Management Consulting - Temecula, California, United States
Amison Consulting Services provides intensive chart review, workshops and 1:1 individualized training services to Skilled Nursing Facility Executives, Front-Line Managers, Nurses, Therapists and Non-Clinical Staff. We work with your staff to improve the documentation process and decrease overall Medicare pre-certification denial.According to Centers for Medicare and Medicaid (CMS), 69% of Skilled Nursing Facility (SNF) admission and continued stay denials in 2019 were due to incomplete or inaccurate clinical information. Essentially, these denials could have been avoided. This resulted in a projected underpayment of over $27.7 million to Skilled Nursing Facilities. An avoidable denial issued by a Medicare Advantage plan can cost a facility between $400-$600 per day, per avoidable denial. Not only is this a pain point for a SNF facility's bottom line, it can also become a serious concern for SNF patients and their families. While many consulting firms work with SNF facilities to address gaps in billing practices to increase accounts receivable, improve collection practices, provide staffing, and even streamline business office practices, but there are no consultants currently offering training to improve the clinical documentation and submission process. Collections, accounts receivable and billing practices are certainly valuable to Skilled Nursing Facilities when attempting to recoup losses on the back end; however, addressing practices that affect reimbursement on the front-end is equally, if not more important. Amison Consulting Services provides the training to close that gaps that result in avoidable denials.
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