What we do

Hospitals 


Myers & Stauffer helps state Medicaid agencies design, evaluate, audit, and administer hospital reimbursement programs, including Medicaid hospital payments, Disproportionate Share Hospital (DSH), Upper Payment Limit (UPL), supplemental payments, and program integrity initiatives. With decades of Medicaid consulting experience, our team provides data-driven reimbursement analysis, compliance support, and policy expertise to help agencies strengthen hospital payment programs and meet federal requirements.

Female hospital patient in bed with ventilation tube for oxygen

Supporting Hospital Reimbursement Programs

Hospitals play a central role in Medicaid programs, serving diverse patient populations with complex care needs. Medicaid reimbursement for hospital services involves a range of methodologies, supplemental payment programs, and regulatory requirements that must be carefully designed, implemented, and monitored. 

Myers & Stauffer supports government agencies in developing, auditing, and overseeing hospital reimbursement programs. Our work is grounded in decades of experience and a detailed understanding of hospital cost structures, payment systems, and federal requirements. 

Where We Support Hospitals

Myers & Stauffer is a national leader in disproportionate share hospital (DSH) audits and related services. We have supported state Medicaid agencies across the country in meeting federal DSH requirements and ensuring compliance with the Centers for Medicare & Medicaid Services (CMS) regulations. 

Our DSH experience includes: 

  • Independent certified DSH audits in accordance with federal requirements. 
  • Development and refinement of DSH audit methodologies. 
  • Review and validation of hospital-reported data. 
  • DSH reporting and submission support. 
  • Assistance with CMS review and audit resolution. 

Our deep experience in this area allows us to help states administer DSH programs that are compliant, consistent, and defensible. 

We assist Medicaid agencies in evaluating and supporting hospital reimbursement methodologies, including base payments and supplemental payment programs. 

Our services include: 

  • Analysis of hospital reimbursement structures. 
  • Upper payment limit (UPL) program support. 
  • Evaluation of supplemental payment arrangements. 
  • Cost reporting review and oversight. 
  • Financial and utilization analysis. 

Our work is informed by a detailed understanding of hospital operations and cost drivers, allowing agencies to assess the impact of reimbursement policies. 

We support agencies in ensuring that hospital payments are accurate and compliant with applicable requirements. 

Our work includes: 

  • Hospital audit support and oversight. 
  • Review of cost reports and supporting documentation. 
  • Claims and payment analysis. 
  • Development of audit protocols and procedures. 
  • Support for program integrity initiatives. 

This work helps agencies maintain accountability and transparency in hospital reimbursement. 

We provide data-driven insight to support policy development and program decision-making related to hospital services. 

Our services include: 

  • Financial and utilization trend analysis. 
  • Modeling of reimbursement changes and policy impacts. 
  • Support for waiver programs and demonstrations.
  • Analysis to inform state plan amendments and program changes.  

Informed by Provider Experience 

Our hospital-related work is informed by a broader understanding of provider systems and operations across the continuum of care. 

The Transformative Power of Partnership

Connect With Our Team

Partner with experts who understand the complexities of health and human services programs. Let us guide your organization through the industry’s unique challenges and opportunities.

Ryan Farrell, CFE
Principal

Email: rfarrell@mslc.com
Phone Number: 512-342-0800

Email: bhicks@mslc.com
Phone Number: 816-957-6220

In the Words of our Clients…

The team we have been working with is very dedicated and willing to go the extra mile in order to achieve the most accurate outcomes.”

Sharing Knowledge & strengthening programs

Recent Insights

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