Let CRI help you be an effective ringleader of your healthcare organization.

The healthcare industry may sometimes seem like a three-ring circus. Why? Healthcare providers usually perform a balancing act with their priorities: generating positive margins, providing quality patient care, complying with laws and regulations, controlling costs, and maximizing efficiencies. The industry is also full of unprecedented changes, strict directives, and frequent third-party investigations. All of these acts can combine to make even the most experienced healthcare professionals feel like they are tightrope walking. CRI’s CPAs and advisors have years of experience in guiding providers through the intricate hoops of the healthcare industry.

We offer healthcare organizations a variety of services, including:

Featured Case Study


Our healthcare professionals are also adept at completing Uniform Guidance Single Audits and compliance audits, as well as Medicare, Medicaid, and third-party insurer cost reports. We work with hospitals, long-term care facilities, ambulatory surgery centers, rural health clinics, dental practices, and many others. No matter the size of your entity, CRI can help you be an effective ringleader.

Unique Hospital Challenges with the New Revenue Recognition Standard

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2 Practical Solutions to Combat the Revenue Cycle Impact of High Deductible Plans

Client SNAPshot

CLIENT:Large long-term care facility chain in Alabama
SCOPE:106 engagements over the last five years
PROJECTS:Provide financial statement audit services and Medicare and Medicaid cost reporting services
RETURNS:Client increased its average Medicaid reimbursement rates by 6% and its total Medicaid reimbursements by $3 million over the five-year period
$3 million reimbursement increase

Straight Talk

Translating technical jargon into a plain English “text.”
I keep hearing that “value” and “transparency” are going to be very important in the future of healthcare, but what does that really mean to me and my hospital?
That’s a great question! There has been a significant push for “transparency” in hospitals in recent years, and that will most likely increase in the future. The idea is for patients and payers to be able to fully understand your pricing structure, overall quality, safety, charity care policies, community benefits, and a variety of other information that may affect their buying or contracting decisions.
That makes sense. But what about “value,” and how does that impact us?
When we talk about “value” in healthcare, it’s a really broad concept. But it basically all boils down to how the quality and safety of your patient care relate to the prices you charge. Likewise, from a payer’s perspective, are the quality and safety of the services you provide their members equal to—or greater than—the reimbursements you receive?
That sounds important to us, and I can see how that may affect our future payments. How do we make changes internally to ensure meaningful transparency and maximize value?
Give us a call – we’ll be glad to help! CRI assists clients across the South with the challenges of today’s rapidly changing healthcare environment, and we’d love to talk.
Recently, I’ve been receiving communications from Centers for Medicare and Medicaid Services (CMS) regarding the Payroll-Based Journal submission requirement. Can you explain what that is?
The Payroll-Based Journal is a mandate from CMS whereby providers must electronically submit certain staffing information to the agency on a quarterly basis. It is in accordance with the Affordable Care Act (ACA) and will be used to drive accountability in the industry.
It seems like another regulatory requirement for which I have to commit resources and staff that I can’t spare.
It is a very complicated process in which your staff duties, schedules, wages, and hours must be properly assigned, tracked, and collected on an ongoing basis. We can assist you in designing a system to track the required information and making sure that this information is collected and properly formatted for electronic submission.
That sounds exactly like the help we need in order to comply! What else can you help us with?
With our long-term care consulting team, we can help keep you abreast of all the regulatory changes that are occurring in the healthcare industry on an ongoing basis, provide solutions to those changes, and help you save those valuable resources. So give us a call. We’d love to help you.
My physician practice lost money last year due to excessive spending. How can I effectively monitor and control my costs?
Many physicians’ practices struggle to keep costs in-line. When revenues fall, the practice may have to cut back on critical technologies that may impact the business. So it’s important that practices adequately control and monitor these costs on an ongoing basis to stay competitive.
How exactly should I monitor and keep my costs in line?
The largest typical expense in a physicians’ practice is staffing costs. It’s important to determine salary norms for all staff categories, evaluate health insurance expenses, review the retirement expenses, and control both PTO and overtime costs.
Can you help me monitor my costs?
CRI’s healthcare CPAs are very experienced in dealing with medical practices. We can assist you in evaluating your costs, help you identify potential cost savings and can assist in preparing a budget to routinely monitor these expenses.
Great! Let’s meet next week to begin the process since this system sounds like exactly what I need to help keep my physician practice costs in line.
Jinping Su, Chief Financial Officer, Health Systems Management, Inc.
“Carr, Riggs & Ingram has been our auditor since 2005. Their non-profit team prepares us well in advance to be ready for their on-site work. This up-front effort along with their in depth understanding of the health care industry has consistently reduced the on-site time for the actual audit and ensured that we meet our very tight reporting deadlines. We are very happy with their service.”
Joette Kelley-Brown, President, Kelley Health Holdings, Inc.
“We are a long term care chain located in Alabama. Carr, Riggs & Ingram has provided us with multiple services including interim and yearly financial accounting services, cost reporting, consulting and payroll processing services in addition to other services for over 7 years. Throughout providing these services, CRI has demonstrated consistent and high level efforts to assist us in achieving our accounting and management needs. We appreciate that CRI has maintained a high level of partner interaction and has built a solid and proactive relationship with our management and staff.”

