Comprehensive audit support for Texas hospitals: Medicare cost report audits, MAC desk reviews, Medicaid DSH audits, and financial statement audits. We help you navigate federal and state audits with confidence.
Hospitals face a complex web of audits: Medicare Administrative Contractors (MACs) review cost reports, Medicaid auditors examine DSH and supplemental payments, and financial statement audits require GAAP compliance. A single misstep can mean significant repayment demands.
Ari Accounting’s hospital audit team includes former auditors and reimbursement specialists. We prepare you before the audit begins, stand with you during the review, and negotiate on your behalf. Our Texas-based team understands local MACs and state requirements.
Our team reviews hospital cost reports and audit findings.
MAC desk reviews and field audits focused on reimbursement, wage index, bad debt, and cost allocation. We prepare your defense and accompany you during audits.
Texas HHSC audits of disproportionate share hospitals (DSH) and uncompensated care pools. We validate data and ensure maximum allowable reimbursement.
GAAP-compliant financial audits for bond covenants, lenders, or internal governance. We work with your team to ensure clean opinions.
| Audit type | Common triggers | How we help |
|---|---|---|
| Medicare cost report audit | Large changes in reimbursement, high bad debt, wage index fluctuations | Pre-audit risk assessment, documentation prep, audit representation |
| Medicaid DSH audit | Low-income days, Medicaid fraction calculations, third‑party data | Data validation, supplemental schedule preparation, appeal support |
| Financial statement audit | Debt covenants, change in auditors, significant transactions | GAAP review, workpaper preparation, liaison with external auditors |
| MAC desk review | Statistical sampling, outlier payments, GME/IME caps | Response drafting, statistical support, negotiation |
