For more than 30 years, Toyon Associates, Inc. has secured maximum allowable third party reimbursement for hospitals and health systems. One of the most experienced healthcare financial consulting firms in the nation, Toyon Associates offers a comprehensive range of services. From Medicare/Medicaid cost report preparation and appeals to reimbursement department outsourcing, our experts ensure that you receive optimum reimbursement while maintaining compliance.
Each year, we successfully help our clients obtain millions of dollars in additional appropriate reimbursement. We provide seamless integration of expert cost report preparation with proactive identification of issues that will require appeal.
Every year, federal regulations grow in complexity. Our specialists analyze and apply all pertinent regulations, safeguarding your facility’s financial health.
Our size and resources allow us to quickly respond to your needs. From the initial cost report, to assisting during an audit, to filing appeals, our teams of specialists create customized solutions to optimize your third party reimbursement.
Toyon Associates works with more than 200 providers nationwide. This provides us with a distinct advantage in identifying issues, developing strategies, implementing solutions, and streamlining processes.
On November 2, 2021, the Centers for Medicare & Medicaid Services (CMS) issued the final rules for Calendar Year (CY) 2022 Outpatient Prospective Payment System (OPPS), CY 2022 Physician Fee Schedule, and CY 2022 Home Health PPS.
We recommend all providers review any recently generated PS&R summary reports to ensure there are no issues with the Medicare Managed Care days from PS&R Report 118 and potentially re-run new PS&R summary reports to correct any issues.
Last Friday, HHS announced $25.5 billion in PRF to eligible healthcare providers.
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