We are an accounting and consulting firm providing individualized services to healthcare communities.
We are an accounting and consulting firm providing individualized services to healthcare communities.
Discover
verb | dis·cov·er | \ dis-ˈkə-vər \
to obtain sight or knowledge of for the first time
Our management team is happy to help you discover your healthcare consulting needs.
Reimbursement
Services
Reimbursement Services
- Completion of all Governmental Reporting Requirements and Support During Audit
- Cost Report
- Uncompensated Care Tool
- AHA Survey
- DSH Application
- CRNA Exemption
- And Other State & Federal Filing Requirements
- Strategic and Operational Review of Cost Report
- Licensure and Medicare/Medicaid Certification and Enrollment Services
- Program Regulatory Compliance and Reimbursement Strategies
- Focus on Specialty Services – such as Organ Transplant, DSH, Low Volume & Medicare Bad Debt and EHR
- Medicare/Medicaid Cost Report Key Staff and Board of Director Education
- Wage Index and Occupational Mix Review & Support
- Organ Transplant Operational and Reimbursement Consulting
Hospital &
Clinical Services
Hospitals & Clinical Services
- Medicare Geographic Reclass
- Sole Community Hospital Reclass
- Medicare Dependent Classification
- “Hold Harmless” strategies
- Volume Decrease Adjustments
- Physician Time Studies and Resident Rotations Schedule Reviews for GME
- State and Federal Supplemental Payment Reporting and Analysis (DSH and UPL)
- Clinic Design and Physician Contracts
- Focused Medicaid Cost-Based Services (Rural Providers, Children’s and Cancer Hospitals)
- Critical Access Services: Cost and Interim Rate Strategic Services; Cost Center Classification; Interim Rate Reviews; Monthly and Quarterly Cost Settlement Projections; CAH conversion
Attest &
Assurance Services
Attest & Assurance Services
- Audits
- Reviews
- Compilations
- Benefit Plan Audits
- Forecast and Projections
- Agreed-Upon Procedures
- Financial Feasibility Studies
- Tax Services:Form 990 Prep for all public Charities
- Sched. H Prep for required 501 (c ) (3) hospital organizations
- Compliance with the Affordable Care Act as it relates to 401( c) (3) hospitals
- Community Health Needs and Assessment Implementation Strategy
- Form 1023 App for Exempt status applications
- Analysis of the Employer and Mandate for select large employees in compliance with the ACA
- Representation before the IRS
- Review of Payroll Tax Compliance
Strategic Financial
Advisory Services
Strategic Financial Advisory Services
- Critical Access Hospital Conversion Feasibility Study and Analysis
- Hospital Based clinic operational and feasibility studies
- Rural Health Clinic vs Provider Based Clinic
- Commercial and Managed Care Payer Contract Review and Guidance
- Hospital Affiliation or Merger Analysis, including home office affiliations
- Charity Care and Financial Assistance Policy Review – Worksheet S-10 Compliance Review
- Alignment of Hospital Operational goals with Reimbursement Compliance and Strategic Initiatives
- Lease vs Purchase decisions
- Provider-Based entities’ review and guidance
- Review for compliance with new provider-based rules
- HRSA Compliance for RHC
- Regulatory Review and Analysis of Corresponding Changes in Hospital Reimbursement
Reimbursement
Services
Reimbursement Services
- Completion of all Governmental Reporting Requirements
- Cost Report
- Uncompensated Care Tool
- AHA Survey
- DSH Application
- CRNA Exemption
- And Other State & Federal Filing Requirements
- Strategic and Operational Review of Cost Report
- Licensure and Medicare/Medicaid Certification and Enrollment Services
- Program Regulatory Compliance and Reimbursement Strategies
- Focus on Specialty Services – such as Organ Transplant, DSH, Low Volume and Bad Debt
- Medicare/Medicaid Cost Report Education
Hospital &
Clinical Services
Hospitals & Clinical Services
