SERVICES: CONSULTING & ON-SITE SERVICES
Services Currently Offered by Gravity Healthcare Consulting
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Interim RNAC/MDS coordinator and DON Coverage
Do you need an experienced interim RNAC/MDS coordinator or DON to step into your team?
Gravity Healthcare Consulting offers interim daily, weekly and monthly relief coverage services to alleviate stress during your time of need. Our RNAC/MDS coordinator's have a minimum of 17 years’ experience and our certified DON has 22 years of Long Term Care experience. Our interim specialists are experienced and RAC-CT certified and will assist your facility is compliant with state and federal regulations per RAI Manual guidelines. Our professionals are ready to start today!
Interim RNAC/MDS coordinator Relief Services
Gravity Healthcare Consulting offers interim RNAC/MDS coordinator relief to alleviate stress during an interim time of need. Call us today! We can help during situations that arise in your community.
RNAC Short-term PRN staffing relief
Our RNAC/MDS coordinator's are experienced and RAC-CT certified and will assist your facility is compliant with state and federal regulations per RAI Manual guidelines.
Nursing Home Administrator (NHA) Services
Gravity Healthcare Consulting offers interim daily, weekly and monthly relief coverage services to alleviate stress during your time of need. Our experienced and exceptionally qualified NHAs are able to provide leadership and stability to your community.
Our Administrator Consultants have a history of excellent survey results and census development with strong financial management. Known as team builders with commitment to staff development and customer service, our NHAs have excellent analytical and communication skills and are ready to start today!
Critical Pathways are resources and training methods to help your healthcare team optimize their clinical approach with focus on communication, accountability, and person-centered care. Also, they help to systematize your clinical approach with focus on person-centered care and position your team to reduce unnecessary variations and services. Consistent utilization of Critical Pathways will increase interdisciplinary team communication, decrease unnecessary complications, improve continuity of care between post-acute providers, and provide high quality of services to every resident.
Gravity Healthcare Consulting’s Critical Pathways Program follows 7-day and 14-day models with focus on excellence in resident care and improving functional outcomes.
There are 12 critical pathways, which includes six that are 7-day pathways and six that are 14-day pathways.
Diagnoses with a 7-day and 14-day pathway are:
- Coronary Artery Bypass Graft (CABG)
- Congestive Heart Failure (CHF)
- Myocardial Infarction (MI)
- Total Knee Arthroplasty (TKA)
- Total Hip Arthroplasty (THA)
- General Rehabilitation
Each diagnosis has a pathway for the Care Navigator, Admissions, Administrator, Nursing, Certified Nursing Assistant (CNA), Director of Rehab, Physical Therapist, Occupational Therapist, Speech-Language Pathologist, MDS Coordinator, Social Services, Dietary, and Activities Director.
Includes a Resident Pathway that welcomes the resident to your community. The Resident Pathway is a general outline for what a resident and/or family or caregiver are to expect when a resident enters your community from Day 1 through discharge and post-discharge.
Includes a pre-admission process outlining pertinent information and communication needed for the coordination of the resident’s transition from acute care to post-acute care.
Includes a post-discharge process that involves multiple departments, who will contact each resident and/or family member to ensure post-acute services are being delivered according to the discharge plan with the goal of ensuring the resident’s needs are continuing to be met and provide continued support throughout the 30 days post-discharge from skilled nursing.
ADL & CMI Coding, Auditing & Training
Auditing and analyzing all aspects of CMI, ADL coding, missed opportunities, scheduling, rehab involvement and restorative nursing involvement. Full report with recommendations provided to administration upon completion of assessment and substantiation of requirements as indicated by the needs of your organization.
Understanding ADL Coding for Optimal Reimbursement
CMI Medicaid Reimbursement Training
Home Health Services
Evaluating Medicare Reimbursement & Compliance
Gravity Health Care Consulting provides services to help you maintain Medicare compliance to help you maintain the highest level of reimbursement. We have developed a variety of resources to provide clients with Medicare support services. Our qualified team of healthcare experts can assess your facility's specific Medicare needs.
