Reimbursement Teams: Unlock Your Rev Cycle Team's Data

Hospitals generate billions of rows of claims and remittance data, yet Finance and Reimbursement teams often lack the tools to fully leverage the data that their own Revenue Cycle Teams maintain.

This isn’t surprising—Revenue Cycle teams work on claims data daily, while Finance has the bigger picture to focus on. But when critical insights from Revenue Cycle data don’t make it into cost reports, hospitals leave millions of reimbursement dollars on the table. That's where our technology comes in.

Our Tech Helps Hospital Finance Teams Leverage Patient Accounting Data to Drive Financial Impact

Smart Reimbursement's software helps Finance & Reimbursement Teams leverage the value in their facility's claims data. Our technology transforms claims data into structured, finance-ready insights to ensure accurate cost reporting and maximum reimbursement.

Services

- State DSH & Uncompensated Care Pools – Our complex software uncovers and validates millions in missed Uncompensated Care costs buried in hospital claims data, so you can report accurately and confidently pass audit.

- Medicaid Rate Optimization – We employ data driven models that go to the remittance level to ensure accurate cost reporting leads to accurate rate-setting.

- Medicare Bad Debt Reporting & Optimization – Our technology automates the identification, tracking, and documentation of reimbursable Medicare Bad Debt, ensuring hospitals accurately report eligible amounts without adding administrative burden.

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Leadership

Cody Smart

Founder, Lead Analyst

Cody has 15 years experience working with Hospital Finance departments on reimbursement issues and founded Smart Reimbursement in 2011.
Bala Gupta

Lead Data Scientist

Bala is a healthcare data scientist specializing in developing advanced programs that make meaningful use of Hospital big data. She has experience on both the Payor and Provider sides of Hospital Finance.
Lisa Peters, MPH, CHFP

Reimbursement Project Manager

Lisa has Hospital Finance experience on both the provider side with CommonSpirit Health as well as consulting with Forvis. She is passionate about the intersection of data literacy and public health.

Tom Westmoreland

Advisory Board

Thomas Westmoreland has over 35 years of experience in third-party reimbursement ranging from serving as Reimbursement Director at Presbyterian Hospital to Partner at Westmoreland Consulting.
Patricia Gamba

Advisory Board

Patricia Gamba has over 30 years of experience in third-party reimbursement ranging from serving as Reimbursement Director at St. Barnabas Hospital to Partner at Westmoreland Consulting.

15 Years of Helping Hospitals

Past and Current Clients include:

Albany Med Health System
Arnot Health
Bassett Healthcare Network
Brooklyn Hospital Center
Catholic Health System Buffalo
Crouse Health
Ellis Medicine
Medysis Health Network
Garnet Health
Hospital for Special Surgery
Kaleida Health
Memorial Sloan Kettering Cancer Center
Mohawk Valley Health System
Montefiore Health System
Mount Sinai Health System
NY Presbyterian
NYU Langone Health
Richmond University Medical Center
Riverside Health
Rochester Regional Health
SBH Health System
St. Joseph’s Medical Center
Riverside Health
United Health Services
University of Rochester

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