Healthcare [ Post-Acute Care Services ]

SNF/SWB/CCRC/NF/AL/HHA


Clinical Documentation Improvement (“CDI”)

  • RAI/MDS Process
  • Medical Necessity- SNF
  • Medical Record Compliance Audit
  • UB04 Consolidated Billing & Part A & B
  • QA/PI including Customer Satisfaction Analysis
  • Q & A Support Center
  • Education/Training including staff competency
  • Pre & Post Regulatory/Compliance
  • Ongoing Analysis Reviews (Biannual/Quarterly)
  • Managed Care
  • Audit Preparedness
  • Strategic Planning
  • LTC Software – Customize
  • OIG Approved IRO

Accounting Services

  • Audit
  • Benchmarking
  • Cost Report Preparations
  • PPS & Managed Care Education
  • Due Diligence for Acquisitions and Mergers
  • Intergovernmental Transfer Agreements
  • Tax Returns & 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

Readmission Reduction

  • Obtain and review area provider rates
  • Support clinical operations to generate reduction programs
  • Conduct review of readmitted patient characteristics
  • Develop discharge planning policy
  • Monitor cost and care plans of targeted patients throughout the continuum
  • Collection and review of periodic data to measure improvements
  • Education package for discharged patients

 

For more information, please contact:



Nancy Hublar, Senior Manager - Healthcare Industry Group
502-992-3528 | nhublar@blueandco.com

Landon Hackett, Manager - Healthcare Industry Group
317-713-7929 | lhackett@blueandco.com