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FINANCIAL SERVICES
Two of our firm’s partners served as Manager of Audit & Reimbursement for Medicare Fiscal Intermediaries. They lead a skilled financial team highly experienced in the diverse healthcare business environment. We offer a wide selection of financial products to help your organization manage and succeed in the competitive world of “fixed payment systems” and cost containment.
 Revenue cycle management
Cost report preparation, adjustment and appeals
Advisory services: change of ownership analysis and “due diligence” reviews
Financial forecasting/budgeting/modeling
Rate analysis and appeals
Ancillary contract management
Patient / pay class costing
Business office training
Managed care contract analysis, rate setting, and infrastructure development
Part B billing services / recoupment |
BILLING and COLLECTION SERVICES
Ancillary Billing Services, LLC, a ZHealthcare related company, specializes in securing lost reimbursement related to medical supplies and services.
Retroactive identification, billing and collection of reimbursable supplies
Development and implementation of tracking systems
Protocol development
Collection of outstanding receivables
DMERC program management |
CLINICAL CONSULTING
Sheryl Rosenfield, RN,C, formerly of the CMS SNF “Technical Expert Panel” and DAVE project, leads a dynamic clinical consulting team that includes former Fiscal Intermediary nurse auditors, Federal / State trainers and surveyors.
Medicare and Medicaid reimbursement training and support
Case-mix enhancement
Assessment (MDS, OASIS) training and auditing
Mock surveys utilizing Quality Indicators
Quality Assurance programs
Policy & Procedure development
Patient case appeals
RAP/Care Plan training programs
Survey resolution and Corrective Action Plans
Documentation assessment and fortification |
THERAPY SERVICES
ZHealthcare provides creative solutions for post-acute rehabilitation department management.
Transition management
Cost/revenue analysis
Productivity and efficiency standards
Restorative nursing implementation
Program development
Comprehensive auditing training programs |
OPERATIONAL SUPPORT
Our highly specialized services assist in the day-to-day tasks associated with the heavily regulated healthcare industry.
Scalable management programs
Performance benchmarking
“Hotline” services
Staffing efficiency analysis
Strategic planning, market assessments and feasibility studies
New program development and implementation
Consolidated billing management
Regulatory risk assessment, corporate and HIPAA compliance programs
Crisis management
Litigation support
The Reimbursement Advisor newsletter |
COMPREHENSIVE SURVEY SUPPORT
We have teamed with Howard Fensterman, Esq. and Patrick Formato, Esq. of the law firm of Abrams, Fensterman, Fensterman, Flowers, Greenberg & Eisman, LLP and Ruth West, RN (formerly of Greater New York Healthcare Facilities Association) to form the Healthcare Compliance Group, LLC (“HCG”).
HCG has assembled a premier nurse consulting team to provide the following services to skilled nursing facilities:
Mock Surveys (following the same format as respective state enforcement agencies)
Immediate Jeopardy assistance
Quality Assurance / Risk Management programs
Plan of Correction
Environmental tours
Onsite in-service education
Most excitingly, HCG is working with major liability insurers to develop a risk management program to secure premium reductions for our client facilities that use our approved program for semi-annual mock surveys and training. This program demonstrates a SNF’s commitment to quality improvement.
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SEMINARS and TRAINING
ZHealthcare presents public and private “continuing education” seminars throughout the Country. Call or visit us online for the current schedule. |
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