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Cost Report Preparation & Review

Strong Financials Begin with Confidence in Your Cost Report

Preparation and review of annual cost reports is where BKD’s Medicare and Medicaid reimbursement pros truly shine. We help Medicare and Medicaid providers keep up with changes in reporting requirements while also completing reports in a timely manner. Our services help you interpret the results of your cost reports. Select a category below to see what we can do for your organization.

Critical Access Hospital In-Depth Review

Click here to learn more about our in-depth CAH reviews.

Rural Hospitals

Because there are so many reimbursement issues and strategies unique to rural hospitals, we frequently find them overlooking appropriate reimbursement options. The foundation of BKD National Health Care Group’s hospital practice has been rural hospitals, including rural referral centers, sole community hospitals, Medicare-dependent hospitals and critical access hospitals.

We regularly speak on rural hospital reimbursement strategies at state, regional and national conferences, and we regularly send out industry-specific articles on rural hospital reimbursement issues

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Integrated Delivery & Large Urban Systems

BKD serves approximately 1,000 hospital and health system clients, including multihospital systems, free-standing urban health systems and teaching hospitals. We’re experienced in the reimbursement and cost report issues important to these systems, including disproportionate share, indirect medical education (IME), graduate medical education (GME) and bad debt.

Our hospital consultants frequently speak on reimbursement topics at state, regional and national conferences, and we regularly send out industry-specific articles on reimbursement issues for large facilities.

Our more than 50 years of experience with reimbursement issues enables us to help large health care systems make smart business and financial decisions. Our solutions include:

  • Preparing cost reports
  • Enhancing disproportionate share, including electronic verification of eligible days
  • Helping implement direct medical education (DME) programs
  • Helping identify and claim bad debts not identified by the hospital’s own tracking systems
  • Performing wage index studies
  • Performing feasibility studies
  • Helping facilitate board retreats and provide training
  • Assisting with facility and medical staff planning
  • Performing market share studies
  • Recommending improvements to case management reimbursement
  • Recommending improvements to post-acute care reimbursement
  • Helping assess compliance and risk
  • Providing support for the charge description master and coding and billing
  • Assisting with strategic planning
  • Analyzing various service lines to help determine where systems make and lose money

PPS Hospitals

It’s important for prospective payment system (PPS) hospitals to evaluate key cost report reimbursement aspects, including interns and residents, wage index, Medicare bad debts, disproportionate share hospital (DSH), diagnosis-related groups (DRG) transfer payments and pass-through programs.

Our more than 50 years of experience with issues unique to rural hospitals enables us to provide insights and ideas to help you make smart reimbursement decisions. Our solutions include:

  • Preparing cost reports
  • Evaluating special rural designations and other payment exceptions
  • Performing capital financing analyses and feasibility studies
  • Recommending improvements to case management reimbursement
  • Recommending improvements to post-acute care reimbursement
  • Evaluating reimbursement changes created by new laws and regulations
  • Assessing compliance and risk
  • Recommending improvements to swing-bed operations and reimbursement
  • Analyzing interim rates and settlements
  • Providing support for the charge description master and coding and billing
  • Assisting with strategic planning

How can we help you?

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Locations

We have 38 offices in 17 states, with trusted advisors who offer solutions for clients across the country.

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