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Post-Acute Care Services

We serve skilled nursing facilities, swing bed hospital units, law firms representing providers, assisted living centers, home health agencies, and hospices to help them gain operational efficiency, enhance revenue, and mitigate risks. Combining our accounting and consulting expertise with team backgrounds in long-term care (including reimbursement, clinical, and pharmacy) uniquely positions us in the market to serve all of your financial and operational consulting needs.

Services Overview

Clinical/Reimbursement

  • OIG approved Independent Review Organization (IRO)
  • Informal Dispute Resolutions
  • Abatement of Immediate Jeopardies/Developing AOC
  • Development/Implementation of Plan of Corrections
  • RAI/MDS process
  • PDPM training
  • Medical record compliance audits
  • SWOT Transitional Analysis (in preparation for new payment programs)
  • SWOT Clinical review/education/implementation
  • UB-04 consolidated billing, part A & B
  • CDI/ICD 10 training
  • QRP/VBP training
  • RAC audit preparedness
  • Mock Survey
  • Medication Administration Observation
  • Requirements of Participation (RoP) education
  • Customized clinical education, training, strategic planning
  • Swing bed hospital conditions of participation (CoP), customized education
  • Clinical Risk mitigation/CDI
  • Developing Effective Action Plans
  • Professional Legal Nurse Consulting (LTC)
  • QAPI education/training/implementation
  • Professional customized clinical educational service offerings
  • Clinical support and guidance with clinical consulting
  • Clinical operational efficiency improvement
  • CEU’s may be offered with educational presentations upon request

Pharmacy Services

  • Pharmacy pricing validation and cost reduction opportunity review
  • Pharmacy medication cart and storage room review and inspection
  • Medication waste reduction initiatives
  • Antibiotic stewardship program assessment
  • Policy and procedure review for optimizing and reducing opioid use
  • Minimizing fall risks through medication management programs

Accounting Services

  • Audit
  • Benchmarking
  • Cost report preparations
  • PPS and managed care education
  • Team approach to due diligence for acquisitions and mergers to include clinical and operational reviews
  • Intergovernmental transfer agreements
  • Tax returns and tax planning

Network Operations

  • Identify care partners using cost and quality metrics
  • Produce network claims and quality reports
  • Ongoing management to reduce cost and produce outcomes
  • Management inclusion and exclusion of preferred providers
  • Develop education program internally and externally for best placement of patient for level of care needed
  • Pharmacy program analysis

Readmission Reduction

  • Identify care partners using cost and quality metrics
  • Produce network claims and quality reports
  • Ongoing management to reduce cost and produce outcomes
  • Management inclusion and exclusion of preferred providers
  • Develop education program internally and externally for best placement of patient for level of care needed
  • Pharmacy program analysis

CMS Proposed Rule for Updates to PDPM, QRP, & VBP for FY 2020

CMS issued proposed rule on April 25, 2019, with updates to the Patient-Driven Payment Model (PDPM), Quality Reporting Program (QRP), and the Value Based Purchasing Program  (VBP) for fiscal year 2020 (beginning on 10/1/19 and ending on 9/30/20). Click here to read the full proposed rule. Comments on the proposed rule must be received by […]

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Swing Beds: Medicare Regulatory and Program Design Changes You Need to Know

Swing Beds: Medicare Regulatory and Program Changes You Need to Know

Swing Bed Groundwork must be in place. CAH and PPS swing bed programs need to understand the reason behind the initiation of swing beds and the reliance on understanding skilled nursing regulations to operate and successfully financially manage the program. Our education provides some historical, operational, regulatory, and management basics to review, both for existing […]

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Five Star and Nursing Home Compare Changes Clarified

Five Star and Nursing Home Compare Changes Clarified

Centers for Medicare & Medicaid Services (CMS) issued a memorandum, about changes to the Five-Star Rating system on Nursing Home Compare that will go into effect in April 2019. CMS has also revised and posted the Technical User’s Guide reflecting these changes. Important highlights of the changes are: CMS will end the survey freeze on […]

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Connect with our team.

To learn more about our post-acute care services, contact our team here.

Send us a message.