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Timothy Reilly, AVP Financial Planning & Reimbursement of Winthrop-University Hospital states, Our window to appeal the Medicare cost report for HFY2008 was closing when we engaged NAVEOS®. They built an amended DSH log in just 10 days for HFY2008 and found sufficient additional Medicaid Title XIX eligible days to re-qualify the hospital for over $2.5 million in DSH reimbursement, which had previously been lost in audit.
Sterling, VA (PRWEB) February 14, 2014
Winthrop-University Hospital, a 591-bed medical center in Mineola, New York, qualified for the federal governments Medicare Disproportionate Share Hospital (DSH) program for its 2008 Hospital Fiscal Year (HFY) based upon its initial Medicare cost report filing. However, at the final audit of the hospitals DSH log, which had been prepared by another vendor, the Medicare auditor denied a number of inappropriate Medicaid days and the hospital no longer qualified for participation in the program. This caused the hospital to return over $2.5 million in operating DSH payments to Medicare.
NAVEOS® discovered and documented enough additional Medicaid Title XIX days to re-qualify the hospital for operating DSH reimbursement, and served as the primary contact with the Medicare auditors. Timothy Reilly, AVP, Financial Planning & Reimbursement, of Winthrop-University Hospital states: NAVEOS® worked with the Medicare Administrative Contractor throughout the extensive reopening process in a highly professional fashion and succeeded where previous attempts had failed.
Due to this achievement, Winthrop University Hospital has hired NAVEOS® to be its primary DSH consultant for HFYs 2013-2016.
About Winthrop-University Hospital
Winthrop-University Hospital was founded in 1896 on Long Island as the regions first voluntary hospital. Today, the university-affiliated hospital has 591 beds and is a New York State-designated regional trauma center. The hospital has more than 6,700 employees, including 1,500 nurses and 1,525 full-time and voluntary attending medical staff. It primarily serves patients from Nassau, Suffolk and Queens counties on Long Island.
Founded by industry leader Robert Gricius, NAVEOS® is a healthcare data analytics company that focuses on maximizing past, present, and future government reimbursement streams for hospitals and other healthcare organizations throughout the United States. By utilizing their proprietary data analytics Comprehensive Online Member Population Analysis Software System (COMPASS) system, NAVEOS® has established itself as a market leader in identifying additional reimbursement for their clients over the past ten years.
For more information, please contact Lisa Martin, Vice President of Administration at 703-870-7860 or visit the NAVEOS® website at http://www.NaveosData.com.
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