Bob is a partner with Myers and Stauffer in our Kansas City office. He has more than 22 years of experience in Medicare and Medicaid auditing and consulting services for state Medicaid agencies and the Centers for Medicare & Medicaid Services (CMS). He has been involved in numerous reimbursement auditing and consulting engagements including cost reports, managed care, litigation, institutional rate setting, disproportionate share hospital (DSH), Medicaid upper payment limit (UPL) calculations, and children’s hospital graduate medical education (GME) audits.
His experience includes approximately eight years with the Medicare fiscal intermediary, and more than a decade at Myers and Stauffer. Bob currently supervises litigation support, cost report desk reviews, focused audits, and field audits for state Medicaid agencies. His cost report experience includes hospitals, nursing facilities, outpatient therapy providers, community mental health clinics (CMHCs), rural health clinics (RHCs), home health agencies (HHAs), and other home and community-based services (HCBS). He has also assisted states with the development of Medicaid-specific cost reports.
Serving as the lead manager for several of the firm’s DSH audit contracts, Bob has been involved with the firm’s Medicaid DSH audits since the beginning of the first audits for 2005. He has established procedures and protocol for completing the DSH audits in accordance with federal regulations published in the December 19, 2008, Federal Register. Bob has conducted Medicaid DSH audit training sessions for several Medicaid programs to educate hospital providers on the federal DSH audit regulation.
Bob is a Certified Public Accountant (CPA) and a member of the American Institute of Certified Public Accountants and the Missouri Society of Certified Public Accountants.
Education
B.S., Accounting
University of Missouri at Kansas City
Specialties
- Cost report auditing.
- Cost report development.
- Medicaid reimbursement expert witness.
- Medicaid disproportionate share hospital auditing and consulting.
- Nursing facility case mix rate setting.
- Section 1115 Waiver Compliance review.
“I encourage my staff and managers to exceed all client expectations. We don’t want to be the firm that only meets the expectations of the contract. We want each client to know we are always thinking about their next issue or concern before they do, and we want to always be available by phone or email when they need us most.”
— Bob Hicks