Consulting.  Solutions.  Results.

Our programs are catered to the unique needs of each client we serve and are
designed to evolve along with the growth of your facility.

Medicare Consulting

Training

  • We will conduct in-depth training of all staff on the importance of getting Medicare eligible residents into the facility. Stein & Associates will cover vital areas often overlooked by most staff people.

Site Visits

  • We will spend time in your facilities on a monthly basis. We find it difficult to manage a program from an office far from the problems on the floor of each facility. There are no limits to site visits or the amount of time our consultants will spend in your facilities. Different consultants can be brought in for different needs. Upon exiting a site visit, a report will be sent to the Administrator with recommendations to correct any areas of concern. Progress on those corrections will be reviewed on each subsequent visit.

UR Review & Oversight

  • We will provide a weekly UR log to aid in tracking all Medicare residents from admission to discharge. This tool gathers and centralizes information across all departments and keeps a running track of each resident. Your staff will be trained on how to use the tool. We will review every Medicare resident once per week to verify that we are maximizing the stay along with billable diagnosis codes.

Documentation In-Service

  • We also conduct many other in-services on topics like documentation and coding. These will be held as deemed necessary by the facility and consultant.

Medicare Chart Audits

  • Our team of consultants will perform routine chart audits on your Medicare residents to ensure that proper documentation exists, care plans are accurate, and appropriate supporting documentation justifies the RUG you are billing.

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Facility Management

Accounts Payable/ Accounts Receivable

  • Maintain Current records on all residents to ensure receivables are current and collected in a timely manner.
  • Work closely with all vendors on terms and pricing.

Billing

  • Complete all Medicaid, Medicare, Private Pay, and Third Party billing in a timely fashion.
  • Thoroughly train all office personnel and provide oversight and management of day-to-day operations.

Payroll

  • Manage all payroll and withholding functions as well as benefit control and oversight.

Nursing Services

  • Corporate nurses will continually monitor the quality of care in the facility through systematic programs and scheduled chart audits.

Case Management

  • Our trained professionals will oversee the total case load and help facility staff manage the care in order to provide maximum outcomes and minimal staff turnover where possible.
  • We will closely monitor reimbursement in order to maximize each outcome while emphasizing the highest level of care possible.

Quality Assurance & Survey Preparedness

  • Your facility will be monitored to ensure that it consistently operates within the guidelines of all state and federal regulations.

MDS Process Oversight

  • Our team of specialized consultants will work with the nursing staff to ensure that all assessments are completed timely and error free.
  • Random chart audits will be performed to verify that all care issues are addressed on the MDS and Care Plan.

Staffing & Scheduling

  • We will operate your facility under a strict PPD budget to ensure that staffing is always adequate while maintaining cost control.
  • Random chart audits will be performed to verify that all care issues are addressed on the MDS and Care Plan.

Marketing

  • Assistance with efforts to effectively market the facility to the local community and referral sources.

Environmental & Physical Plant

  • Our consultants will conduct periodic rounds to verify that the physical plant is always properly maintained to promote a “homelike environment”.

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Billing & Cost Reports

Billing Services

  • Stein and Associates will essentially become your facility’s billing department. Our experienced billing staff will coordinate with the nursing home staff to perform accurate and timely billing of your Medicare Part A and Part B claims. Our staff will develop a communication system that tracks available days, charges, costs, co-insurance information, ICD9 codes and assessment reference dates for your residents. We will also compile your Medicare billing logs as well as a monthly Medicare profitability report detailing your profit or loss from each resident. By utilizing this report, the facility can identify positive or negative trends that may require some additional attention. We will also track the facility’s receivables due from the intermediary and co-insurance.

Cost Reports

  • Stein and Associates has Certified Public Accountants on our staff who are able to complete your facility’s Medicare and Medicaid cost reports with timeliness and accuracy. We will review your general ledger account classifications for proper coding in order to maximize reimbursement in states with a cost based reimbursement system. We will also review your receivables to determine if all allowable bad debt has been captured for the Medicare cost report.

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Seminars & Training

Medicare Made Easy: Part I

  • A comprehensive overview of the current Medicare program rules and regulations. Also comes with detailed forms and process guidelines to help streamline and maximize reimbursement.

Medicare Made Easy: Part II

  • A detailed workshop that covers the common pitfalls of denials, reviews, and rejected claims. Also comes with a step-by-step tip and hint section that helps speed up you eom billing and procedures.

Nursing Documentation

  • If it is not written down, it did not happen. You have heard the phrase and may have felt the scrutiny of an ADR. Documentation is your only link to substantiate the services your facility provides. If the documentation is not good, reimbursement will suffer, and your denials will hardly ever be overturned.

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Medicare Colsulting Facility Management Billing and Cost Reports

Medicare Consulting

Facility Management

Billing & Cost Reports

At Stein and Associates, we realize how important it is that your facility remains in compliance with all Medicare regulations. It is also critical that your facility maximizes reimbursement under the parameters of the Medicare Program. Our goal is to not only manage your Medicare Program, but to help you grow your business through consultations.

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Stein and Associates offers a Turnkey management program which is designed to effectively manage all aspects of the daily operations of a long term care facility. Our staff will monitor the operational, financial, and clinical aspects of the facility and report directly to ownership.

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Our team of professionals has in-depth experience with billing in the long-term care arena. Our experience allows us to apply knowledge gained from various projects to form an efficient and effective solution to your problems.

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Medicare Colsulting

Seminars & Training

Stein and Associates provides extensive group training and smaller in-service programs in many areas of long-term healthcare. Many of our seminars are approved for CEU credit hours for various disciplines of your team. We periodically schedule seminars throughout the region in an effort to educate and offer up to the minute information for long term care providers.

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