We are an accounting and consulting firm providing individualized services to healthcare communities.

We are a consulting firm providing individualized services to healthcare communities.

Discover

verb | dis·cov·er |  \ dis-ˈkə-vər \

to obtain sight or knowledge of for the first time

Our management team is happy to help you discover your healthcare consulting needs.

Reimbursement
Services

Reimbursement Services

  • Completion of all Governmental Reporting Requirements and Support During Audit
    • Cost Report
    • Uncompensated Care Tool
    • AHA Survey
    • DSH Application
    • CRNA Exemption
    • And Other State & Federal Filing Requirements
  • Strategic and Operational Review of Cost Report
  • Licensure and Medicare/Medicaid Certification and Enrollment Services
  • Program Regulatory Compliance and Reimbursement Strategies
  • Focus on Specialty Services – such as Organ Transplant, DSH, Low Volume & Medicare Bad Debt and EHR
  • Medicare/Medicaid Cost Report Key Staff and Board of Director Education
  • Wage Index and Occupational Mix Review & Support
  • Organ Transplant Operational and Reimbursement Consulting

Hospital &
Clinical Services

Hospitals & Clinical Services

  • Medicare Geographic Reclass
  • Sole Community Hospital Reclass
  • Medicare Dependent Classification
  • “Hold Harmless” strategies
  • Volume Decrease Adjustments
  • Physician Time Studies and Resident Rotations Schedule Reviews for GME
  • State and Federal Supplemental Payment Reporting and Analysis (DSH and UPL)
  • Clinic Design and Physician Contracts
  • Focused Medicaid Cost-Based Services (Rural Providers, Children’s and Cancer Hospitals)
  • Critical Access Services: Cost and Interim Rate Strategic Services; Cost Center Classification; Interim Rate Reviews; Monthly and Quarterly Cost Settlement Projections; CAH conversion

Attest &
Assurance Services

Attest & Assurance Services

  • Audits
  • Reviews
  • Compilations
  • Benefit Plan Audits
  • Forecast and Projections
  • Agreed-Upon Procedures
  • Financial Feasibility Studies
  • Tax Services:Form 990 Prep for all public Charities
  • Sched. H Prep for required 501 (c ) (3) hospital organizations
  • Compliance with the Affordable Care Act as it relates to 401( c) (3) hospitals
  • Community Health Needs and Assessment Implementation Strategy
  • Form 1023 App for Exempt status applications
  • Analysis of the Employer and Mandate for select large employees in compliance with the ACA
  • Representation before the IRS
  • Review of Payroll Tax Compliance

Strategic Financial
Advisory Services

Strategic Financial Advisory Services

  • Critical Access Hospital Conversion Feasibility Study and Analysis
  • Hospital Based clinic operational and feasibility studies
    • Rural Health Clinic vs Provider Based Clinic
  • Commercial and Managed Care Payer Contract Review and Guidance
  • Hospital Affiliation or Merger Analysis, including home office affiliations
  • Charity Care and Financial Assistance Policy Review – Worksheet S-10 Compliance Review
  • Alignment of Hospital Operational goals with Reimbursement Compliance and Strategic Initiatives
    • Lease vs Purchase decisions
  • Provider-Based entities’ review and guidance
    • Review for compliance with new provider-based rules
    • HRSA Compliance for RHC
  • Regulatory Review and Analysis of Corresponding Changes in Hospital Reimbursement

Reimbursement
Services

Reimbursement Services

  • Completion of all Governmental Reporting Requirements
    • Cost Report
    • Uncompensated Care Tool
    • AHA Survey
    • DSH Application
    • CRNA Exemption
    • And Other State & Federal Filing Requirements
  • Strategic and Operational Review of Cost Report
  • Licensure and Medicare/Medicaid Certification and Enrollment Services
  • Program Regulatory Compliance and Reimbursement Strategies
  • Focus on Specialty Services – such as Organ Transplant, DSH, Low Volume and Bad Debt
  • Medicare/Medicaid Cost Report Education

