Healthcare finance is unlike any other industry — DRG-based revenue, 340B drug programs, graduate medical education costs, and CMS cost reporting all require specialized accounting that no general-purpose ERP was designed for. Nexus was.
Medicare and Medicaid cost reporting requires precise cost allocation across cost centers, reimbursable vs. non-reimbursable cost identification, and step-down cost allocation — all under CMS scrutiny. Errors result in repayments and penalties.
Hospital revenue — DRG payments, contractual adjustments, bad debt, charity care, and 340B drug program revenue — requires accounting treatment that most ERPs cannot handle without significant customization.
Hospital capital programs involve bond financing, project-level cost tracking, and regulatory reporting to bond trustees. Managing this across multiple capital projects simultaneously requires dedicated infrastructure.
GAAP (FASB ASC 954 — Health Care Entities)
GASB (for public hospitals)
HIPAA (financial data handling)
Medicare / Medicaid cost reporting (CMS)
CMS cost
report preparation time reduced by 40%
Revenue cycle
accounting automated across all payer types
Capital project
costs tracked to the penny
See how Plurafi handles your industry's complexity