Documentation Compliance Audit (LTACHs)

Objectives

• Help resolve discrepancies between care rendered and care recorded using careful documentation review

• Ensure that documentation proves medical necessity

• Ensure documentation supports the CARE data set

• Identify opportunities to improve documentation and coding to support an LTACH admission, medical necessity, and compliance with CMS quality reporting

• Educate your staff and physicians

• Develop procedures that support these goals over time

Process

• Analyze LTRAX reports and historical data related to CARE data set completion, timeliness, and pressure ulcer data

• Review the assessment, documentation, and data entry process for the CARE data set

• Assess documentation to determine strengths and identify missed opportunities related to medical necessity, coding, and CARE data set items

Deliverables

• Data analysis with industry comparisons and trends

• Documentation, billing, and CARE data set assessment with a detailed report including recommendations for improvement

What other programs does Fleming-AOD Consulting offer? »

Contact us to learn how our expertise can benefit your organization