Rybar Group
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Welcome to Roslyn Evans Boyer, CHFP, MHA

The Rybar Group, Inc. is pleased to announce that Roslyn Evans Boyer, CHFP, MHA has joined our team as a Reimbursement Lead Consultant.

Roslyn’s expertise covers a wide range of strategic initiatives centered around the complexities of payment for all provider types and the use of the cost report as a tool for optimizing reimbursement. From her work with multiple national healthcare consulting firms, as well as working as an Audit Supervisor for one of the Medicare Administrative Contractors (MAC), she offers a broad scope of regulatory reimbursement expertise.

Over the years, Roslyn has developed an in-depth knowledge of Medicare and Medicaid cost reporting and the significant impacts of these documents on the financial success of the organization. This knowledge includes the areas of Balance Sheet Third Party Reviews, Organ Acquisition Reviews, ESRD, Disproportionate Share (DSH), Medical Education, Bad Debt Reimbursement, Wage Index Analysis, and Filing Appeals and Reopenings.

Please join us in welcoming Roslyn to our team.

To learn more about how Roslyn may be able to assist your facility, you may contact her directly at 810.853.6178 or at rboyer@therybargroup.com.

Rybar News

The Physician Services team at The Rybar Group has worked with some of the largest medical groups in the country and has helped to increase revenue and mitigate compliance risks, while optimizing operational effectiveness for clients.

With decades of diverse experience, we can assist with your biggest pain points within your organization and you’ll always have a senior associate working with you to tailor deliverables to fit your unique needs. The Rybar Group focuses on the financial aspect of healthcare and is able to support you with any initiative from documentation audits to preparing for a purchase or sale.

Here’s a sample of the services we offer to medical groups:

  • Provider compensation analysis
  • Coding and documentation audits and education
  • Payor negotiations
  • Project management
  • Specialty-specific practice assessments
  • Process improvement
  • Audits of external billing/coding companies
  • Litigation support
  • Compliance plan reviews
  • Fee schedule & chargemaster assessments

Contact Julie Hardy (jhardy@therybargroup.com or 810-853-6171) today to arrange for a FREE 10-chart audit to jump-start your improvement activities!

 Industry News and Updates

Are you unsure of what decreased uncompensated care costs mean to your entity?
Are you holding reserves for future re-distributions of pool payments or Upper Payment Limits?
If so we can help~
As the State works to collect the data necessary to calculate the 2014 Step II DSH pool payments and settle the 2014 cost reports, hospitals are left to account for estimates for over three years of potential redistributions and settlements.
As Uncompensated Care Costs decline redistributions of DSH payments are expected to increase. Also, as other supplemental pool payments increase and patients shift from Title XIX to HMP hospitals are left to account for multiple open settlement years.
If you have concerns of the impacts these items will have to your entity please reach out to us today.

Cash and Point-of-Service Collection Risks:
Although more Americans have health insurance coverage, 25% do not have money or liquid assets to cover their deductible, according to an article in U.S. Money on March 3, 2015. Even if your state has expanded Medicaid, according to the IRS regulation for 2016, HDHP individual policies have out-of-pocket maximums as high as $6,550 and family policies as high as $13,100.  HDHP are also required to have deductibles not less than $1,300 for an individual or $2,600 for a family.

Incident to vs. Split/Shared
There tends to be a lot of confusion surrounding services performed by mid-level providers, such as nurse practitioners and physician assistants….Read More


2019 – TBD