Services Offered

Our consultants assist providers in addressing the rapid changes in the health care industry resulting from the increased role of government regulations and managed care competition. After an initial evaluation, we will build the most appropriate team to meet clients’ needs within our broad range of financial advisory services.

 

Medicare and Medicaid Reimbursement Services

  • Medicare/Medicaid Cost Report Audit Appeals
  • Medicare Group Appeals
  • Medicare Disproportionate Share Entitlement Review
  • Medicare Bad Debt Identification and Review
  • Medicare Organ Acquisition Cost Review
  • Medicare Outpatient ESRD Exception Requests
  • Medicare Capital Cost Reimbursement Review
  • Medicare Settlement Data Review
  • Medicaid PIRL/MIRL Administrative Adjustment Requests and Appeals
  • Medicare Geographic Wage Index Reclassifion Requests
  • Medicare Graduate Medical Education Payment Review
  • Medicare/Medicaid Cost Report Review
  • Medicare/Medicaid Cost Report Preparation for Hospitals, Skilled Nursing Facilities, Home Health Agencies, Community Mental Health Centers, and FQHC’s
  • Medicare Skilled Nursing Facility’s Routine Cost Exception Requests
  • Medicare Rehabilitation/Psychiatric Target Amount Exception Requests
  • Physician Billing Consultation Services
  • Reimbursement Department Management
  • Regulatory Impact Analysis
  • Medicare/Medicaid Reimbursement Planning and Strategy Development
  • Medicare Compliance Reviews

     

    Accounting and Financial Advisory Services

  • Financial Modeling and Forecasting
  • Budgeting and Rate Setting Assistance
  • Pricing Analysis
  • Contractual Allowances and Settlement Reserve Analysis and Review
  • Preparation of Annual Disclosure Reports
  • Business Feasibility Studies
  • Finance Department Management
  • Accounting Department Management
  • Indirect Cost Funding Proposals

     

    Managed Care Financial Services

  • Managed Care Risk-Sharing Modeling
  • Managed Care Contract Evaluation Assistance
  • Managed Care Payment Review
  • Capitation Accounting Policy and Procedures

Please contact us at info@toyonassociates.com for further information on our client services.