Audit Services: A comprehensive review of your MDS and supporting processes to uncover risk and opportunity:

• PDPM Review
• Missed reimbursement opportunities
• Identification of potential “take backs”
• Targeted areas for improvement
• MDS Coding Accuracy Review
• Compliance Review
• Beneficiary notices
• Physician certifications
• Documentation Review
• Therapy Review for Medical Necessity
• Medicare Coverage Validation (medically reasonable & necessary)
• Managed Care Review
• Documentation integrity
• Contract terms vs. level of care assignment

Support Services: Ongoing, practical support to strengthen operations and reduce administrative burden:

• Monthly Pre-Bill Reviews
• ADR (Additional Documentation Request) Support
• Managed Care Concurrent Reviews
• Appeals Support (QIO & ALJ)
• MDS Completion Assistance
• Training for New MDS Nurses
• Process Improvement & Workflow Optimization

Education Services: Empowering your team with the knowledge to sustain compliance and performance:

• Managed Care Best Practices
• Appeals Training (QIO & ALJ)
• Targeted Education Based on Audit Findings

Why It Matters

Inaccurate or incomplete MDS processes can lead to lost revenue, compliance risk, and operational inefficiencies. Our approach is hands-on, tailored, and designed to deliver measurable improvements—without a one-size-fits-all methodology.

Let’s Strengthen Your MDS Process

Whether you need a focused audit, ongoing support, or team training, we’ll meet you where you are and help you move forward with confidence.

Our Team Experience

Microscope has formed a team of experts that bring experience in an array of areas including operations, strategic planning, long-term care, finance, information technology, clinical processes, compliance, human resources and more.

Schedule a conversation today to identify opportunities and protect your reimbursement.