Our Services

MDS Coding

We provide accurate and timely MDS coding to support optimal reimbursement and compliance.

• Documentation review and validation
• OBRA and PPS assessments
• ARD management and scheduling
• Section-specific coding support
• Care Area Assessments (CAA) guidance
• Ongoing education and feedback for facility staff

Case Management

We support case management across all payer sources to ensure appropriate utilization, authorization, and coverage.

• Medicare, Medicaid, and Managed Care (MLTC/HMO)
• Authorization management and follow-up
• Continued stay reviews
• Interdisciplinary coordination
• Documentation support for medical necessity

Risk Management

We provide comprehensive risk management services designed to strengthen resident safety, reduce recurrence of incidents, and support regulatory compliance.

• Review of all incidents and accidents within the facility
• Root cause analysis (RCA)
• Development of interventions to prevent recurrence
• Review of resident and staff statements
• Investigation summaries and final reports
• Assistance with reportable incidents and accidents
• Trend analysis and risk pattern identification

Audits

We conduct comprehensive audits across all payer sources to identify risks, improve accuracy, and protect reimbursement.

• Collection and organization of all supporting documentation requested by payer sources and regulatory auditors
• Clinical documentation audits
• Triple-check and billing validation
• Pre-bill and post-bill reviews
• Focused audits based on facility needs

Consulting

Virtual Assistant Services

We provide trained healthcare virtual assistants to support daily administrative and operational tasks, allowing your team to focus on resident care and high-value activities.

• Insurance verification and coordination support
• Data entry, reporting, and spreadsheet management
• Admissions tracking and census management
• General administrative support for nursing and leadership teams