Clinical Reimbursement Compliance Review

These reviews are designed to identify potential areas of noncompliance with Medicare rules and regulations. The Clinical Reimbursement Compliance Reviews include the following areas:

Pre-Admission/Admission Process
UB 92 Billing Review
Medicare Skilling Coverage and Processes
PPS Communication Systems
MDS/RAI Processes
- Accuracy
- Timelines
- Submission
- Validation Report Review
- RAPS Completion and Content
- Care Plan completion/compliance
Documentation Reviews
- Skilled Services
- Therapy Orders
- Physician Orders
- Skilled Services Documentation
Certifications/Recertification's

The Clinical Reimbursement Compliance Review can be designed around your facility's specific policies and procedures.