Continuous monitoring of the operational data behind your Medicare cost report, with specific, dollar-quantified findings your team and your CPA can verify independently.
Request a working sessionThe average Critical Access Hospital leaves roughly $1.7 million per year in Medicare reimbursement unclaimed — about 8% of net patient revenue. Not new spending: reimbursement federal cost-based payment rules already provide for. Source: independent benchmarking, Stroudwater Associates. Illustrative industry figure, not a guarantee of results for any individual hospital.
Because CAHs are paid on allowable cost, revenue depends on how completely the annual Medicare cost report captures what the hospital is entitled to. Between filings, small documentation and coding gaps accumulate quietly and harden into an understated report. Trovas watches continuously, so corrections land while the reporting period is still open.
Browser-based and secure. No software to install, no IT project, no EHR integration. The monthly handoff takes your existing staff minutes, not days.
Your numbers are compared against your own multi-year history and against the national peer group of Critical Access Hospitals — so findings reflect genuine deviation, not normal variation.
Each monthly report identifies where you appear to be under-claiming, the estimated dollar impact, the exact cost-report position affected, and the corrective action — in plain English.
The output supports a federal reimbursement filing, so the analysis is designed to be defensible rather than opaque.
Dollar estimates derive from your reported figures and the governing Medicare regulations — never generic industry averages — and are stated conservatively.
Findings cite the specific cost-report position and regulation, so your finance team and your existing cost-report preparer can confirm each one independently before acting.
At cost-report season your preparer receives a clean, organized year-end data package. Trovas strengthens that relationship — it never replaces it.
Detection and quantification are rule- and statistics-driven. AI is used only to render findings into plain English — never to decide what constitutes a finding.
A Business Associate Agreement is executed with every client before any data is accepted. Infrastructure runs on HIPAA-eligible cloud services under a signed BAA.
Patient identifiers are irreversibly transformed on receipt using per-hospital cryptographic keys held in a hardware-backed vault. Raw values are never written to storage.
All data is encrypted in transit and at rest, with keys managed in a dedicated key-management service.
Each hospital's data is separated from every other hospital's at multiple independent layers — prevented by design, not by policy.
Multi-factor authentication, automatic lockout on repeated failures, and a complete HIPAA audit trail of who accessed what, and when.
Only the specific fields required for the analysis are ingested. No clinical records, no claims processing, no write-back into hospital systems.
Full security documentation is available for your IT staff to review at any point in the conversation.
Participating hospitals pay nothing during the pilot, install nothing, and carry no obligation at its end. In exchange, we ask for the monthly data handoff, a finance contact who reviews findings candidly, and structured feedback. You see real, dollar-quantified findings from your own numbers before committing to anything.
Ask about the pilotEvery hospital starts with the two highest-confidence categories. If the pilot surfaces more — 340B capture, overhead allocation, medical-records misallocation — the tier reflects that. Every tier includes monthly reporting and CMS regulatory-change alerts.
Medicare bad debt capture and swing-bed classification — the two findings categories that move real dollars for almost every CAH.
Everything in Core, plus whichever additional levers your pilot showed are actually live: 340B, overhead allocation, medical records.
Everything in Complete, plus a standing relationship with the founder rather than just the software.
Plus an 8% contingency fee on confirmed findings — billed only when we find something, never on hypothetical savings. Pricing reflects our current model as we validate it with early hospitals; design-partner pilots lock in founding pricing regardless of where this settles.
The natural first step is a 30-minute working session looking at your hospital's own public cost-report data against the national CAH peer group — your numbers, not a demo. Tell us a little about your facility and we'll follow up within one business day.