Evaluating Medicare Reimbursement & Compliance
Medicare Reimbursement & Compliance
For skilled nursing and senior living communities, staying current with Medicare regulations and optimizing reimbursement can feel like a full-time job. Our service ensures you capture every allowable dollar, maintain strict regulatory compliance, and deliver the high-quality care residents expect—all without burdening your staff or risking penalties.
What We Do
Billing & Documentation Review
We examine your current claims, documentation, and coding practices to identify missed reimbursement opportunities and compliance risks.
Regulatory Alignment
Our team interprets the latest Medicare rules and explains them in practical terms, helping you adjust policies and procedures to meet the highest standards.
Staff Training & Support
We provide targeted guidance on accurate coding, assessment scheduling (like MDS for SNFs), and best practices to keep your team informed and confident.
Ongoing Monitoring
After the initial review, we set up regular check-ins to track improvements, address emerging issues, and ensure compliance remains a priority.
Common Challenges We Address
Under-Coded or Incorrectly Billed Services leading to lost revenue
Overwhelming Regulatory Changes causing confusion among clinical and admin staff
Survey Risks & Penalties from non-compliant documentation or billing methods
Inconsistent Staff Knowledge leading to coding errors and missed reimbursements
Why It Matters
By consistently meeting Medicare requirements and maximizing reimbursement, you protect your bottom line and reinforce your reputation for providing top-notch care. Ensuring accuracy and compliance also boosts staff morale by reducing errors, stress, and the threat of audit-related setbacks.
Ready to Strengthen Your Medicare Strategy?
Don’t let confusion or outdated practices hold your community back. We’ll help you fine-tune billing processes and compliance measures so you can focus on delivering the best possible experience for your residents.