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Services Available
Services:
· Medicare and Medicaid cost reporting and reimbursement consulting for skilled nursing facilities, home health agencies, hospital inpatient and outpatient services, CORFs, rural health clinics, histocompatibility labs and other specialized providers, rehabilitation agencies, home office entities and other suppliers
· Assistance with Medicare consolidated billing requirements and related controls
· Medicare PPS for SNFs: RUG-IV and MDS 3.0 training and consultation
· Medicare PPS for HHAs: Home Health Resource Groups (HHRGs) and OASIS training and consultation
· Representation during Medicare cost report audits and desk reviews, focused or comprehensive medical reviews and Provider Reimbursement Review Board hearings
· Strategic planning, modeling and corporate restructuring
· Health care industry segment analysis and feasibility studies
· Managed care consultation
· Litigation support
· Certification of need applications
· Operational assessments designed to enhance both cost effectiveness and the quality of care
· Development and presentation of training seminars
· Clinical, billing and operational consultation including chart audits, UB04 and CMS 1500 preparation and assistance, budget compilation, resident trust fund examination and other issues
· Compliance evaluations conducted under attorney-client privilege
Reingruber & Associates, Inc., an affiliated health care consulting division, provides most of the same services through the Nashville, Tennessee office.
The following links access samples of projects completed by our offices:
Sample executive summary from a representative billing evaluation report