California HCAI Preparation and Review

Annual Reporting / California HCAI (formerly OSHPD) Preparation and Review

Our team of experts prepare or review the reports with a focus on identifying, requesting, and receiving compliant reimbursement. We review all data for reasonableness and perform preliminary comparisons of the volumes, census data, and revenues and expenses to prior periods. Using our proprietary data tools, we prepare the HCAI reports based upon the facility’s records. We perform a reconciliation between the quarter and annual reports and resolve any inconsistencies, as necessary. We use HCAI-approved software to generate the report for submission. As part of our process, we review your hospital or health system’s low-income percentages used to determine qualification for the Medi-Cal DSH additional reimbursement (minimum qualification is 25%). We review each of the reports with leadership, provide our findings and recommendations, and submit the quarter and annual HCAI reports to the State on your behalf. 

Audit Support 

Toyon works with the State representatives regarding the report audits. We answer audit questions on behalf of our clients, provide supporting workpapers, documentation, and facilitate negotiations. We review proposed State agency adjustments for accuracy and appropriateness and provide financial impacts. 

Toyon provides the following upon completion:

  • HCAI Quarter Financial Reports 

  • HCAI Annual Financial Report 

  • Executive Summary and detailed findings and recommendations, if necessary, which may include process improvement and/or automation opportunities 

  • Analysis and optimization of Medi-Cal DSH filing (HCAI P.12) 

  • Access to detailed supporting workpapers 

Medicare and Medicaid Cost Report Preparation and Review

Toyon Associates assures compliant reporting and accurate revenue entitlement. 

California HCAI (formerly OSHPD) Preparation and Review

We focus on accuracy in your quarter and annual hospital disclosure reports for compliance and accurate revenue recovery.  

  • “Year after year, Toyon demonstrates exemplary client support and dedication to our organization. They are not only receptive to our needs, they also go above and beyond in project execution and making sure we are up to date on all industry regulations.”

    Vice President Reimbursement, Large Multi-State For-Profit Health System

  • "I truly feel that Toyon's Absolute® suite will make your reporting more efficient... once you begin working with Absolute, you'll wonder how you ever worked without it."

    Manager Regulatory Compliance, Methodist Health System

  • "Toyon consistently delivers forward-thinking, value-added results with exemplary customer service. From beginning to end on each project, our entire team, from staff to executive, has felt 100% taken care of."

    Vice President of Strategic Planning and Revenue Cycle, 500+ CA-based Acute Care Hospital

  • "The result [of partnering with Toyon]... cost reports completed on time and on budget, audit adjustments had virtually disappeared, and the system had achieved annual reimbursement improvements in the $10s of millions."

    Director of Reimbursement, Large Multi-State Health System

  • "We have worked with Toyon on a variety of projects over the years and they have become an important and trustworthy part of our team. We use their Absolute® product at many of our facilities and it is truly best in class."

    Vice President of Reimbursement & Revenue Integrity, 75+ Nationwide Healthcare System

Get started with Toyon today.

info@toyonassociates.com
(888) 514-9312

Concord CA | Costa Mesa CA | Knoxville TN