Toyon Associates, Inc.

Medicare / Medicaid Appeals

Toyon Associates, Inc.

Not only has federal and state legislation become lengthier and more complex, but the window for action is increasingly narrow. Recently, the Medicare Provider Reimbursement Review Board (PRRB) significantly changed their procedures for filing appeals.

Failure to understand and apply these changes can cost your facility hundreds of thousands to millions of dollars. You have a hospital to run. Do you have the time and resources to become an expert in healthcare principles and regulations?

At Toyon Associates, we have an appeals practice devoted to analyzing the complex federal regulations that impact Medicare and Medicaid. Our experts protect your appeal rights. We successfully reach an administrative resolution 95% of the time.

Our appeals practice will:

  • Assess your audited cost reports.
  • Identify viable appeals and issues.
  • Pursue appeals.
  • File position papers.
  • Represent your facility.
  • Obtain settlements.

Interested in recovering lost revenue? Contact us today.