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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 Final Rule under PPS for SNFs for FY 2020

CMS Final Rule under PPS for SNFs for FY 2020

CMS issued a proposed rule on July 30, 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). See here for the final rule. The final rule was published in its official form […]

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Power of Data now unleashed by CMS pilot program_ Data at the Point of Care (DPC)

Power of Data now unleashed by CMS pilot program: Data at the Point of Care (DPC)

On July 30, 2019, CMS announced the Data at the Point of Care (DPC) pilot program. DPC will give clinicians that are participating in the pilot program access to claims data. Per CMS: “The claims data will fill in information gaps for clinicians, giving them a more structured and complete patient history with information like […]

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CMS Update July 2019

CMS Update July 16, 2019

On July 16, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a Proposed Rule to reform the Medicare and Medicaid long-term care requirements that would provide changes and delay certain features of the Requirement of Participation (RoP). Additionally, CMS finalized a rule allowing nursing home operators to use arbitration agreements. CMS provides that the […]

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Connect with our team.

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

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