How to Break Even on Medicare Reimbursements

Medicare is rarely where hospitals and health systems expect to make money, but it is possible to break even, if you follow these expert tips.

3 comments on "How to Break Even on Medicare Reimbursements"
Tim McVey (3/1/2011 at 10:40 PM)

For those of us whose Medicare DRG Reimbursement includes a significant DSH add-on, we'll be challenged to break even in 2014 and beyond, after the Health Care Reform cut-backs to DSH reimbursement begin. Theoretically, the DSH reimbursement shortfalls should be offset by the revenues from the newly-insured, but in certain markets that won't always be true [INVALID] particularly in markets along the Border where undocumented individuals won't be eligible for the new low-cost insurance coverage.
Scott (2/28/2011 at 3:15 PM)

I saw the headline of this article and thought that there would be some unique insight or ideas mentioned. This article said nothing that wasn't already known. The end result is that I will never be able to reclaim the 5 minutes that I wasted in reading this!
John Stanton (2/28/2011 at 2:35 PM)

Part of the analysis process must involve the FTE's involved in the revenue collection cycle. As painful as it might be, adopting [INVALID]d technology can reduce staffing costs while improving the quality of daily posting files. If you currently employ data entry staff that key from paper EOB's or images, you are way behind the curve. Likewise, if you have one FTE sitting in front of 2 computer screens for data entry, you are wasting time and money. If you know you need to improve your revenue collection process, but don't want to go through the RFP process, email me at and we'll get you started in the right direction.


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