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Healthcare Provider Tax Refund Analyses
Most hospitals
overpay healthcare provider taxes because patient accounting
and general ledger systems are not designed with these taxes in
mind. Further, State taxing agencies lack expertise in the
complexities of healthcare revenue recognition and
reimbursement, with the result that the States provide very
little guidance to hospitals regarding exempt revenues or
revenues subject to reduced tax rates.
We have worked
with government and hospitals on State provider taxes since
1992. As a result, we have a clear understanding of the Federal
and State statutes that define your State’s healthcare tax and
its application to your hospital. That knowledge, combined with
our experience with hospital systems, allows us to help you pay
only what you owe in State provider taxes.
To review your
provider tax returns, we use your general ledger and patient
accounting detail. The information we request is always readily
available as either standard reports or easily obtained ad hoc
reports.
If we determine
that you have overpaid your taxes (and most hospitals do!), we
develop a template specific to the services provided by your
hospital and use it to prepare amended returns. We then present
our findings to you and gain your approval to file refund claims
on your behalf.
The package we
deliver to the State includes the amended return along with all
supporting documentation. With your approval, we work with the
State to explain our analysis and to support the numbers we have
developed. It is our goal to ensure that the State is satisfied
that the refund is justified when it is paid. The time we commit to problem resolution during the processing of
your refund claim gets your cash in the bank as quickly as
possible.
Once the refund
is received, we work closely with your staff to develop the
reporting methods that will allow them to realize the tax
reductions on an ongoing basis—repeating the tax savings year
after year.
Medicare Bad Debt Reimbursement | Disproportionate Share
Reimbursement
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