Government Reimbursement

Untangle Complex and Regulated Reimbursement Challenges

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Make the most of your government reimbursements

FinThrive partners with healthcare organizations to accurately maximize Medicare reimbursements and underpayments

Streamlined Revenue

Our intelligent automation simplifies a complex process to deliver efficiencies, save time and increase reimbursement.

Flexible Delivery

We meet you where you need us with access to our data automation tools or turn-key consulting services.

Deep Expertise

Leverage our experienced and professional service teams to help ensure higher reimbursements and proven audit success.

Solid partnerships. Solid results.

$2.1M

One health system recovered $2.1 million in Medicare underpayments over five years

98%

Our HFMA Peer-Reviewed solutions deliver a 98% audit success rate, historically

$1.9M

One 200-bed community hospital recovered $1.9 million in Medicare Bad Debt reimbursement

Government Reimbursement Features

Master your cost report and maximize your revenue

Whether your Finance department needs to recover reimbursement payments from your Medicare cost report or Patient Financial Services needs to ensure revenue integrity from Transfer DRG accounts or Shadow Billing payments, FinThrive has you covered.

Our team of over 170 industry experts and our proprietary technology platform can help:

Maximize revenue from complicated Medicare and Medicaid claims
Analyze the data necessary to identify errors and underpayments, adhere to reporting requirements, adjust and resubmit claims

See the Whole Picture

Our team of over 170 industry experts and our proprietary technology platform can help:

Maximize revenue from complicated Medicare and Medicaid claims
Analyze the data necessary to identify errors and underpayments, adhere to reporting requirements, adjust and resubmit claims

Medicare Cost Report Automation

Protect all your revenue with solutions for Medicare and Medicare Advantage Bad Debt, Disproportionate Share, Uncompensated Care Analytics and Volume Decrease Adjustment.

Our processing and data integration capabilities help providers like you:

Identify allowable costs and eliminate non-allowable costs
Reconcile remaining amounts against encounter and transaction data
Deliver accurate findings in a CMS-ready format

Transfer DRG Claims

Automate and optimize your Transfer DRG workflow to identify all underpayments and eligible claims for higher reimbursements.

Our processing and data integration capabilities help:

Find and confirm undelivered post-acute care
Correct and appeal Transfer DRG claims

IME/GME Shadow Billing

Automate and optimize your Shadow Billing workflow to identify missed Medicare Advantage patients and verify claims.

Our processing and data integration capabilities help:

Calculate IME/GME reimbursement payments
Ensure CMS compliance

What our customers are saying

We were surprised that the assessment showed significant additional reimbursement opportunity for transfer patients since we had a strong internal reimbursement team but elected to move forward with a detailed review. The solution was able to recover an additional $1.2 million.

Leading Academic Medical Center in the Northwest

FinThrive's product is very easy to use. Everything is very user friendly, which is great. I can get everything done very quickly in their product because it is very streamlined. I open the email, look at their spreadsheets and reply back. It is a very quick process. It is great.

Director of Government Reimbursement

August 2024

FinThrive does a very thorough job of identifying Medicare bad debts. The firm has a strong compliance tilt, and it is always comforting to know that they are not going to be pushing the edges. FinThrive is very well organized. They conduct their business according to an agenda, and there are progress points. If we don't hit those points, we get a phone call. The firm keeps us moving and improves our own desire to keep things moving.

CFO

November 2023

FinThrive's staff is just great. When I have questions, they email me back right away. They are consistently available to talk to. When it comes to work papers and documentation, all of FinThrive's documentation is complete. They send me everything they have on the accounts.

Director of Reimbursement

August 2024

Whenever we have issues or questions, FinThrive is very responsive. FinThrive tries to help in whatever way they can. For the most part, FinThrive’s staff is very good to work with, and they seem to know the rules and the regulations related to the portion that they are working on. FinThrive shows a willingness to work with us on anything, and they definitely try to meet deadlines for us. They assist us whenever they can if we have things that we need help with or audits. I would recommend FinThrive's service.

Director of Government Reimbursement

February 2024