ZHealthcare’s dynamic clinical consulting team will ensure that your facility receives the reimbursement to which it is entitled, and that the revenue is protected from audit by appropriate documentation. Our reimbursement services include:

  • Medicare and Medicaid reimbursement training and support
  • MDS training and auditing
  • Case-mix enhancement
  • Policy & procedure development & process improvement
  • Denials management and claim appeals including FI, Medicaid, RAC and others
  • CAA/Care Plan training programs
  • Corrective action plans
  • Documentation assessment and improvement
  • ADL scoring improvement
  • New MDS nurse training/support
  • MDS Staffing Analysis
  • Utilization Review Support
  • Quality Measures & 5-Star Rating

The innovative CMI Now tool, developed by PointRight in conjunction with ZHealthcare helps facilities in New York and New Jersey effectively manage their Medicaid Case Mix and associated reimbursement — in real-time.