Disproportionate Share Hospital

Optimize reimbursements and payments

You can capture more Disproportionate Share Hospital (DSH) reimbursement while ensuring accuracy and Medicare Administrative Contractor (MAC) compliance with our award-winning Revenue Intelligence™ solution.


Maximize DSH reimbursement

Collect more DSH reimbursement and optimize compliance with our experienced team, including former MAC auditors. Our proprietary rules and algorithms quickly process large volumes of data while ensuring compliance amidst changing regulatory requirements.

Learn how our DSH solution can help you optimize government program revenue.

Capture more reimbursement

Recover all the revenue you are entitled to with the powerful R1 Platform that ensures clean and accurate file submission directly to individual State Medicaid eligibility databases.

Uncover more opportunities

Uncover more DSH-eligible days than competitive solutions and never miss a reimbursement opportunity. Compliance is assured with dedicated and highly skilled auditors.

Realize unmatched audit success

Discover a nearly 100% MAC audit pass rate. Our solid relationships and vast experience with MACs can help you realize unmatched audit success.

Enhance your results with an accomplished partner

Leverage our expertise and knowledge of this unique environment for the best results and long-term success.

You provide patient demographic and claim level data from your patient financial services (PFS) system. No remote access to your system is necessary.

We perform a retrospective and/or prospective review by running your data through our proprietary rules and algorithms and completing a detailed manual analysis. We compile a clean and accurately formatted file to submit directly to individual State Medicaid eligibility databases.

We provide a detailed patient listing with allowable Medicaid eligible days to help you recover all the revenue you are entitled to. We ensure clean and accurate file submission directly to individual State Medicaid eligibility databases and work directly with the MAC on any follow-up issues or questions.

Our highly skilled auditors provide comprehensive support until the Medicare Cost Report (MCR) is finalized and a Notice of Program Reimbursement (NPR) is issued. We share our deep expertise with best practice policies and procedures to ensure ongoing improvement.

Looking to learn more about us? It all starts here.