Government Reimbursement
Maximize Reimbursements. Simplify Compliance.
Make the Most of Your Government Reimbursements
Fueled by our AI powered intelligent platform, FinThrive Fusion, our government reimbursement solutions help providers navigate complex regulations, unlock revenue potential and optimize Medicare reimbursements.
Increased Audit Success
Our Audit Team leverages their strong relationships with MACs to provide hands on support throughout the entire audit process, achieving audit success rates of 95% for Medicare Bad Debt, 97% for Medicare DSH and 100% for S10.
Maximized Reimbursement
FinThrive runs additional Medicaid eligibility matches prior to a DSH audit to capture all retroactive eligible days, delivering a 20% increase on average over previously claimed Medicare Bad Debt and DSH.
Faster Results
We ingest and normalize data from disparate sources—EHRs, billing systems and clearinghouses—to create a single source of truth to deliver results faster, clearer and with a more consolidated view.
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
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
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
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
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
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
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
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
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FinThrive Difference
We’ll meet you where you need us
Trusted Solutions
Cost Reports Manager has been consistently HFMA Peer Reviewed since 2011 and Revenue Opportunity Manager since 2014
Defendable Audits
Cost Reports Manager historically delivers a 95% audit success rate and Revenue Opportunity Manager delivers a 98% success rate
Highly Recommended
Over 90% of our customers say our solutions provide accurate data, deliver good technical support and are easy to use
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