Medicare/Medicaid & Third Party Reimbursement

Medicare and Medicaid reimbursement can be among the most complex and critical issues healthcare providers face.  Our diverse and extensive expertise includes reimbursement acumen across the continuum of care.

BNN’s experienced team of experts includes former CFOs, reimbursement and billing managers, former CMS and Anthem staff, as well as CPAs and MBAs.  The depth of our understanding often allows improved financial outcomes. We can help you in the following areas:

• Year-end or interim cost report preparation
• Reimbursement modeling and assessments
• Medicare/Medicaid cost report appeals
• Medicare/Medicaid audit assistance
• Provider-based assessments and conversions
• Third-party contract evaluations
• Sole community / Medicare dependent providers
• Rural health clinic productivity
• TEFRA exceptions
• Bad debt: Medicare and crossover analyses
• Medicare payment exceptions
• Schedule S-10, IRS Form 990H and Community Health Needs Assessment coordination

Lead Contact

Vinal C. Doody

Principal

Vinal joined Baker Newman Noyes in 1996 after working for many years at Blue Cross and Blue Shield as a federal government senior auditor with the Medicare Program.

Team Members