The billing process is complex, and with each new regulation, it becomes more complicated, making it harder for your billing staff to keep current. As a result, your nursing facility may be missing out on billing and collection of revenue to which the facility is legally entitled. Complete HealthCare Resources can assist your facility through the following services:

• Ancillary Services Review

  Review for billing errors through a sampling and comparison of ancillary services billings from outside vendors to the associated contract and logs and through the entire billing process. Common billings errors will be reviewed with the billing department and recommendations will be made to correct deficient practices.

• Reimbursement Assessment

  Review of the billing process and its relationship to Medicare and Medicaid guidelines will be conducted. An audit of the submitted billing form for appropriate billing items for Medicare and appropriate documentation is completed. A written report with any findings together with recommendations will be issued.

• Case Mix Process

  Review of the MDS to determine areas where improved documentation could result in improved reimbursement by Medicare or Medicaid. Recommendations on any findings will be provided. If requested, training of staff can be provided.

• Collections Process Assessment

  A review of the entire collection process will be conducted, as well a review of the initial admissions process. The Accounts Receivable Aging will be examined and key statistics will be calculated and compared to industry standards.