Medical Education

Revenue Entitlement / Medical Education

Direct and Indirect graduate medical education (DGME and IME) reimbursement revenue can be one of the most significant and challenging components of Medicare reimbursement. We partner with various types of health systems, including teaching hospitals and large academic medical centers, throughout the country to accurately manage all aspects of DGME/IME finance and reimbursement. We assess your past and current DGME/IME and paramedical education programs regarding reporting, compliance and revenue.

Our DGME/IME services include:

Program planning and budgeting
Resident count documentation audits and process assessments
Medicare audit issues (including compliance and investigations)
Full-time Equivalents (FTE) cap issues
Development and review of affiliated group agreements
All reimbursement/finance aspects of new GME program planning and implementation
Education of finance, clinical, and GME department staff and leadership
Rural track programs
Closed hospitals and programs
New GME program planning (reimbursement issues, budgeting, etc.)
Counting/auditing of resident FTEs and related documentation requirements

Assessing residents working in non-hospital settings
Tabulating time spent in administrative or didactic activities
Determining time spent in various types of research activities
Counting resident time in exempt units

Navigating cost report complexities (weighting/averaging of residents, caps, etc.)
Counting of available beds
Educating faculty and stakeholders

Upon completion, Toyon provides a written findings and recommendations report including analysis of DGME, IME, and paramedical education programs; IRIS software reports; and process improvement and/or automation opportunities.

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“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

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Get started with Toyon today.

info@toyonassociates.com
(888) 514-9312

Concord CA | Costa Mesa CA | Knoxville TN

Company Name

First Name

Last Name

Email

Message

Medical Education

Revenue Entitlement

Medicare Disproportionate Share (DSH) Entitlement

Transplant Services

Medicare Uncompensated Care

Medical Education

Medicare Bad Debt

Medicaid DSH and Supplemental Funding Support

Wage Index and Occupational Mix Services

Medicare and Medicaid Appeals

“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.”

"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."

"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."

"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."

"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."

Get started with Toyon today.