The University of Arizona Medical Center, a 479-bed hospital located in Tucson, Arizona, has selected BESLER Consulting, a provider of comprehensive revenue integrity services to healthcare organisations, to assist in the identification of Medicare Transfer DRG underpayments.
Under the Medicare reimbursement regulations, a discharging hospital is paid at a reduced rate when certain patients are transferred to other providers to continue treatment. In some cases this reduced payment is not justified by the actual post-discharge care.
Beyond the transferring hospital’s control, some patients are not treated as planned after being transferred. This results in a reduction in the transferring hospital’s Medicare reimbursement.
According to BESLER, properly reviewing the post-transfer care that patients receive and identifying underpayment situations can provide hospitals with a significant revenue boost.
BESLER uses proprietary software to efficiently work through the identification and follow-up tasks required to validate the accuracy of post-acute care transfer billing and to ensure compliance.
BESLER also offers the BVerified suite of web-based solutions, which allows providers to identify, prioritise and recover Medicare underpayments in-house.
BESLER president and CEO Jonathan Besler said the company’s proprietary Transfer DRG technology allows it to review every transfer claim to ensure its clients receive all of the revenue they’ve earned.
"We’re looking forward to working with The University of Arizona Medical Center on the recovery of Transfer DRG underpayments," Besler added.