Not-for-Profit Reimbursement Review

When we perform annual reimbursement reviews, we help you get the most from your programs.

When we perform annual reimbursement review, we examine cost allocations, contracts, budgets, claims, rate sheets and grant agreements. This process allows us to better understand the intricacies of the funding process and enables us to verify the accuracy of recorded amounts or identify variances that often lead to favorable adjustments for our clients. We perform various analyses to determine estimated final settlement of programs rates, screen calculations and expected budgeted revenues.

Our review focuses on:

  • Reviewing current reimbursement rates
  • Possible appeals
  • Budget amendments
  • Additional funding streams
  • Program compliance requirements
  • Program structure
  • Operational results

Additionally, the current cost reporting is reviewed to determine that once cost reports and final grant expenditure reports are filed, that the maximum revenue will be obtained for the Agency. This would involve gaining an understanding of the programs operated by the Agency and their funding mechanisms, analyzing cost allocations, other operational activities and review of current rate sheets.

As a part of the annual reimbursement review service we proactively assist clients in examining the effects of new funding methods that are being initiated by various New York State governmental funding agencies. We have experienced such changes in methods at various times over the years and have helped our clients in anticipating and dealing with these changes. We obtain our knowledge from our experience in dealing with the similar agencies that we have served and our understanding of the variety of funding methods used by various funding agencies in New York State.

This reimbursement review combined with our understanding of New York State funding will be important when completing your annual consolidated fiscal report.  However, to approach this task in this way requires more of an effort and hours then if you were just doing the basic auditing that the New York State requires us to do over the CFR.

We have assisted many of our clients with reimbursement issues including understanding NYS Office of Mental Health (OMH), NYS Office of Mental Retardation and Developmental Disabilities (OMRDD), NYS Office of Alcoholism and Substance Abuse (OASAS) and NYS Education Department (SED), review of rates and spending, budget preparation, filing of cost reports and filing of rate appeals to the funding agencies.

For more information, please contact Sarah Hedges.