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Practice Operations, Coding, Billing, Documentation & Compliance Auditing & Consultation
Start Up PracticesPlanning from ‘ground zero’ to ‘opening day’
Established Practices
Operational retooling and/or implementation of compliant processes
Business Office
Regulatory & risk management policies and functional procedures, compliance and risk management assessment and process development and implementation
Denial & Appeals Execution or Guidance
Medicare & commercial payer record submission guidance and appeals management including, but not limited to: pre & post payment audits, CERT, MAC, RAC & Zone Program audits from initial record submission request through all levels of appeal available excluding Federal Court
HIPAA
Gap/risk assessments & process development, implementation & training
OSHA
Physical plant inspections and training program
Human Resource
Organizational structure functional and compliant position descriptions & employee handbook development
Provider Enrollment & Application Processing or Guidance
MedicareEnrollment, conversions, terminations & changes Part A &/or Part B
Medicare Rehab Agency (ORF)
Preparation and conduction of mock state survey
Health Plan Applications
Commercial and/or managed care plans
Policy & Procedure Manual Development & Customization
- Annual Compliance Manual Template
- Business Office Manual & Associated Forms
- Clinical Operations Manual & Associated Forms
- Environmental Health & Safety Manual, Associated Forms & Checklists
- Human Resources Manual & Associated Forms; Handbook & Position Descriptions
- MSDS Manual Template & Associated Forms
- Procedure & Modality Clinical Services Manual
- Resource Forms Manual
Work Shops, Presentations & Group or 1:1 Coaching
- Building & Maintaining a Compliant Rehab Practice
- Establishing & Managing a Compliant Business Office
- OSHA for Healthcare Practitioners: Bloodborne Pathogens, Hazard Communications & Other Environmental, Health & Safety Regulations
- HIPAA-Sizing Your Healthcare Practice
- Fraud & Abuse and the Rehab Practitioner
- Medicare Documentation-A Practical Approach for Therapists
- Defensible Coding, Billing & Documentation
- Doing It Right the First Time: Justifying Medical Necessity, Responding to a Request for Records and Filing Appeals