Post-Acute Care Services

We serve skilled nursing facilities, assisted living centers, home health agencies, and hospices to help them gain operational efficiency and enhance revenue. 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 Documentation Improvement (“CDI”)

  • RAI/MDS process
  • Medical necessity – SNF
  • Medical record compliance audit
  • UB-04 consolidated billing part A and B
  • Education/training including staff competency
  • Pre and post-regulatory/compliance review for survey preparedness and post-survey revisit
  • Ongoing analysis reviews (biannual/quarterly)
  • RAC audit preparedness
  • Strategic planning
  • OIG approved IRO
  • Patient-driven payment model (PDPM) training
  • Requirements of participation education (ROP)
  • New survey process (LTCSP)
  • Mock survey
  • Risk mitigation/action planning
  • QAPI process review/education/implementation of program
  • CEU’s offered with educational presentations
  • Professional support and guidance with clinical consulting and management services in nursing/clinical operations
  • Professional support to equip your team with tools needed to improve compliance, develop best practices and create policies and procedures
  • Professional legal nurse consulting/LTC/provider only
  • Clinical operational efficiency improvement
  • Professional and customized educational service offerings
  • Customized service offerings
  • Pharmacy – pricing validation and analysis
  • Pharmacy – cart/med room/observations
  • Medication waste reduction initiatives
  • Antibiotic stewardship
  • Appropriate use of opioids

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
Kentucky Nursing Home Operators Challenge with Lawsuits is Ongoing

Kentucky Nursing Home Operators’ Challenge With Lawsuits Is Ongoing

Significant dollar amounts have been recently awarded to those who have filed lawsuits against providers.  Kentucky does not have a limit (cap) for the dollar amount for damages that one can recover if injured. A cap placed upon the amount of damages one can recover if injured would help to reduce some of the recent […]

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MIPS Reporting Deadlines Are Almost Here!

Don’t wait until the last minute to submit your data for the 2017 Merit-Based Incentive Payment System (MIPS) performance period. Now is the time to act. The key dates are: Passed: March 1, 2018, for your 2017 data for your performance category via claims March 16, 2018, (by 8PM EST), for group reporting via the […]

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Skilled Nursing And Post-Acute Providers Have A Proposed New Payment System

The newly proposed Department of Health and Human Services (HHS) budget was recently announced for skilled and post-acute nursing providers. According to major trade groups, the changes for skilled nursing providers are not seen as positive. Payments for post-acute care providers would be changed, establishing a unified payment system based on the needs of patients, […]

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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.