Services
MDS Consulting Package
We'll conduct a comprehensive review of your MDS Systems- from MDS scheduling to completion to MDS data Integrity. Compliance in these areas has financial benefits and improved resident care and outcomes.
- Education and Training the MDS Coordinator.
- Advanced MDS training topics such as: Improving CMI, Quality Measures, CAA and Care Planning Processes, and Clinical Meetings.
- Nursing and Therapy Skilled Documentation Training and Restorative Nursing Program Education.
- MDS Systems Development and change management for Interdisciplinary Team.
Medicaid Payment System Review Services
For facilities in states that have Medicaid payment systems based on MDS data, we will help prepare your team to withstand any audit. Documentation to support the services provided in a manner that meets your state requirements is critical and will be the focus of our expert training and education.
- Identification of any patterns or trends in resident assessments that could result in inaccurate case mix scores.
- Education on maximizing capture and documentation of provided services to ensure appropriate Medicaid reimbursement.
Medicare Part A Audit Services
Centers for Medicare & Medicaid Services (CMS) evaluates and reviews the services provided by skilled nursing facilities (SNFs) that participate in the Medicare program. These audits are conducted through CMS or a contracted CMS third party. From corporate compliance initiatives to government payer audits, our MDS experts can evaluate your risk levels associated with billing practices and medical record support. The outcomes of these reviews can provide valuable information to guide future training and education of your team members, with the goal of reducing risk.
- Provide expert reviews of medical records for residents with multiple diagnoses to ensure the required supporting documentation is present.
- Medicare Program Compliance Audits and Contract or in-house therapy medical necessity audit services.
Patient Driven Payment Model Services
The Patient-Driven Payment Model (PDPM) for traditional Medicare A residents is a complex reimbursement model that must be fully understood to ensure your facility is being paid for the care they are giving. We will help ensure your team has the knowledge level and tools to be successful.
- Assist your team in coding accurately to ensure proper Medicare Reimbursement.
- PDPM validation audits, supportive documentation, and clinical reimbursement improvement consulting.
- Triple Check process analysis and implementation.
Quality Measure Services
At CSJ MDS Resource Group we will evaluate, educate, and help create a plan of success in all CMS quality initiative programs.
Since QMs are associated with survey activity, Five Star calculation, QRP, VBP, Care Compare for consumers and referral sources, and reimbursement, your team must know and understand each QM’s methodology, and our experts can help get you there.
- Review and aid your facility to improve its quality measures up to state and national averages.
- A full evaluation of healthcare process, outcomes, and measures with full CASPER analysis.
Custom Engagement Package
Different healthcare organizations have different needs. Our comprehensive plan addresses each client’s unique operational, financial, and clinical challenges.
Restorative Nursing Enhancement
CSJ MDS Resource Group can play a crucial role in helping to improve or implement and maintain your restorative nursing program by offering the following support:
1. Assess
current restorative nursing program, including staff skills, equipment, documentation, and resident outcomes for improvement.
2. Recommend and plan
program enhancements based on assessment, with specific goals, measurable outcomes, and strategies.
3. Provide staff training and education sessions
4. Implement
quality assurance measures through regular audits and evaluations to maintain program standards.
5. Optimize
resource allocation, equipment, and ethical revenue enhancement to increase program efficiency and revenue potential.
6. Guide Staff
in accurate and comprehensive resident progress documentation and compliance with regulations.
7. Establish
ongoing outcome monitoring systems for resident progress and program adjustments.
8. Ensure
compliance with changing regulations and RAI guidelines for restorative nursing programs.
In summary, CSJ MDS Resource Group can be a valuable resource when you are seeking to enhance their restorative nursing programs. Our expertise in nursing, healthcare regulations, and program development can lead to improved resident outcomes, increased staff competence, and a more effective and efficient program overall.