Cost Report Results

NH CAH Gains Additional Reimbursement and New Methodology for Future Use

Client Description:

A critical access hospital in rural New Hampshire

Problem/Issue:

In earlier years, some of the hospital’s cost reports were improperly filed. BerryDunn was hired to evaluate which cost report years were eligible to be re-filed and evaluate the proper methodology/treatment of the rural health clinic data.

BerryDunn's Solution/Approach:

BerryDunn identified those cost reports which were eligible for re-filing and, in gaining a thorough understanding of the hospital’s operating environment, offered recommendations in other areas, including maintaining tax-exempt bond compliance and navigating the refinancing process.

Outcomes:

• A substantial amount of reimbursement dollars were recaptured through the corrected cost report filings
• The hospital’s new controller benefited from working directly with us, serving as a great training opportunity and allowing her to develop useful expertise for the future
• A strong side benefit of involving the client and getting to know the hospital’s operations the client gained needed assistance in navigating its refinancing and developing a process for bond compliance and filings