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Providing operations, compliance, billing, collections, and medical review consulting to DME,
Pharmacy, Sleep Labs, Home Health/Hospice, Physician Practices and Hospitals.
- Compliance/HIPAA/Due Diligence Audits
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o Review patient charts to ensure compliance with billing and regulatory requirements and exit with management to discuss any areas of weakness with a written report to follow
- o Review accounts receivable for accuracy, oddities, ability to collect
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- o Review any insurance payor audit requests prior to submission to ensure all documentation is included to reduce your risk of overpayments and
extrapolation refunds
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- Compliance Program Development and Training
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o Developing program development and training that meets OIG suggested guidance and will help you keep it implemented. ...
- Staff Assessment and Training
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o Evaluate staff knowledge level and provide training to improve efficiency and reduce errors
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- Investigations including audits, interviews, etc. in coordination with your attorney, if applicable
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o We will help you look into suspicions thoroughly and help you resolve them through direction of your counsel. ...
- Accounts Receivable Analysis for Improved Collections
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o Review reports as well as a sample of write offs for accuracy and potential recovery...
- o IT knowledge to check for system and transmission problems as well as communicate with software vendor...
- Regulatory Affairs Filings To Do Business (NPI, licensing, permits, DBA’s, Certificates of Authority, provider/supplier applications)
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o Handle all filings, follow-up and renewals
- Other Consulting Services Available:
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o Accreditation preparation for Hospitals, Home Health and Hospice, DME and Pharmacy
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o Human Resource Management to ensure compliance with federal and state regulatory on employment practices, setup policies and procedures
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o Operations evaluation assessing overall location for improved effiency and bottom-line profit
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o Practice Management and Quality of Care Review for physician practices to streamline process flow with practice management for better quality of care which will or can result in a bonus by several payors of approximately 1.5% of revenue for the year
- Annual Consulting Contracts
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o Available on a monthly basis customized for the client needs
- Government Subcontractor
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o Certified Small Woman Owned Business and registered for government contracting or subcontracting on government contracts for federal, state, or commercial contracts.
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o CCR# 557410169; Texas HUB#56409; Texas WBE#
WFWB38823N1009
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