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Wage Index Optimization

Comprehensive Reimbursement, Inc. (CRI) has significant experience assisting healthcare entities increase their diagnosis-related group and ambulatory payment classification reimbursement by optimizing their wage index factor. Each engagement includes an on-site, detailed analysis of the healthcare entities Medicare cost report Worksheet S-3 Part II, III, IV and V, and assistance in submissions to the Medicare Administrative Contractor (MAC) and CMS.

ANALYTICS

Prepare a provider specific multi-year comparison and wage index market analysis.

ON-SITE INTERVIEWS

Host on-site interviews to obtain perinate operational details.

VERIFY DOCUMENTATION

Verify source documentation and workpapers used to prepare the wage index data.

IDENTIFY GAPS, INCONSISTENCIES, VARIANCES

Identify gaps, inconsistencies, and variances to ensure the accuracy of the data.

DATA MINING

Identify and include additional documentation to maximize the wage index data.

REVIEW

Review findings with management and discuss areas of future opportunities.

SUBMISSION

Assist with the submission of corrections to the MAC and CMS.

AUDIT SUPPORT

Provide full support to assist with audit questions and reconcile audit adjustments.

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