Practice Operations, Coding, Billing, Documentation & Compliance Auditing & Consultation

Start Up Practices
Planning 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

Medicare
Enrollment, 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