NYC Health + Hospitals

The buyer is seeking consulting services to ensure compliance with Medicare and Medicaid regulations for annual cost report filings. The consultant will provide support for Medicare reimbursement analysis, cost reporting, appeals, DSH calculations, and uncompensated care reporting. They will also assist with Medicaid reimbursement issues, state reporting, and analysis of supplemental funding streams. The buyer requires expertise in navigating complex state funding mechanisms and managing audits for their safety net hospital system.

• 2/19/2025 - RSVP for pre-proposal conference
• 2/20/2025 - Mandatory pre-proposal conference call
• 2/27/2025 - Proposer questions due
• 3/20/2025 - Proposal Due Date

• 5 years in business working on healthcare finance and reimbursement issues
• Experience with LTACHs, SNFs, and FQHCs
• 10+ employees
• Annual revenue of at least $2M in each of last 3 years

• Assist with preparation of accurate Medicare Cost Reports
• Provide support during Medicare Administrative Contractor audits
• Analyze and prepare Medicare appeal issues
• Assist with Medicaid cost reporting and rate analysis
• Provide consulting on supplemental Medicaid funding streams
• Assist with preparation of Consolidated Fiscal Reports
• Analyze impact of new Medicare/Medicaid regulations
• Support revenue optimization opportunities
• Assist with wage index data submissions
• Provide guidance on DSH and uncompensated care reporting