Here are your challenges:

1. Are your MDS 3.0 accurate ensuring optimal RUG?
2. Is your team effectively managing End of Therapy Dates to minimize billing a Medical RUG at the end of a Medicare Stay?
3. Are your systems and daily/weekly meetings meeting your needs under RUG-IV?
4. Are your Part A claims accurate?
5. Are your systems tracking the variance between RUG-IV payment and RUG-III Hybrid adjustment?

We can provide Compliance audits and/or Training to ensure all optimal systems are in place to ensure revenue under RUG-IV and MDS 3.0.

Polaris Group's compliance audits will:

• Determine accuracy of MDS 3.0 related to RUG-IV items
• Evaluate the degree to which RUG-IV best practices have been implemented
• Identify opportunities for increased Medicare Part A revenue past, present, and future
• Evaluate accuracy of RUG-IV Part A claims
• Identify opportunities for increased Medicare Part B revenue
• Evaluate documentation in support of the claim to determine risk for payback
• Provide a Medicare Benchmark Baseline report to evaluate Medicare Length of Stay, ADL scores, MDS management, Primary diagnosis, and Part B utilization
• Provide analysis of RUG-IV to RUG-III Hybrid impact

We can provide MDS 3.0 Training for the entire care team, RUG-IV Training for the Medicare Team, and RUG-IV Billing Training for your business office.