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We focus on reimbursement so you can focus on care.
Our clinical team helps improve your facility’s MDS proficiency. documentation, ICD-10 coding and capture.
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We support Skilled Nursing Facilities by improving the performance and efficiency of their MDS and Case Management departments.
The result is accurate reimbursement and enhanced compliance with state and federal regulations. With a deep understanding of complex payment systems, we help reimagine your reimbursement department so you can focus on patient care.
Remote MDS Completion
With scalable and flexible options, rely on us to keep your MDS department and revenue cycle on target. Whether you need performance monitoring, immediate emergency coverage, permanent placement, or full departmental outsourcing, our certified MDS nurses ensure timely and accurate assessments. Our cutting-edge software identifies Medicare Interim Payment Assessment opportunities that enhance revenue and improve documentation compliance.
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Outsourced Case Management
Unfortunately for beneficiaries and providers, Medicare Advantage continues to grow and drain billions from Skilled Nursing Facilities, but we ensure SNFs receive every dollar they deserve. Whether your needs involve oversight or a full-service solution, we advocate for patient benefits and provider payment entitlements. With expertise in short-term contracts, Medicaid Managed Long-Term Care (MMLTC), and Institutional Special Needs Plans (ISNPs), our team handles the time-consuming and often frustrating administrative functions associated with initial authorizations, ongoing case management, exclusion capture, appeals, and payment reconciliation.
Reimbursement
Oversight
Inaccuracies in MDS completion can lead to revenue loss and compromised quality. Our RAC-CT Certified consultants will educate your staff on MDS accuracy and efficiency. We offer oversight across all acuity-based reimbursement models including Medicare’s Patient-Driven Payment Model (PDPM) and state-specific Medicaid Case-Mix Index (CMI) systems.
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