Additional Areas of Expertise

Skilled Nursing Facilities (SNF)

Skilled nursing facilities are inpatient rehabilitation and medical treatment centers where patients can get treatment from licensed nurses, physical and occupational therapists, and speech pathologists.

Blue’s Certified Professional Accountants and AAPACN RAC-Certified Nurse Consultants offer training, audits, consulting, and interim staffing for skilled nursing facilities. We can provide interim leadership management, PDPM/MDS/CMI training and audits, and clinical program assessment and development.

Swing Bed for Critical Access Hospitals (CAH) and Rural Prospective Payment System (PPS) Hospitals

Swing Beds assist rural PPS and CAH Hospitals with the challenges of dropping inpatient census while increase facility revenue and helping meet decreasing length of stay and helping prevent re-hospitalization.

We have one of the most comprehensive Swing Bed Training Programs available. Our experienced reimbursement, clinical and therapy staff have assisted Swing Bed Programs across the country with starting and overhauling their programs with positive outcomes. We offer educational, training and compliance services to optimize swing bed programs.

Independent Review Organization (IRO)

IRO is a third-party medical review resource which provides objective, unbiased medical determinations that support effective decision making based only on medical evidence. Blue has an experienced IRO team that with multiple disciplines with RAC-Certified nurses, therapy experts, certified coders, pharmacists, and accountants to meet all the requirements for the CIA agreements.

Our services include IRO Audits for Corporate Integrity CIA agreements for the Department of Health and Human Services Offices Office of Inspector General (OIG), claims review, medical necessity audits, developing and implementing policies and procedures, assisting with monitoring and reporting on compliance matters.

Long Term Acute Care Hospital (LTACH)

Long Term Acute Care Hospital provides care for patients with multiple serious medical conditions that require a longer stay than a traditional hospital. Blue’s well versed expert staff can assist with all aspects of developing a successful LTACH program. We can assist with case management, regulatory compliance, claim denials, and clinical program development.

Home Health

Home health care is a wide range of health care services that can be given in home for an illness or injury. Home health care is usually less expensive, more convenient, and just as effective as care given in a hospital or skilled nursing facility (SNF).

Blue offers a variety of services including: Medicare and Medicaid Cost Report preparation & filing, Medicare and Medicaid appeals, audits, and reviews, financial statement audits, reviews, and compilations, tax return preparation and financial planning.

Blue’s staff are experienced in the home care industry and have a deep understanding of the reimbursement and common issues that providers face. We understand the Medicare home health payment rates and that they are critical to your business operations. Our focus is on results that can help improve your operations and, ultimately, your patients’ experiences and outcomes. We pride ourselves on being responsive, caring, advocates for our clients.

Hospice 

Hospice is a comprehensive, holistic program of care and support for terminally ill patients and their families. Hospice care changes the focus to comfort care (palliative care) for pain relief and symptom management instead of care to cure the patient’s illness.

Blue offers a variety of services including: Medicare and Medicaid Cost Report preparation & filing, Medicare and Medicaid appeals, audits, and reviews, financial statement audits, reviews, and compilations, tax return preparation and financial planning.

Blue’s staff are experienced in the hospice care industry and have a deep understanding of the reimbursement and common issues that providers face. We understand the Medicare hospice payment rates and that they are critical to your business operations. Our focus is on results that can help improve your operations and, ultimately, your patients’ experiences and outcomes. We pride ourselves on being responsive, caring, advocates for our clients.

Retirement Communities, Senior Care and Living Communities

The industry of retirement communities that offer senior care and living solutions to our aging population face many challenges every day. Changing state and federal regulations, cash flow issues, the implementation of more managed care entities, etc. Here at Blue & Co we have served senior care and living industry for decades serving Skilled Nursing Facilities, Continuing Care Retirement Communities (CCRC) / Life Plan Communities (LPC), and Independent and assisted living facilities.

Blue offers a variety of services including: Medicare and Medicaid Cost Report preparation & filing, data analytics and industry benchmarking, financial statement audits, reviews, and compilations, tax return preparation and financial planning.

Residential Facilities

Residential care facilities are for individuals who need assistance on a daily basis with personal or medical needs. These are almost always licensed by the state and will have a faculty of staff that is available 24 hours a day. Blue has worked with several types including: CRF-DD/ICF-IID Group Homes, Title IV-E (Department of Child Services), Psychiatric Residential Treatment Facility (PRTF), and Community Mental Health Centers (CMHC).

Blue offers a variety of services including: Medicare and Medicaid Cost Report preparation, filing, appeals, audits, and reviews, data analytics and industry benchmarking, Revenue Cycle analysis, financial statement audits, reviews, and compilations, tax return preparation and financial planning.