- Geographic Reclass
- Sole Community Hospital Reclass
- Medicare Dependent Classification
- “Hold Harmless” strategies
- Volume Decrease Adjustments
- Lower of Cost or Charge Appeals
- Medical Rate Reviews (DSH and UPL)
- Clinic Design and Physician Contracts
- Focused Medicaid Cost-Based Services (rural providers still receive cost reimbursement of most Medicaid services)
- CAH Services: Cost and Rate Strategic Services; Cost center design; Interim Rate Reviews; Monthly and Quarterly Cost Settlement Projections; CAH conversion
Attest &
Assurance Services
Attest & Assurance Services
- Audits
- Reviews
- Compilations
- Benefit Plan Audits
- Forecast and Projections
- Agreed-Upon Procedures
- Feasibility Studies
- Tax Services:Form 990 Prep for all public Charities
- Sched. H Prep for required 501 (c ) (3) hospital organizations
- Compliance with the Affordable Care Act as it relates to 401( c) (3) hospitals
- Community Health Needs and Assessment Implementation Strategy
- Form 1023 App for Exempt status applications
- Analysis of the Employer and Mandate for select large employees in compliance with the ACA
- Representation before the IRS
- Review of Payroll Tax Compliance
Attest &
Assurance Services
Attest & Assurance Services
- Audits
- Reviews
- Compilations
- Benefit Plan Audits
- Forecast and Projections
- Agreed-Upon Procedures
- Feasibility Studies
- Tax Services:Form 990 Prep for all public Charities
- Sched. H Prep for required 501 (c ) (3) hospital organizations
- Compliance with the Affordable Care Act as it relates to 401( c) (3) hospitals
- Community Health Needs and Assessment Implementation Strategy
- Form 1023 App for Exempt status applications
- Analysis of the Employer and Mandate for select large employees in compliance with the ACA
- Representation before the IRS
- Review of Payroll Tax Compliance
Strategic Financial
Advisory Services
Strategic Financial Advisory Services
- Critical Access Hospital Conversion Feasibility Study and Analysis
- Hospital Based clinic operational and feasibility studies
- Rural Health Clinic vs Provider Based Clinic
- Commercial and Managed Care Payer Contract Review and Guidance
- Hospital Affiliation or Merger Analysis, including home office affiliations
- Charity Care and Financial Assistance Policy Review – Worksheet S-10 Compliance Review
- Alignment of Hospital Operational goals with Reimbursement Compliance and Strategic Initiatives
- Lease vs Purchase decisions
- Provider-Based entities’ review and guidance
- Review for compliance with new provider-based rules
- HRSA Compliance for RHC
- Regulatory Review and Analysis of Corresponding Changes in Hospital Reimbursement
Strategic Financial
Advisory Services
Strategic Financial Advisory Services
- Critical Access Hospital Conversion Feasibility Study and Analysis
- Hospital Based clinic operational and feasibility studies
- Rural Health Clinic vs Provider Based Clinic
- Commercial and Managed Care Payer Contract Review and Guidance
- Hospital Affiliation or Merger Analysis, including home office affiliations
- Charity Care and Financial Assistance Policy Review – Worksheet S-10 Compliance Review
- Alignment of Hospital Operational goals with Reimbursement Compliance and Strategic Initiatives
- Lease vs Purchase decisions
- Provider-Based entities’ review and guidance
- Review for compliance with new provider-based rules
- HRSA Compliance for RHC
- Regulatory Review and Analysis of Corresponding Changes in Hospital Reimbursement
Firm Structure
D & Co. LLP
As a registered public accounting firm, we offer audit and attest services for providers throughout the state of Texas.
Discovery Analysts & Consultants
As a wholly-owned affiliate, we offer various regulatory consulting and advisory services.
Discovery Medical Network
As a Texas nonprofit physician organization, we provide an alternative way to recruit and retain physicians.
