“I tell our hospital members that the best analogy for the services you provide is to compare the role of a primary care physician to a sub- specialist; your sub-specialty expertise enables you to take a primary diagnosis and refine it to point where you can focus on the specific issues affecting our members”
(Chief Operating Officer—hospital association)
"We brought DSH Mgmt Solutions as a 3rd opinion vendor and were quite skeptical that they could produce anything near what their conservative projections were; 4 years and $9 million in supplemental Federal DSH reimbursement later, they are our primary and only vendor and handle the full spectrum of DSH/340b management for us."
(Corporate Director of Reimbursement, University Teaching Facility, Virginia)
"We engaged DMS to handle multiple prior years that had been done previously by the State that were over-stated and could have resulted in substantial reserve increases for Federal DSH; subsequently, he expanded the engagement to cover State DSH for a program we were notified in July 2009 that we no longer were qualified for that would have a cost to us of $5.7 Million/year. DMS prepared a comprehensive appeal package and 4 iterative versions that convinced the State their internal calculations were flawed which resulted in our continued participation in this State DSH fund."
(Vice President of Finance for 5 hospital system with 800 bed flagship hospital serving as a tertiary regional referral center in NJ)
"In 2005, we were notified by the Fiscal Intermediary that they had made an audit adjustment to our DSH Log from our prior vendor that would have resulted in the loss of our entire DSH payment. Within 60 days, DMS intervened, identified and documented over 700 additional days, of which 100% were accepted by the FI including patient types they had never previously encountered. Since that time, DMS has made our facility over $7 million in Federal DSH funds with 0 audit adjustment."
(Senior Vice President of Finance, 400+ urban facility in Virginia)
"By November of 2010 we knew that we had fallen under the 340b threshold and that is was only a matter of time before we would be notified that OPA had removed us from the participating facility list; that would increase our OP Pharmacy cost by $2 million per year. We had already heard of and engaged DMS to re-qualify us for this critical program as our existing CPA vendor had failed to keep us in. Within 75 days, DMS reviewed the prior vendors’ work papers, removed inappropriate accounts, add over $500K of additional DSH value for 1 year and re-qualified us for the 340b program."
(Director of Pharmacy Affairs, 600+ teaching facility in Georgia)
Our facility, prior to 2008 had never qualified for Federal DSH reimbursement. In the summer of 2009 we were notified that the Fiscal Intermediary was going to start its audit within 30 days. We had already engaged DMS to review 2007 and 2008; upon our request, they shifted gears smoothly to 2008 from 2007 and in 30 days reviewed our submitted DSH Log and removed 2,500 days that did not meet the criteria for inclusion in the Medicaid fraction; however, they also found 3,500 additional days that were not included in the DSH Log and have completed the review with Auditor that will result in our first ever Federal DSH payment of $3 Million once the 2007 SSI values are released.
(VP of Finance, 700+ bed hospital in Pennsylvania)