20/20 RMP will identify additional Medicaid eligible days to have hospital providers exceed the minimum requirement for 340B DSH qualification and reimbursement.
A Georgia hospital failed to meet the requirement to qualify for 340B Disproportionate Share Hospital (dsh) reimbursement for one Fiscal Year – short nearly 225 days. To avoid duplication of efforts, 20/20 received a complete listing of IP visits and days for the applicable Fiscal Year, which was already calculated and processed by another firm.
After all efforts by the original firm were exhausted to identify additional appropriate days to meet the threshold to qualify for 340B DSH reimbursement, 20/20 was hired and proved successful at successfully finding the additional days needed.
Upon receiving the complete list of already identified days, 20/20’s process identified an additional 320 IP days. This resulted in the hospital’s qualification for 340B DSH reimbursement for the applicable Fiscal Year.
20/20 did not expect to receive any fees unless the provider qualified to receive DSH reimbursement for applicable Fiscal Year based on 20/20’s efforts identifying additional DSH days.
After the appeal efforts that added the additional 320 IP days 20/20 discovered, the hospital recovered nearly $1.8 million dollars.
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