Cost Report & Reimbursement Services

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Cost reporting isn’t just a requirement — it’s a revenue driver.

Accurate Medicare and Medicaid cost reports play a critical role in your organization’s financial stability. When regulations are complex and reimbursement rules keep changing, missed details can mean missed dollars.

Eide Bailly helps healthcare providers prepare, review, and optimize cost reports with precision and perspective. From large health systems to rural Critical Access Hospitals (CAHs), nursing facilities, and clinics, we help you stay compliant, understand what’s driving reimbursement, and approach each reporting cycle with confidence.

For CAHs specifically, our proprietary financial modeling tool helps estimate interim payment rates and forecast year‑end settlements, so you’re not waiting until year‑end to understand your financial position.

What We Offer

  • Medicare & Medicaid Cost Report Preparation

  • Cost Report Reviews & Audit Support

  • Disproportionate Share Hospital (DSH) Support

  • Ground Emergency Medical Transportation (GEMT) Reporting

  • Medicare Wage Index & Occupational Mix Analysis

  • Special Designations & Supplemental Reimbursement Programs

Why Eide Bailly

Cost reporting requires more than technical accuracy, it requires context, judgment, and foresight. Our reimbursement specialists bring deep healthcare experience and a practical understanding of how cost report decisions affect your broader financial picture.

We work alongside your team to clarify requirements, reduce risk, and identify opportunities that support your organization’s mission. The goal isn’t just compliance, it’s helping you approach reimbursement with clarity and confidence, year after year.

Clarity and confidence in Medicare and Medicaid reimbursement.Doctor Patient Appointment
Navigate complex cost reporting requirements, stay compliant, and capture the reimbursement your organization has earned.
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Navigate cost reporting with confidence.
Our reimbursement specialists help you stay compliant, protect revenue, and understand what’s next, so you can stay focused on patient care
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Case Study: Vivie

Quality Data Drives Key Decisions for Vivie

"Every time we have to make a decision, we check the dashboards to make sure our decision is supported by the data."

— Marnie Gugisberg, Chief Financial Officer | Vivie

View the Case Study
Our Team is a Proven Leader in the Healthcare Industry
Our team displays a magnitude of healthcare expertise and real-world experience. We care, and we are in healthcare for a reason.
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specific service offerings
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healthcare clients
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engagements for healthcare clients in the last 12 months
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healthcare dedicated staff (and another 3,000+ in support)

No matter how complex reimbursement feels, you don’t have to navigate it alone.

You know your patients and communities. We know the regulations, reporting requirements, and reimbursement mechanics behind the numbers. Together, we can bring clarity to your cost reporting process and help you move forward with confidence.

Cost Report & Reimbursement Services Leadership

Scott Braun

Scott Braun

Principal

Scott has over 25 years of healthcare, Medicare, and cost reporting experience, as well as 14 years of experience working with a Medicare Administrative Contractor. He also worked as the Vice President of the Provider Audit and Reimbursement and Recoupment Divisions for Jurisdictions E and F. Scott has extensive experience preparing and reviewing Medicare, Medicaid, and other third-party reimbursement reports for hospitals and nursing homes and provides wage index reviews to maximize the average hourly rates.
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Ryan Ashland

Ryan Ashland

Director

Ryan works to understand a client's finances and operations to ensure the reimbursement options and reporting are done accurately and structured to obtain proper reimbursement.
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Alicia Amundson

Alicia Amundson

Director

Alicia completes and reviews Medicare and Medicaid cost reports for all type of health care facilities (CAHs, PPS, FQHCs, RHC, SNFs, HHA and Hospices). She also works on interim cost reports, interim rate reviews and Critical Access Models to assist with monthly estimates on Medicare and other reimbursement projects.
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