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Information About
Our Services
MCare Solutions, Inc. provides niche revenue cycle reimbursement solutions to the healthcare industry.
Underpayment Reimbursements
To date, MCare has analyzed millions of discharges and is responsible for more than $75 million in underpayment reimbursements to our client hospitals. MCare now represents more than 300 for-profit and not-for-profit hospitals from Alaska to Florida, including individual community hospitals that range in size from less than 100 to 1,000+ beds and regional and national healthcare systems.
Transfer DRGs
MCare was founded in 2005 as the first provider of transfer DRG reimbursement recovery services for acute care providers. The initial focus has since expanded to include acute care discharges related to Medicare Advantage payers, inpatient rehab and IME/GME reimbursement.
3-Day Payment Window
MCare offers underpayment reimbursement services associated with the 3-Day Payment Window. The longstanding industry practice of automatically combining (“bundling”) Medicare same-day ER services with the inpatient admission is not only outside compliance, but significantly reduces due reimbursement.