Hospitals and their related systems, networks and clinics are under constant pressure from insurance carriers, government agencies, managed care providers and consumers to lower costs without compromising essential services and quality care. Cost-cutting demands, combined with employee turnover, downsizing and system changes leaves you and your team inundated with a backlog of paperwork, charts and patient information. Even with today's sophisticated electronic systems, it's impossible to ensure 100% pricing and payment accuracy on the thousands of complicated transactions you process each day.

PRG-Schultz has 30 years of experience serving over 1000 healthcare providers. We offer the proven data mining tools and experienced audit professionals needed to perform a focused, cost-effective review of 100% of your transactions - all with the utmost sensitivity to your employee and vendor relationships. Our dedicated team of hospital auditors is familiar with hospital operations and the practices and procedures of your distributors and Group Purchasing Organizations (GPO's). How effective are we? We've recovered nearly $19 million for our healthcare service provider clients in just the last three years.

Case Study #1
A team of PRG-Schultz auditors found a healthcare client had a serious problem with its EDI system. As a result, the client was paying bills based on purchase order, rather than actual invoices. The team recovered over $120,000 in overpayments.

Case Study #2
Working with a California tax agency, on behalf of our healthcare client, PRG-Schultz was able to expand the state's definition of exempt prescription medicines to include certain balloon catheters. This resulted in tax refunds to our clients in excess of $2.6 million.

Case Study #3
A recent PRG-Schultz state sales tax review of a large regional medical center revealed audit errors that reduced the client's tax liability from $487 thousand to $58 thousand, a savings of $429 thousand.

Case Study #4
A PRG-Schultz auditor found that his client, a hospital network, didn't receive a special discount from a drug distributor. The auditor uncovered this lost discount, saving the hospital over $51 thousand.

For a client reference, please contact us.