QRS


Professional, Technical, and Legal Expertise for Today's Hospital

With specialized expertise, honed by almost 30 years of focus on government reimbursement, legal rights and operational expertise - Quality Reimbursement stands as a strong advocate for today's hospital.

Medicare
Reimbursement

Hospitals that serve poor, underprivileged communities generally qualify for Medicare DSH as well as Crossover Bad Debt reimbursement to help fill the gap between cost of services and low collections.


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CMS has announced that it will begin enforcing a new accounting classification rule for Crossover Bad Debt. Beginning on October 1, 2019, providers will be denied reimbursement for their crossover bad debt unless the underlying balances are logged to a bad debt expense account (not a Contractual Allowance account) in the cost report.

Healthcare Litigation

Whenever QRS sees an injustice or an error by the government that adversely affects US hospitals, a group appeal will be formed. QRS in-house legal council as well as outside council, experienced in trying cases at the District Court level, are called upon to litigate cases and negotiate settlements for client hospitals.


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St. Francis Medical Center v. Azar, also known as the Predicate Facts/Standardized Amount Appeal is expected to accrue a settlement equal to 1% of DRG for all appealable cost report years.

340B Program

Hospitals that qualify for 340B, may take advantage of deep discounts for qualified outpatient prescriptions, generating incremental revenue to stretch scarce federal resources as far as possible.


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Many hospitals that qualify for 340B, fail to register for the program because they must make a daunting investment in hiring people with the proper expertise to run the program and maintain HRSA compliance. The QRS 340B program is designed for first-time 340B hospitals.

Disability Eligibility

Using proprietary AI software, UC Disability Solutions will analyse uninsured patient data for disability indicators, finding patients who would NOT have otherwise been identified as "disabled" ( And thus be eligible for Medicaid ).


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Working a disability case takes 3 to 5 times longer than filing a Medicaid application. Both result in Medicaid coverage. Are you sure your hospital is capturing and working all disability cases?