Specialists in Medicare bad debt and Volume Decrease Adjustment (VDA)
RRP does two things for hospitals: recover Medicare bad debt and prepare VDA requests. 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, and you have a direct line to a senior RRP leader on your engagement.
No upfront fee. RRP is paid based on what your hospital is paid.
Medicare Bad Debt Recovery
RRP reconciles every deductible and coinsurance dollar on your Medicare Provider Statistical and Reimbursement (PS&R) report to its final disposition, identifies the allowable bad debt your hospital is owed, for this year’s cost report and for prior years that can still be reopened, and supports the filings through Medicare Administrative Contractor (MAC) review, sampling, and final Notice of Program Reimbursement (NPR).
- Accounts your listing missed, including missed Medicaid remittances across in-state and out-of-state Medicaid, fee-for-service and managed
- Prior years that can still be reopened
- A complete listing, ready for your cost report
- Support for the filings through MAC review, sampling, and final NPR
Volume Decrease Adjustment
RRP’s experts prepare complete VDA requests for Sole Community Hospitals (SCHs) and Medicare-Dependent Hospitals (MDHs) that had a decline of more than 5% in total discharges, due to circumstances beyond the hospital’s control. The team tracks the 180-day deadline.
- A clear answer on whether your hospital qualifies
- A request that includes every cost the rules allow
- Filed within 180 days of the date on the MAC’s NPR. A missed deadline means the payment is lost.
- Support for the request through MAC review and the final decision, including reconsideration and appeal
What every client gets
No hand-offs
The person who starts your review is the one who finishes it, audit included.
A dedicated team
The team does the reconciliation and the paperwork. Your staff sends the files RRP asks for, and you deal with the same person throughout.
Fewer misses next year
RRP shows you what to fix in collections, indigence screening, and cost reporting, so less slips through.
Your patient data, protected
RRP signs a Business Associate Agreement (BAA) with every client and safeguards protected health information (PHI) as the Health Insurance Portability and Accountability Act (HIPAA) and its BAAs require.
Find out what Medicare may owe your hospital
Get a free reimbursement assessment. Complete our short form with your hospital’s Medicare provider number, and we’ll review your most recent public cost report for Medicare bad debt and VDA opportunities and reply within one business day. We don’t need any patient data.
Get my free assessment