete VDA requests for Sole Community Hospitals and Medicare-Dependent Hospitals under the fixed cost ratio method that applies to cost reporting periods beginning on or after October 1, 2017, and we track the 180-day deadline from the start, so your request goes in on time.
- Eligibility and discharge analysis
- Fixed, semi-fixed, and variable cost classification
- Complete request package within the 180-day deadline
- MAC questions, reconsideration, and appeal support
What every client gets
No hand-offs
The person who starts your review is the one who finishes it, audit included.
A dedicated team
A Project Manager and Audit Support specialist do the legwork that would otherwise fall to your staff, and your contact stays the same.
Fewer misses next year
We show you what to fix in collections, indigence screening, and cost reporting, so less slips through next year.
Your patient data, protected
RRP signs a business associate agreement with every client and safeguards protected health information as HIPAA and our BAAs require.
Find out what Medicare may owe your hospital
We’ll review it at no cost and tell you plainly whether it’s worth pursuing. If we don’t recover anything, you don’t pay anything.
Request a review