SunStone Consulting
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Reimbursement and
Financial Analysis Solutions

SunStone provides a full range of comprehensive financial and reimbursement services. We're focused on making sure that you receive all the revenue to which you are entitled.

With decades of experience, our clients include multi-hospital systems, major teaching hospitals, psychiatric and rehabilitation hospitals and clinics, community hospitals, home health care agencies and skilled nursing facilities.

Special Reimbursement Projects
  • Analyze outlier, medical education, DSH and bad debt payments
  • Analyze hospital based vs. free standing inpatient/outpatient services
  • ESRD industry reimbursement analysis
Cost Reporting
  • Prepare Medicare/Medicaid cost reports
  • Review internally prepared reports
  • Train staff on reimbursement and report preparation
Regulatory Research and Analysis
  • Research regulations for new initiatives, including service changes, joint ventures or new hospital development
  • Analyze and interpret impact of regulatory changes
  • Develop regulatory compliance and reimbursement programs
Appeals and Re-openings
  • Medicare/Medicaid audit adjustment analysis
  • Determine final impact of adjustments
  • Regulatory research
  • Prepare appeal documentation including position papers
  • Assist with MAC relations
  • Prepare TEFRA exception requests

For detailed information about SunStone Consulting Reimbursement and Financial Analysis Solutions, please contact either Brian Barbera at 717-652-9404 or via email at brianbarbera@sunstoneconsulting.com; or Frank Tokic at 913-897-6620 or via email at franktokic@sunstoneconsulting.com.

 

Charge Process (CDM)

Compliance

Documentation Accuracy Program

Inpatient Coding and Compliance

Outpatient Claim Analysis

Pharmacy Revenue Cycle

Pricing

RAC Assessment

Reimbursement & Financial Analysis

Revenue Cycle

Transfer MS-DRG Review

Workers’ Compensation Recovery

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