Medicaid Rate Reviews and Appeals

Across upstate New York, Skilled Nursing Facilities, Diagnostic & Treatment Centers, Hospitals, and Home Health Agencies turn to The Bonadio Group for Medicaid Rate Review assistance. Our services are designed to help our clients understand the current New York State Medicaid program and its complex, constantly changing payment system, and to maximize their reimbursement through accurate reporting.

We will review your Medicaid rate for accuracy and ensure that it reflects the proper costs reported on your Medicaid Cost Report. As Medicaid may be a significant source of revenuewe can provide assistance for projecting relative payments under the current methodology, which can include capital reimbursement analysis.

In addition, we know that your facility is unique and that you may have specific reimbursement issues that need to be analyzed and addressed.  Bonadio’s professionals have Medicaid reimbursement experience and expertise that enable us to identify these unique issues and ensure they are properly captured.

There may be times however, when you believe that your facility’s Medicaid payment stream has been shortchanged or underfunded. Should this occur, we will do all of the necessary analysis, prepare all required documentation, and help with executing and monitoring the appeal process.

Bottom line: Bonadio will perform a Medicaid rate view that will assist you in receiving all the revenue to which you are entitled.  We will not let a complicated system stop you from getting what you deserve.