Services
SNF/LTC
PDPM process review and implementation of advanced processes for optimal outcome
Managed Care process review and implementation of advanced processes
Managed Care contract review and rate negotiation for contract renewal and timely recredentialing
Weekly, Bi-weekly, monthly, and quarterly compliance audits
Additional Documentation Review (ADR) and appeals by CMS, their contracted auditors, and Managed Care companies with no recoupment
Quality Measure star review, implementing processes to assist with increasing QM Star to 5 Star, contributing 1 Star to the overall Star rating
Centralizing PDPM and Managed Care processes by implementing in-house best practices and monitoring for optimal outcomes
New York Medicaid CMI Case MIX
Universal Assessment System (UAS) assessment process review and implementation of best solutions for optimal outcome
Ad Hoc Report in Health Commerce System for easy access and review of UAS assessments
Revenue reports to track weekly and monthly revenue and PPD in real-time
Partnership with Rehabilitation companies for Medicare Part A and Part B services
Weekly utilization review meeting to monitor and capture rehab services and nursing skilled services to maximize revenue