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Reimbursement Oversight
We make it make sense.
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Ensure your revenue potential is fully realized through expert consulting, staff training, and precise management of Case Mix Index (CMI) and Patient-Driven Payment Model (PDPM).
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Patient-Driven Payment Model (PDPM)/Minimum Data Set (MDS)
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Reimbursement and Regulatory Training
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Case Mix Index (CMI)
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Quality Improvement Strategies
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Clinical Performance and Enhancement Initiatives
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Compliance solutions
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Medical Billing and Coding services
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Screen incoming residents to find the diagnoses, procedures, and care provided is documented correctly for all appropriate reimbursements.
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CMI submission as requested or mandated by regulatory agencies.
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Management of all resident CMI scores to ensure the Medical Record substantiates all scores obtained on the MDS.
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Weekly review to determine the best ARD capture for their upcoming OBRA assessment.
Frequently Asked Questions
Our service contracts can span from a minimum of one month to as long as needed.
Our services are adaptable, whether for a single facility or across multiple locations.
Yes, all our consultants are RAC-CT Certified.
Typically, the majority of our customers observe positive results within the first full month billing cycle or within 60 days of initial engagement.
We aim to onboard facilities within 48 hours, allowing ample time to access your EMR and conduct introductions with your clinical/MDS team.
We prioritize seamless integration with your team, providing consistent case managers who become integral members of your staff.
Yes, we're dedicated to your success and offer support in transferring knowledge to help your MDS coordinator reach their full potential.
Absolutely, we're proficient in submitting MDS claims for all Medicare, Medicaid, and Managed Care plans.
Our consultants are available 24/7 to address any questions from your team. They commit to meeting with your team at least once a week and providing detailed reports with findings and recommendations.
We thoroughly discuss any identified areas and adjust the level of support accordingly, operating on an a-la-carte basis to accommodate evolving requirements.
On a monthly basis, we provide an operations report comparing baseline performance to the current month, along with meetings to discuss outcomes and trends with your executive leadership.
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