Consulting Services & Solutions Overview Medicare Consulting    - Medicare Support Services    - Certification Support    - Utilization Benchmarking Nursing Consulting Therapy Consulting Financial Consulting Mock OBRA/QIS Survey Medicare Billing Services Apollo RM: Risk Management RAC Audit Cost Report Services False Claim Risk Assessment Corporate Compliance Consulting Independent Review Organization (IRO) Assisted Living Facility Consulting Additional Services Comprehensive Medicare Operations Assessment. The Polaris Group's Comprehensive Medicare Operations Assessment provides you with a tool to evaluate key systems organization-wide that could impact Medicare compliance and related revenue. Polaris Group consultants will evaluate your systems related to nursing, MDS, case management, therapy, billing, and ancillary vendor contracts; identify opportunities to improve revenue, decrease cost, and reduce compliance risk for denials; and provide employee training and resource manuals.    Nursing Systems Review   Therapy Program Review   Billing Practices Review   Ancillary Vendor Performance Review Nursing Systems Review MDS accuracy check to RUG items Compliance with Medicare rules related to MDS timing, reason for assessment, use of grace days and OMRAs MDS management to obtain accurate RUG reimbursement Compliance with Medicare eligibility and continued stay requirements Compliance with physician certification and notification of non-coverage requirements Audit the quality and consistency of skilled nursing documentation to support a continued stay Communication and case management systems with therapy and billing Restorative nursing services support of Part A and B Quality assurance activities related to requirements Therapy Program Review Therapy documentation to support skilled service Therapy compliance with Medicare requirements Therapy productivity Therapy minute management to achieve accurate RUGs Communication and case management systems with nursing Part B services and utilization Billing Practices Review Billing office operations assessment UB04 accuracy audit Compliance with Medicare regulations ADR and denials management procedures Part B billing Accounts receivable and payable Ancillary Vendor Performance and Review Vendor contract review Evaluate price strategies and contract terms with primary focus on pharmacy, therapy, laboratory, radiology, medical supplies/DME, respiratory, therapy and ambulance services Audits of vendor compliance with service timeliness, invoicing accuracy, and documented medical necessity to reduce risk of cost overruns in ancillary services Review cost containment strategies More Medicare services...   Medicare Billing Services   Medicare Certification Support   Medicare Part A & Part B Utilization Benchmarking Top of page

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