Our Services
Third Party Reimbursement
Business Planning
Systems Implementation and Ongoing Performance
Financial, Operating and Regulatory Due Diligence
Third Party Reimbursement
Our third-party reimbursement services range from cost reporting and cost report audit adjustment appeals to the preparation of Medicare and various state Medicaid Cost Reports.
COST REPORTING
The Lancaster Group LLC utilizes the cost reporting process to enhance reimbursement—such as Medicare bad debts and Medicaid capital where applicable—and to identify opportunities for operational improvement through benchmarking.
MEDICARE & MEDICAID COST REPORTS
The Lancaster Group, LLC assists clients in appealing Medicare and Medicaid Cost Report audit adjustments made to cost reports prepared by the clients or by external advisors. We collaborate with client representatives and legal counsel to analyze the financial impact of these adjustments, evaluate how Medicare adjustments affect Medicaid, develop negotiation strategies, assess the future financial and compliance impact of settlement terms, and provide expert witness testimony.
Business Planning
CONTRACT ANALYSIS & NEGOTIATION
The Lancaster Group, LLC assists clients in analyzing and negotiating vendor and third-party payer contracts. We identify alternative vendors, evaluate rates and outcomes, and help secure better cost and production standards. For third-party payer agreements, we develop favorable rate structures and ancillary carve-outs and support negotiations of contract terms
BUDGETING
The Lancaster Group, LLC helps clients with budgeting by developing revenue and expense assumptions based on our third-party reimbursement experience. We assist in creating budgets for ongoing operations, new developments, acquisitions, or programs, and evaluate internally-prepared budget assumptions or assist in developing financial projections.
Systems Implementation and Ongoing Performance
Packages
Our clients benefit from our knowledge of software systems or “packages”, both healthcare-specific and general.
Software Systems
Enhance Business Processes
Financial, Operating and Regulatory Due Diligence
The Lancaster Group, LLC assists its clients in performing due diligence on acquisition candidates. Our buyer and lender clients use our expertise in areas such as third-party reimbursement (past, current, and future), volume and rate analysis, expense assumptions, liability assessments, regulatory compliance, vendor and third-party payer contracts, and staffing analysis for single-site and multi-site acquisitions.
The Lancaster Group, LLC assists its clients in performing divestiture analysis. We commonly assist clients considering a strategic divestiture by identifying and screening acquisition candidates and negotiating sales agreements.