Reimbursement Services Group Inc. (RSG) is a separate corporate entity in the Gainwell Technologies family of companies. As a separate entity, RSG uses its own personnel, systems, processes and procedures in providing services to its clients.
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Reimbursement Services Group Inc. was acquired by Gainwell Technologies in April 2021. For over 25 years, we have offered specialized Medicare reimbursement and other cost containment solutions, serving over 150 hospitals nationwide.
Our services include Medicare Bad Debt Claiming, Compliance, Training, and Audit Support; Medicare Disproportionate Share Hospital Claiming, Audit and SSI Ratio Analysis; Transfer DRG Revenue Recovery; and Shadow Billing.
Our dedicated team of engagement managers, QA analysts, programmers, and business systems specialists are responsible for hundreds of claims, audits and appeals annually.
The RSG Team has generated hundreds of millions of dollars in results for our clients. We provide services exclusively to the Hospital provider market.
As the leading provider of Medicare Bad Debt claiming services, we offer a unique approach to analyzing unpaid Medicare coinsurance/deductibles and develop accurate, thoroughly researched claim listings of qualified Bad Debt balances. Our expertise extends to training, policy recommendations and audit support.
DSH reimbursement is based on the sum of two ratios: the Medicaid ratio and the SSI ratio. RSG Inc. provides services to ensure that both ratios are accurately calculated. We also offer Worksheet S-10 and appeals support.
We have partnered with an industry expert to provide Transfer DRG Services to our clients. Our methodology and approach is efficient, compliant with government regulations and client friendly, requiring little investment of your resources.
We have partnered with an industry expert to provide MA Shadow Billing Services to our clients. Our proprietary software and methodology enable our clients to address missed Shadow Billing opportunities and realize additional reimbursement opportunities.
We work with your business office staff to gain a clear understanding of the procedures they should follow to maximize your Medicare bad debt claims, including the most recent CMS requirements for the self-pay, crossover, and charity care components of your claim.
For more information about our services, you can contact us by phone or email, and we’ll be in touch shortly.