Obtain adequate reimbursement for the care you provide.
We assist SNFs to perform CMI and PDPM daily audits in addition to Monthly Quality Measure reviews for technical coding errors and CMI changes in DRUG Value.
Customized modules include:
Manage 5-day ARD scheduling recommendations, process physicians’ queries for accurate diagnoses, and perform thorough EMAR reviews to identify IPA.
Review Clinical PDPM to find modifiable coding errors based on documentation.
Conduct daily scrubbing to uncover and correct costly technical CMI inaccuracies, ensuring the entire EMAR is utilized for accurate coding.
Review managed care processes regarding prior authorization, denials, and clinical updates.
Ensure accurate quarterly data input in MDS assessments adhering to RAI guidelines with a second review.
Carefully craft individualized care plans based on a holistic view of each patient.
Achieve precise quarterly 5-star reporting by clearing expired and unnecessary triggers.
Review denied skilled claims with priority to increase approved appealed decisions and prevent untimely discharges from service.
Collaborate with trained nurses who review all data, ensuring accuracy and compliance.
Obtain customized modules designed to meet your facility's specific requirements.
Receive monthly reports and analyses identifying trends and providing strategic guidance.
Enjoy proactive guidance and collaborative support in real time.
Work closely with our experts to educate and empower your staff for effective MDS management.
Stay abreast of any changes in MDS regulations across all states.
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