Medicare and Medicaid Appeals

Revenue Entitlement / Medicare and Medicaid Appeals

Our dedicated appeals team has over 210 aggregate years of appeals and regulatory reimbursement experience. We protect your appeal rights and have a 95% success rate of reaching administrative resolution. Our professionals assess your audited cost reports and identify viable appeals and issues and expertly utilize our sophisticated appeals management system to navigate the complex appeal process. We negotiate resolutions of appeal issues with the appropriate federal agencies and auditors with whom we have reliable relationships; and we work directly with legal counsel to navigate the complicated litigation process that begins beyond the administrative appeals level.

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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

Medicare and Medicaid Appeals

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.