Case Studies

Utilizing our proprietary approach, extensive industry expertise, and dedication to client satisfaction, MCare Solutions is recovering reimbursements for over 300 hospital clients approximating 1%-3% of their total Medicare IP discharges, at an average additional reimbursement per case of around $2,000.

Since numerous intermediaries allow hospitals to resubmit claims for multiple years, this amount can often be multiplied by several years. In fact, MCare Solutions has been instrumental in convincing intermediaries to allow recoveries for its clients going back four or more years in most states. Hence, the recoveries for a hospital with 10,000 annual Medicare IP discharges over a four year period would typically fall in the range of $1M-$2M. (Factors influencing recoveries generally include case mix, internal processes, ownership of a SNF or HHA, and multiple year opportunities.)

A quick calculation with your Medicare IP discharges will provides an approximate range of expected annual recoveries for your facility. Use our Revenue Calculator to find your reimbursements.

• Memorial University Medical Center
• Christus Health