Consulting Services

Are you burdened with denials of Medicare claims? Pinnacle Healthcare Consulting provides specialized healthcare reimbursement services that are tailored to a provider’s unique needs. Our services include revenue enhancement strategies, cost report preparation, appeals of denied claims, and other related services. Our clients range from large state-owned teaching hospitals to start-up home health agencies.


Appeals of Denied Claims

Are you burdened with denials of Medicare claims? We have significant experience assisting clients appeal denied Medicare claims, successfully reversing denials, enhancing cash flow, and eliminating or reducing overpayments. We help with every aspect of the process:

   •	   Review of eligibility criteria
   •	   Respond effectively to ADRs
   •	   Appeal (and win) denied claims


Cost Report Preparation

Are you paying too much for the preparation of your cost report?

With over 20 years of experience in preparing cost reports, you can rely on Pinnacle Healthcare Consulting to prepare your cost report accurately and in accordance with applicable Medicare regulations.

Our prices are among the lowest in the industry and we guarantee 100% satisfaction.

Annual Medicare Cost Report Preparation Fees:

Home Health/Hospice Agency              $1,700
Skilled Nursing Facility                $2,750
Hospital                                $4,000
Home Office Cost Statements             $1,500

These fees include preparation of a complete cost report package, which includes: the Medicare cost report, cost report questionnaire, related financial statements, and the Electronic Cost Report file.


Hospital Revenue Enhancement

The CFO of a large state-owned teaching hospital stated:

These strategies and methodologies have resulted in significant additional revenue for the Hospital…The increase in revenue has exceeded our expectations and allowed us to significantly improve our bottom line…

If you are interested in obtaining several million dollars of additional revenue for your hospital, contact us today for a free initial consultation.


Other Services:

We also provide other consulting services such as:
Overall strategic reimbursement planning;
Research complex Medicare reimbursement regulations;
Coordination with State licensure and Medicare certification processes; and
Extended repayment plan requests.