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
Hospitals to Provide Skilled Nursing Quality Data at Discharge per New Rule

Hospitals to Provide Skilled Nursing Quality Data at Discharge per New Rule

On September 29, 2019, CMS finalized a new rule focusing on the seamless exchange of patient information between health care settings by revising the discharge planning requirements that Hospitals and Home Health Agencies (HHAs) must meet in order to participate in the Medicare and Medicaid programs. According to CMS’s Seema Verna, the final rule does not change […]

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The Omnibus Burden Reduction (Conditions of Participation) Final Rule (CMS-3346-F)

The Omnibus Burden Reduction (Conditions of Participation) Final Rule (CMS-3346-F)

The Omnibus Burden Reduction (Conditions of Participation) Final Rule (CMS-3346-F) was published on September 26, 2019.  This rule finalizes the following provisions that were in the proposed rule changes.  The final rule will be published in the federal register on September 30, 2019.  The effective date for these regulation changes are November 29, 2019. The […]

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Blue & Co. PDPM HIPPS Rate Calculator

This calculator will compute the wage index adjusted individual daily rate and the cumulative total based upon paid SNF PDPM I/P Part A Medicare paid days for fiscal year 2020. The cumulative rate calculator takes into account the variable per diem adjustment for the Physical and Occupational Therapy (PT/OT) and the Non-therapy Ancillary (NTA) payment. […]

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