General Overview

Healthcare Affiliates, Inc. is a national healthcare consulting firm specializing in third party reimbursement. Since inception in 1992, Healthcare Affiliates has been instrumental in obtaining over $500 million for its clients from Medicare and other governmental programs.

With clients in 39 states, including the District of Columbia and Puerto Rico, the firm offers a variety of consulting services relating to reimbursement issues associated with cost reports including Disproportionate Share Hospital (DSH) adjustment reviews, Core Based Statistical Area (CBSA) Area Wage Index (AWI) annual submissions, Medicare Post Acute Transfer Policy reviews, Allied Health and ESRD Adjustments, and third party billing projects for providers and physicians. Complementing these services, the firm offers fringe benefit/human resources services. These services range from benefit reviews to system-wide benefit programs for hospital chains. The addition of this expertise was necessary to meet the changing and growing needs of current and future clients.

Utilizing information obtained under the Freedom of Information Act, the firm applies an internal methodology with its collective experience from more than 1500 consulting engagements to identify the most promising recovery opportunities for its clients. Working on a contingency basis, the firm does not receive payment for its services until our work has been audited by the Intermediary and the client receives its additional reimbursement (or credit).

Healthcare Affiliates’ services are grounded in the strong foundation built on the experience of its assembled management team that includes CPAs, insurance professionals, a Health/Benefits attorney and other healthcare professionals. Our clients have come to depend on the depth of experience and that special insight that can be brought to a project or problem by our staff.