Recover the Medicare dollars your hospital is owed.
Many hospitals leave Medicare bad debt unclaimed and miss Volume Decrease Adjustment (VDA) payments they qualify for. We review your records, find what’s missing, and document each claim to hold up when your Medicare Administrative Contractor (MAC) reviews it.
A senior reimbursement expert leads your case from first review to final settlement. Our team handles the reconciliation and paperwork; your staff supplies the files and approves the filings.
No recovery, no fee. We’re paid only from what we recover.
- Review recordsRemittances, collection history and cost report data
- Find missed reimbursementAllowable bad debt and VDA eligibility
- Document and fileSupport built to the rule your MAC tests
- Paid at settlementWe stay with it through the final Notice of Program Reimbursement (NPR)
Two Medicare programs. Total focus.
We specialize in Medicare bad debt and Volume Decrease Adjustment (VDA) and know both in depth: the regulations, the CMS manual sections, and what MAC auditors test. Payment goes to the hospital whose documentation holds up, and building that documentation is our daily work.
Medicare Bad Debt Recovery
Allowable bad debt is often missed because write-off codes don’t capture it. We trace every deductible and coinsurance dollar through your PS&R (Provider Statistical and Reimbursement) and 835 remittance data, then build a CMS Exhibit 2A listing designed to hold up when the MAC samples it, for this year’s cost report and for prior years that can still be reopened.
How bad debt recovery works →Volume Decrease Adjustment (VDA)
If your Sole Community Hospital or Medicare-Dependent Hospital (SCH/MDH) lost more than 5% of its discharges because of circumstances beyond its control, such as a flood or an inability to recruit essential physician staff, Medicare may owe you a lump-sum payment for the fixed costs you still carried. We confirm you qualify, build the request, and handle the MAC.
The request is due within 180 days of the original NPR. Miss it, and the payment is lost. Received one recently? Send it to us for a free eligibility check.
How VDA requests work →Why hospital finance leaders choose RRP
A senior expert on your case
The person who reviews your numbers on day one signs everything we file and answers the MAC, and you reach that person directly.
Built to hold up at audit
Every account we claim and every VDA figure we calculate is documented to the rule the MAC tests, so the support is ready before the auditor asks.
With you through settlement
Filing is not the finish line. We stay through MAC review, sampling, and the final NPR.
Paid only when you are
Our fee comes out of what we recover, after your hospital is paid. Nothing is due up front.
We carry the workload. You keep one senior contact.
A Project Manager and an Audit Support specialist take on the data work and the paperwork, so your staff stays on its own priorities and you always know who to call.
Our approach- No-cost reviewYou learn what’s likely there and whether it’s worth pursuing before you commit to anything.No cost, no obligation.
- Reconciliation and analysisEvery account is reconciled, so your claim includes the allowable accounts your records support, and every dollar in it is documented.Your lead reviews every finding.
- Filing with your authorizationNothing goes to your MAC without your approval, and your lead signs every filing.
- Audit defense and settlementWe answer the MAC until you’re paid, so your team isn’t left to handle audit requests alone.Same person, start to finish.
Free guides for your team
VDA eligibility checklist
Ten questions that tell you whether you qualify, and what the MAC will want to see.
The bad debt listing and Exhibit 2A
Get the listing right the first time, so your cost report isn’t rejected.
Lessons from OIG bad debt audits
What federal auditors disallowed at other hospitals, and how to keep it off your listing.
Salim Nice’s career in hospital reimbursement
These figures describe Salim’s personal career, not results of RRP as a firm.
Senior experience on every case
Our leadership built and ran reimbursement firms, including Healthcare Payment Specialists and Healthcare Reimbursement Solutions. A Partner leads every RRP engagement, so that experience works on your hospital’s numbers directly.
Meet the team →
Find out what Medicare may owe your hospital
We’ll review it at no cost and tell you plainly whether it’s worth pursuing. If we don’t recover anything, you don’t pay anything.
Request a review