Reimbursement & Revenue Recovery
To ensure that our clients receive all the revenue for services provided, we have created a full range of financial and reimbursement services. Our services include special reimbursement projects, such as outlier, medical education, DSH and bad debt payments Our professionals also help with Cost Reporting by preparing Medicare/Medicaid cost reports, and training your staff on reimbursement and report preparation.
We can also help you research regulations for new initiatives, including service changes, joint ventures or new hospital development, and develop regulatory compliance and reimbursement programs. And even though previous claims have been denied, our professionals are highly effective with appeals and re-openings that can lead to successful revenue capture.
KEY BENEFITS
Highly qualified reimbursement experts are very difficult to find. SunStone has five professionals with over 25 years experience, including part of their career as Medicare auditors. Our significant credibility with Medicare and Medicaid is an excellent partner for your organization in dealing with reimbursement opportunities and issues.
WHY IS THIS THE BEST SOLUTION?
SunStone brings you tremendous reimbursement experience. With our professional consultants, you enjoy the knowledge that your consultants are well respected in the industry and are working hard to determine all the revenue you are due while being in compliance with governmental guidelines and regulations.
WHAT OUR CLIENTS SAY
“We have great confidence in SunStone’s approach and philosophy relating to the search for additional reimbursement. They are thorough and at the same time scrupulously focused on compliance, which requires attention to detail and deep technical knowledge. Their client service approach make them a great outsource partner for Duke University Health System!”
– Stuart Smith, Vice President, Finance, Duke University Health System