Hospital &
Clinical Services

Hospitals & Clinical Services

  • Geographic Reclass
  • Sole Community Hospital Reclass
  • Medicare Dependent Classification
  • “Hold Harmless” strategies
  • Volume Decrease Adjustments
  • Lower of Cost or Charge Appeals
  • Medical Rate Reviews (DSH and UPL)
  • Clinic Design and Physician Contracts
  • Focused Medicaid Cost-Based Services (rural providers still receive cost reimbursement of most Medicaid services)
  • CAH Services: Cost and Rate Strategic Services; Cost center design; Interim Rate Reviews; Monthly and Quarterly Cost Settlement Projections; CAH conversion

Attest &
Assurance Services

Attest & Assurance Services

  • Audits
  • Reviews
  • Compilations
  • Benefit Plan Audits
  • Forecast and Projections
  • Agreed-Upon Procedures
  • Feasibility Studies
  • Tax Services:Form 990 Prep for all public Charities
  • Sched. H Prep for required 501 (c ) (3) hospital organizations
  • Compliance with the Affordable Care Act as it relates to 401( c) (3) hospitals
  • Community Health Needs and Assessment Implementation Strategy
  • Form 1023 App for Exempt status applications
  • Analysis of the Employer and Mandate for select large employees in compliance with the ACA
  • Representation before the IRS
  • Review of Payroll Tax Compliance

Attest &
Assurance Services

Attest & Assurance Services

  • Audits
  • Reviews
  • Compilations
  • Benefit Plan Audits
  • Forecast and Projections
  • Agreed-Upon Procedures
  • Feasibility Studies
  • Tax Services:Form 990 Prep for all public Charities
  • Sched. H Prep for required 501 (c ) (3) hospital organizations
  • Compliance with the Affordable Care Act as it relates to 401( c) (3) hospitals
  • Community Health Needs and Assessment Implementation Strategy
  • Form 1023 App for Exempt status applications
  • Analysis of the Employer and Mandate for select large employees in compliance with the ACA
  • Representation before the IRS
  • Review of Payroll Tax Compliance

Strategic Financial
Advisory Services

Strategic Financial Advisory Services

  • Critical Access Hospital Conversion Feasibility Study and Analysis
  • Hospital Based clinic operational and feasibility studies
    • Rural Health Clinic vs Provider Based Clinic
  • Commercial and Managed Care Payer Contract Review and Guidance
  • Hospital Affiliation or Merger Analysis, including home office affiliations
  • Charity Care and Financial Assistance Policy Review – Worksheet S-10 Compliance Review
  • Alignment of Hospital Operational goals with Reimbursement Compliance and Strategic Initiatives
    • Lease vs Purchase decisions
  • Provider-Based entities’ review and guidance
    • Review for compliance with new provider-based rules
    • HRSA Compliance for RHC
  • Regulatory Review and Analysis of Corresponding Changes in Hospital Reimbursement

Strategic Financial
Advisory Services

Strategic Financial Advisory Services

  • Critical Access Hospital Conversion Feasibility Study and Analysis
  • Hospital Based clinic operational and feasibility studies
    • Rural Health Clinic vs Provider Based Clinic
  • Commercial and Managed Care Payer Contract Review and Guidance
  • Hospital Affiliation or Merger Analysis, including home office affiliations
  • Charity Care and Financial Assistance Policy Review – Worksheet S-10 Compliance Review
  • Alignment of Hospital Operational goals with Reimbursement Compliance and Strategic Initiatives
    • Lease vs Purchase decisions
  • Provider-Based entities’ review and guidance
    • Review for compliance with new provider-based rules
    • HRSA Compliance for RHC
  • Regulatory Review and Analysis of Corresponding Changes in Hospital Reimbursement

Firm Structure

Durbin & Company, LLP

As a registered public accounting firm, we offer audit and attest services for providers throughout the state of Texas.

Discovery Healthcare Consulting Group, LLC

As a wholly-owned affiliate, we offer various regulatory consulting and advisory services.

Discovery Medical Network

As a Texas nonprofit physician organization, we provide an alternative way to recruit and retain physicians.

Together, we can discover the solutions your organization needs.