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Services
Third Party Reimbursement
Clinical Reimbursement
Business Planning
Due Dillegence
Resources
Case Studies
Client Login
Employee Login
About Us
Leadership Team
Clientele
Contact Us
Clinical Reimbursement
Compliance Auditing and Quality Analysis
Provide internal/remote auditing support for compliance and processes
Perform quality assurance, MDS compliance, and chart reviews
Ensure case mix and RUG utilization compliance
Perform quality measure analysis, including value based purchasing, QRPS, PBJ analysis
Third Party Payor Coverage Support
Provide Medicare and Medicaid advantage plan appeals support, from initial request to process completion
Provide RAC and ZPIC audit appeals support
Perform as an Expert witness in ALJ appeals
Clinical and Industry Training and Support
Perform ICD-10 training, auditing, and training of cross application
Provide clinical training, including nursing and physician documentation, and PDPM readiness training and ongoing support
Perform care plan and care area assessment training and support
Provide MDS, event and webinar training for MDS coordinator, staff and CNAs
Provide external resource support for regional team or MDS coordinators
Assist with initiating and implementation of policy and procedures
Provide support in survey readiness and corrective plan action
Assist with transparency and QAPI for survey