Evaluation may include:
Medicare Certification Support – providing assistance in obtaining Medicare provider number, staff training and education throughout the certification process.
Medicare Part A & Part B Utilization Benchmarking
Nursing Audit & Training
Due to the vast changes in Medicare regulatory practices nurses today need more than just clinical experience. They need a full comprehensive expertise in systems management, regulatory practices and financial reimbursement while maintaining patient centered care.
Nursing Consulting Services can help you achieve:
MDS auditing for optimal and accurate reimbursement
Review for effective and efficient interdisciplinary communication delivery and documentation systems
Operational Services include:
Admissions and Discharge Development
Comprehensive Rehabilitation Audit
Onsite evaluation, auditing of your current in-house therapy program or contract provider.
Assessment components include:
• Full assessment of your rehabilitation program
• Communication & Interviews
- Identifying administration, therapist, MDS coordinators, billing and nursing communication channels
- Observation of treatment
- Evaluation of the available rehabilitation space, layout, equipment, and supplies
- Review of documentation policies and procedures
- Access EMR and provide utilization recommendations
- Quality assurance and Corporate Compliance review
- Assessment of therapy documentation
- Assessment of your staff's educational needs
- Evaluate staffing retention rates
- Review staffing ratios
- A complete financial review of the therapy program, its relationship to all payers, including Medicare,
and the managed care cost structure
- Financial analysis of current therapy operation including CMI, Med B and outpatient potential
- Financial analysis of rehabilitation strategic initiatives
- Comprehensive analysis of therapy contract if not in-house
- Restorative Nursing Program integration with Rehabilitation Analysis
- Review of therapy documentation and system to prevent claim denials
- Provide percentage or claim denials and process established
- Audit therapy program to ensure compliance with current regulation and practice acts with ICD coding accuracy
- Rehab Rug analysis
- CMI auditing and analysis
• Full report with recommendations provided to administration upon completion of assessment and substantiation of requirements as indicated by the needs of your organization
Our management team including reimbursement consultants will help you maximize reimbursement within regulations guidelines. This is accomplished by conducting a thorough review including financial analysis, accuracy of billing, timeliness of reimbursement, financial operating procedures, cost and charge structures, and compliance. Following our assessment, we will outline our findings, make recommendations to improve reimbursement, and assist in implementing any recommendations per your request.
Specialty Unit Development & Implementation
Assisting your community with identification and development of a specialty unit to include:
Short-Term Rehabilitation Unit Design
Gravity provides your community with a comprehensive plan for your short-term rehabilitation unit including:
Including pre-opening and grand opening.
Corporate Compliance Auditing / Quality Assurance
Total quality management services to assist you in monitoring or improving your compliance with Federal, State and local regulations.
Compliance Billing Management
Regulatory Educational Services: Our corporate compliance department is comprised of physicians, nurses and therapists with numerous certifications that provide ongoing educational resources to your community.
Human Resources, Auditing, and Training
Gravity Healthcare Consulting’s completion of a Mock Survey will empower your staff to approach the facility’s upcoming survey with confidence. We will help develop their healthcare IQ and professionalism through the identification of strengths and weaknesses of the processes in place at your facility.
Mock Surveys are beneficial for several reasons:
A Mock Survey also can reveal how staff will function under stressful circumstances.
Marketing Census Development
Public awareness and the projected image of your community and its rehabilitation program are critical to growth, referrals and community-wide recognition.
Our marketing services:
Compliance Billing Management
Our management system provides your facility with many benefits:
Regulatory Educational Services
Our corporate compliance department is comprised of physicians, nurses and therapists with numerous certifications that provide ongoing educational resources to your community.
Specialty CertificatION Training
Certifications are approved for a variety of continuing education credits, depending on the specialty.
Click here for current availabilities
Restorative Program Training & Implementation
Our comprehensive restorative training and support includes: onsite training, a trainer’s manual, video modules for ongoing training after implementation, a Restorative Manual with Policies and Procedures and audits of the Restorative program before and after implementation.
Melissa Sabo | Program Specialist