Success Stories
All too often, monetary issues arise in the claims payment or reimbursement application process because system limitation do not take CMS guidelines or contractual footnotes into account. What could this mean to your organization, you may ask. Depending on your business mix, Jones Healthcare Solutions has the ability to not only identify these issues, we will help you recover what is due to you.
The following are samples of previous audit findings:

Facility Services
- DRG Based Audit - $2.49M recovery
- Medicare APC Audit - $2.17M recovery
- Contract Based Audit - $1.18M recovery

Ancillary Services
- Transportation Services - $800K recovery
- Oncology Services - $31K recovery
- End Stage Renal Disease - $147K recovery

Other Healthcare Services
- Ambulatory Surgical Center - $263K recovery
- Skilled Nursing Facility - $69K recovery
