Exaltant ^®

Reimbursement Recovery

We look for claims that were not adjudicated according to the reimbursement terms in contracts, policy manuals and governmental regulations and assist you in recovering hard dollars for your organization. 

Competitive Pricing

We help you set prices in a way the increases market share, is sensitive to consumers and increases your bottom line.

Revenue Capture

We help you evaluate the services you provide, the infrastructure of capturing the revenue related to those services and ultimately collecting.  We then facilitate strategies to enhance revenue generation and collection and help you implement initiatives to increase net income.

CMS Hospital Price Transparency

We will help your hospital plan and become compliant with this new and complex rule through our extensive knowledge of the regulations, competitive pricing, charge masters, ancillary systems, reimbursement systems and payer contracting. 

Compliance Program Assessment

We evaluate your existing compliance program's design and execution against the HHS OIG's Compliance Program Guidance and other best practices and make recommendations to improve your program and ultimately mitigate your organization's compliance risk.

Compliance Investigations

We assist you and your legal counsel in investigating the facts around compliance concerns.  We have extensive experience in applying government regulations to your set of circumstances, evaluating reimbursement impacts and assisting with disclosures, if applicable.

We have extensive experience in business process audits, financial analysis and data audits and regulatory compliance audits.  In addition, we have experience in a variety of healthcare programs and departmental areas that bring a high level of value-added internal audits to your internal audit function and organization overall.

Exaltant offers interim management professionals at a reasonable price to assist clients on a temporary basis.  Through our large network of professionals, we can assist you in virtually any position that traditionally reports up through the Chief Financial Officer, Chief Audit Executive or Chief Compliance Officer.