Polaris Group
Consulting Services & Solutions
Patient-Driven Payment Model (PDPM) Readiness Services
Medicare Consulting
   - Medicare Support Services
   - Certification Support
   - Utilization Benchmarking
Nursing Consulting
Therapy Consulting
Financial Consulting
OBRA Mock Survey
Medicare Billing Services
Apollo RM: Risk Management
RAC Audit
Interim MDS
Permanent Recruitment Services
Interim Placement Services
Cost Report Services
False Claim Risk Assessment
Corporate Compliance Consulting
Independent Review Organization (IRO)
Assisted Living Facility Consulting
Additional Services
Call us at 1-800-275-6252
Medicare Support Services
Comprehensive Medicare Operations Assessment. The Polaris Group's Comprehensive Medicare Operations Assessment provides you with a tool to evaluate key systems organization-wide that could impact Medicare compliance and related revenue. Polaris Group consultants will evaluate your systems related to nursing, MDS, case management, therapy, billing, and ancillary vendor contracts; identify opportunities to improve revenue, decrease cost, and reduce compliance risk for denials; and provide employee training and resource manuals.
   Nursing Systems Review
  Unplanned Hospital Admissions Review
  Therapy Program Review
  Billing Practices Review
  Ancillary Vendor Performance Review
Nursing Systems Review
  • MDS accuracy check to RUG items
  • Compliance with Medicare rules related to MDS timing, reason for assessment, use of grace days and OMRAs
  • MDS management to obtain accurate RUG reimbursement
  • Compliance with Medicare eligibility and continued stay requirements
  • Compliance with physician certification and notification of non-coverage requirements
  • Audit the quality and consistency of skilled nursing documentation to support a continued stay
  • Communication and case management systems with therapy and billing
  • Restorative nursing services support of Part A and B
  • Quality assurance activities related to requirements

Unplanned Hospital Admissions Review

Length of Stay and Unnecessary Hospital Admissions:
Provide analysis  of discharges to hospitals within 30 days of admission; identify strategies to increase LOS and unnecessary re-admissions; training for nursing staff is included.

Polaris Group will provide on-site assistance with identifying unplanned hospital re-admissions by:

  • Providing analysis of root cause for transfers back to hospital within 30 days
  • Identifying preventable causes/transfers and create strategic solutions
  • Training nurses to communicate effectively with physicians
  • Improve pre-admission screening process
  • Provide tools to assist with communication and tracking

On-site in-services to staff include:

  • Impact on your LOS
  • Scope of problem
  • Why re-admissions occur
  • Strategies to prevent
  • How to manage change in condition
Therapy Program Review
  • Therapy documentation to support skilled service
  • Therapy compliance with Medicare requirements
  • Therapy productivity
  • Therapy minute management to achieve accurate RUGs
  • Communication and case management systems with nursing
  • Part B services and utilization
Billing Practices Review
  • Billing office operations assessment
  • UB04 accuracy audit
  • Compliance with Medicare regulations
  • ADR and denials management procedures
  • Part B billing
  • Accounts receivable and payable
Ancillary Vendor Performance and Review
  • Vendor contract review
  • Evaluate price strategies and contract terms with primary focus on pharmacy, therapy, laboratory, radiology, medical supplies/DME, respiratory, therapy and ambulance services
  • Audits of vendor compliance with service timeliness, invoicing accuracy, and documented medical necessity to reduce risk of cost overruns in ancillary services
  • Review cost containment strategies
More Medicare services...
  Medicare Billing Services
  Medicare Certification Support
  Medicare Part A & Part B Utilization Benchmarking
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