Solutions Simplified

Down-to-earth descriptions of our services.
Accounting & Auditing Services

Advisory Services

Services Also Available for Healthcare

Healthcare Billing Office Reviews

A billing office review by CRI’s team helps to ensure that a medical practice is tracking and collecting all possible revenues. We begin by performing a walk-through with the billing staff to obtain a thorough understanding of the medical practice’s billing processes and their execution. The team then performs a charge capture analysis to document that all procedures are being captured and works with the billing personnel to establish standard reports to properly track billing efforts. Next, our procedures include performing a fee schedule review, an analysis of accounts receivable, and an examination of the practice’s denial management—all with the goal of ensuring that the office maximizes revenue and collections opportunities.

Business Support & Transactions Services

Employee Benefit Plan Services

Governance, Risk & Assurance Services

Services Also Available for Healthcare

Healthcare Medicare, Medicaid, and Third-Party Insurer Cost Report Preparation

CRI’s cost report preparation services allow healthcare providers to comply with Medicare, Medicaid, and other third-party requirements, as well as understand and maximize their reimbursement potential. Our team begins by obtaining an understanding of your obligations and advises you on your regulatory reporting requirements to assist in the preparation and filing of accurate and compliant cost reports. Our recognized expertise in healthcare reimbursement—combined with your team’s knowledge—helps you analyze and maximize reimbursements, compare revenues to the cost of providing services, evaluate the profitability of operations, and assess compliance with reporting requirements.

HIPAA Assurance Services

A firm that provides assurance over complex healthcare IT systems should have the proper combination of technology and healthcare-specific business skills. CRI’s IT audits & assurance team has a broad healthcare background. This background allows us to quickly and effectively identify risks related to electronic patient health information (ePHI). The combination of our healthcare background with our technical skills enables us to understand the most complex patient systems while delivering value to you. We can provide your organization with assurance related to multiple platforms – from cloud information systems to workstations and servers – because our qualified professionals have obtained credentials such as Certified Information Systems Auditor (CISA) and Certified in Risk and Information Systems Control (CRISC).

HIPAA IT Risk & Security Assessments

The Health Insurance Portability and Accountability Act (HIPAA) compliance process begins with an IT risk assessment. Meeting the HIPAA guidelines for maintaining proper protection of electronic patient health information (ePHI) requires expertise in both the IT arena and the healthcare industry. Our IT audits & assurance team consists of Healthcare Certified Information Systems Security Professionals (HCISSP) and practitioners of the Health Insurance Trust Alliance’s Common Security Framework (HITRUST CSF). Our risk and security assessments help covered entities and business associates demonstrate that the confidentiality, integrity, and availability of ePHI are in place and meet the HIPAA guidelines, as well as those of the Health Information Technology for Economic and Clinical Health (HITECH) Act.

IT Audits & Assurance Services

Tax Services

As a HITRUST CSF Assessor, CRI can perform assessment engagements for clients seeking HITRUST Validation or Certification reports. We can also assist clients with the adoption of the CSF framework, implementation, and remediation efforts following adoption. Visit the HITRUST Alliance website for more information.