Provider Management Solutions (PrMS) offers clinical and financial solutions to ensure that skilled nursing facilities receive their maximum reimbursement. We analyze every aspect of clinical data through chart review and MDS coding practices. We provide financial & reimbursement solutions that improves cash flow and increases revenue.
- new MDS 3.0 - new Medicare patient assessment tool effective October 1, 2010
- new RUG IV 66 PAYMENT LEVELS - new payment methodology effective October 1, 2010
- CLAIMS DENIAL MANAGEMENT - claims audit & review; proper handling of additional data request from Medicare; resolve documentation issues; file appeals on behalf of providers.
- MEDICAID CASE MIX ENHANCEMENT - ensure accurate coding on the new MDS 3.0; proper utilization of rehab & restorative nursing; review and improve case-mix scores.
- MEDICARE/MEDICAID COST REPORTING - prepare annual Medicare & Medicaid cost reports; prepare Texas annual staffing reports; capture additional reimbursement for Medicare bad debts and utilization review; optimize rates and incentive payments; prepare interim rate analysis, interim cost reports and other financial/reimbursement analytical tools.
Ongoing consultation and review services can be tailored to meet the needs/budget of any size SNF, from large chains to single providers.
Providers Click Here To Make an Inquiry
Contact our office toll-free at 1-800-914-1873
