Optimized Reimbursement in Long-Term Care: Yes, It's Still Essential

Optimized Reimbursement in Long-Term Care: Yes, It's Still Essential

Effective reimbursement processes are crucial for long-term care (LTC) organizations to maintain cash flow, compliance, and overall organizational stability. However, challenges such as staffing shortages and lower margins make optimizing reimbursement an elusive goal for many LTC owners and operators. Many organizations neglect to regularly review their reimbursement health, and when they do, the assessments are often conducted in-house by existing staff. This approach does not always provide the objectivity and impartiality necessary for accurate evaluation.

To ensure that reimbursement processes and compliance measures are robust and fully operational, LTC organizations should seek routine, expert consulting services. An independent, third-party reimbursement review can focus on critical areas such as coding accuracy, clinical documentation, and appropriate charge capture. This review helps identify trends and opportunities for improvement, enabling the development and implementation of better processes that staff can consistently follow. Additionally, the review can evaluate the organization's current technology to determine if it is the best fit for reimbursement needs and provide guidance on necessary training and education for the clinical team.

Partnering with a trusted, expert healthcare consultant for a reimbursement review is the most effective way to achieve reimbursement success.

Contact us at Microscope today for details on our highly successful Reimbursement Review Service. Explore our full range of expert consulting services:

Solutions/Services:

  • Financial Performance
  • Operational Performance
  • Reimbursement Performance
  • MDS Support Management
  • PDPM Technology Support Assistance
  • Healthcare Compliance
  • Healthcare Products and Services
  • Comprehensive Workforce Staffing
  • Cost Reporting
  • Emergency Preparedness
  • EMR Conversion Assistance for PointClickCare (PCC)
  • Survey Readiness Support

Contact our Long-term / Continuing Care Leader to schedule a brief call on how we can help your organization. 

Michael F. Masse, OTR/L - mmasse(at)microscopehc.com

Michael F. Masse, OTR/L.jpg

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