Cost Reporting

Prepare Medicare/Medicaid/State Program cost reports for home health agencies, hospices, community mental health centers, out patient rehab facilities and home offices.

Reimbursement Consulting

Represent Medicare/Medicaid providers during all reimbursement issues including withholding, settlement processes, and appeals process.

Audit & Appeals Representation

Represent providers during IRS, Medicare, Medicaid and all State Program audits. Verify accuracy of general ledger and financial statements, prepare lead schedules, review corporate/organizational records and organize all source documents. Prepare and argue formal appeals with Medicare/Medicaid for extraordinary cases of discrepancies in audits.

Expert Witness Services

Design schedules and supporting statements and provide difficult calculations as expert witness testimony with regards to cost reporting for home health agencies, hospices, community mental health centers, outpatient rehab facilities and home offices.

Systems Design & Implementation

Analyze providers' existing accounting systems and processes. Identify weaknesses in internal controls and regulatory compliance issues, and overall process inefficiencies. Propose and assist providers with implementation of corrective action through overhaul of document process and storage, accounting software conversions and policy and procedure development.

Financial Reporting/General Bookkeeping

Prepare and maintain financial records including supervision of daily transactions, monthly reconciliations, quarterly payroll tax preparation and reporting, monthly and quarterly management reporting, and compilation of financial statements.

Pre-Certification Assistance & Initial Budget Preparation

Assist agency with all concerns regarding accounting in the start up phase of operations, including preparation of initial budget required to be submitted with Medicare Provider Application.

Payroll Processing Services

Full service payroll processing, including live payroll check printing, direct deposit, initiation of payroll tax payments and reporting, & third party vendor checks, as well as after-the-fact payroll processing.  Prepare all required quarterly and annual payroll tax returns and forms, 941, 940, W-2, W-3, 1099s.

Accounts Payable & General Ledger Maintenance

Full service accounts payable processing including live check processing, signature stamp services, vendor relations with detailed General Ledger Maintenance to assist in financial reporting and year end cost reporting, tax reporting, etc.  This service provides agencies with the most comprehensive and accurate set of books possible.

Hospice CAP Calculations and Monitoring

Assist hospice agencies in understanding the Medicare Hospice CAP limitations, how to manage those limitations and provide ongoing CAP calculations to facilitate continuous CAP under/overpayment monitoring.