Consulting

Consulting

The services listed below are appropriate for any provider of Part B services including Hospital, Rehabilitation Agencies (ORF), CORFs, or Therapists in Private Practice.
Our consulting services are available both on and off site. The offsite services are provided via phone or computer (e-mail or on-line) and we are available for both short and extended consulting contracts. Please contact us for more information by either phone or fax or e-mail through the link above.
Medicare Medical Audit Services

Onsite Medical Audit

Medicare Medical Audit determines if the medical records support the level of care delivered to your patients and meets Medicare’s “reasonable and necessary” standard. We provide two levels of services, basic and comprehensive, both of them will provide an objective overview of the status of the rehabilitation department in your clinic.

Basic Audit: This process comprises of a medical record audit of both current and discharged charts along with a comparison of documentation to the claims billed. It includes a verbal report and normally takes 1 day.

Comprehensive Audit: This process normally takes 1½ – 2 onsite days depending on the level of consulting services required. At a minimum it comprises of an entrance and exit conference with management and/or members of staff; a preliminary report on findings with recommendations presented at the exit conference, optional services can be included.

Standard:

1. Entrance Conference: This meeting will augment the information obtained prior to the visit and can be with management and /or staff.

2. Medical Records Audit: The review and audit includes both current and discharged patients and compares documentation to the information on the claims billed.

3. Exit conference: Presentation of a preliminary report with recommendations and can be with management and/ or staff.

Optional:

4. Observation of rehab staff to compare the documentation in the medical record with the treatment provided to ensure staff are maximizing legitimate reimbursement for their services.

5. Meeting with staff and /or when requested, limited staff education.

Following the onsite review, the clinic will receive a comprehensive report with associated recommendations within 5 business days .

Offsite Medical Audit

We are able to provide offsite medical audits with the review of either mailed copied information or scanned records transmitted through the internet. We apply the same practice as with the onsite. Our report can be provided via a live webinar or through a written report. This method is used with our CQR membership.

Offsite Consultation

We provide consulting on any Medicare topic related to Part B regulations for compliance, documentation and coding. We offer these services via phone, e-mail or through the web meeting format when some level of education or training is required.