Consulting and Reimbursement for Critical Access Hospitals

The trusted advisors to Critical Access Hospitals

Since 1997, BerryDunn has partnered with Critical Access Hospitals (CAHs) across the nation, starting with the very first hospital to earn certification. Over the years, we’ve collaborated with CAHs, providing unmatched expertise in operations and reimbursement. Our pivotal work with the Centers for Medicare and Medicaid Services (CMS) has helped shape reimbursement methodologies, ensuring fair and accurate processes for CAHs.

As a trusted partner to CAHs for decades, we bring unmatched expertise to help you stay ahead of evolving regulations, tackle financial challenges, and uncover opportunities to strengthen margins. Collaborating closely with each hospital, our dedicated team of specialists in finance, tax, technology, reimbursement, revenue cycle, credentialing, compliance, and healthcare analytics works alongside your key stakeholders to identify challenges and implement tailored solutions.

Critical Access Hospital consulting services

BerryDunn provides a variety of services to help Critical Access Hospitals and health systems optimize their operations.

Critical Access Hospital audits

Audit services to meet the specific needs of CAHs

Critical Access Hospital reimbursement consulting

Reimbursement strategies to strengthen your financial foundation

Revenue cycle support and optimization

Guidance for optimizing performance

Critical Access Hospital consulting

Technology and planning solutions for smoother workflows

Outsourced services

An extension of your finance, credentialing, and compliance teams

Credentialing, contracting, and enrollment

Credentials Verification Organization (CVO) services to help you stay compliant

Critical Access Hospital audits

We offer a wide range of audit services to meet the specific needs of hospital and health system clients. We focus on building strong partnerships that stand the test of time, helping clients minimize risk and maximize opportunities.

Critical Access Hospital reimbursement consulting

Our critical access hospital reimbursement services include custom cost-based reimbursement modeling, comprehensive cost reporting and audit assistance, financial advisory services, and reimbursement education and mentoring to empower your team with the knowledge to succeed.

Third-party reimbursement modeling

We offer customized CAH reimbursement model templates and assistance to help you accurately estimate payer settlements throughout the year.

Cost reporting and audit support

We tailor our approach to meet your needs, with a deep understanding of the laws and regulations unique to critical access hospitals.

Reimbursement education and mentoring

We provide education and mentorship to help CAHs understand the financial implications of regulations and changes impacting your reimbursement.

Interim assistance

From interim Chief Financial Officer (CFO) services to outsourced accounting, our team understands the nuances of operating a CAH, giving you time to focus on other needs.

Feasibility studies, budget development, and financial planning advisory services

We offer comprehensive financial planning advisory services to help you make informed decisions for your CAH.

Revenue cycle support and optimization

BerryDunn’s revenue cycle consultants help you objectively review existing processes and develop actionable strategies for short- and long-term performance improvement. With experts along the entire continuum of care, our approach focuses on cash acceleration, revenue integrity, and helping to ensure that you’re paid in full for your services.

Denials management

Our patient account consultants will partner with you to optimize your systems to help you improve collections through proactive denials prevention.

Revenue cycle optimization

Our patient account leaders will assist in reducing workflow gaps, decreasing denials, and increasing your revenue.

Critical Access Hospital consulting

BerryDunn’s healthcare consulting team partners with hospitals and health systems on strategic and technology planning to help them realize the potential of health Information Technology (IT).

Strategic planning

We can help you develop a strategic plan that aligns with leadership’s goals and provides a clear direction for your organization.

EHR consulting and implementation

Our team can help you assess your needs, evaluate and select an EHR system, negotiate a contract, and provide implementation support and project management.

Payer contracting support

Our team has the expertise to help you understand your organization’s value and negotiate with third-party payers.

Strategic technology planning

We engage stakeholders in the organization to develop a strategic technology plan to advance your mission, support your patients, and deliver better outcomes.

System evaluation and selection

Based on years of practical experience with best-in-class systems, we’ll help you identify and thoroughly evaluate the best Electronic Health Record (EHR) options for your needs.

AI consulting

We work with you to assess your Artificial Intelligence (AI) readiness, understand trends, and create an AI strategy and governance process for your organization.

Enterprise risk management

Our team can help you develop a customized risk management program that is optimal for your organization’s size, risk, and resources.

Process improvement and system optimization

We help you identify opportunities for improvement, optimize workflows, streamline processes, and improve performance.

Change management

We help you effectively manage change so your people are confident in being able to adopt new systems and associated processes.

Outsourced services

Our healthcare outsourced accounting services help you keep your operations running smoothly when you have workforce shortages or leadership gaps. We offer the expertise of a fully staffed accounting department for short-term assignments, as well as interim controller and CFO services for long-term engagements―so you can focus on your business.

Outsourced accounting and back-office operations

We provide full-service, back-office support including accounting, accounts payable, financial reporting, month-end closings, account reconciliations and audit support.

Outsourced CVO and enrollment

We offer a full array of credentialing and enrollment services to help you improve efficiency and maintain compliance.

Outsourced compliance

We offer outsourced Compliance Officer and Privacy Officer services, as well as tailored ad hoc compliance consultation to help you launch or enhance your compliance program.

Outsourced reimbursement

We collaborate closely with key stakeholders to perform thorough reimbursement diagnostics, leading to refinement of your operational initiatives.

Credentialing, contracting, and enrollment

As an NCQA-certified CVO, we can help hospitals and healthcare systems streamline processes with a strict adherence to compliance policies and regulatory standards. Our team can also assist with analysis and conversion of payer contracts and enrollment.

Credentialing and enrollment workflow assessment

Our team assesses your workflow for evaluating and verifying provider qualifications as well as your enrollment processes.

Enrollment support for facility, group and providers

We provide support during the process of enrolling a facility in a program, such as Medicare or Medicare.

How BerryDunn can help

BerryDunn’s Healthcare Practice Group partners with clients to develop solutions to assess and improve operational and financial performance, meet compliance obligations, and respond to market opportunities. Our expert advisors deliver practical, up-to-date advice to improve your performance and can help with issues like high taxes, financial and regulatory compliance, poor cash flow, leadership turnover, technology challenges, and undertrained staff.