Navigating the world of health care reform can be difficult for many post-acute care providers in long term care. Poor care collaboration between nursing and therapy, lack of communication, ineffective processes and lack of education can put providers at risk for survey tags and medical review risk. Now more than ever, you need trusted partners who are looking out for your best interests.

Your Documentation is Only as Good as Your Treatment.

Clinical documentation is a reflection of the skilled services provided. HTS focuses on core assessment and treatment standards that are fundamental to demonstrating rehab medical necessity. Quality care standards are advanced by hardwired compliance oversight processes including 3rd party audits.

Did You Know?

When clients are surveyed on why they partner with HTS, the #1 response is that we are an ethical provider who is focused on quality. Through careful monitoring and expert program oversight, we are focused on providing outcome-driven rehabilitation to drive quality while reducing medical review risk.

Medical review is a reality. HTS is committed to ethical practice and confidently stands with partners through payer audits. In fact, HTS manages the cumbersome ADR and Appeals process and maintains less than a 2% recoupment rate under medical review.

Compliance and Denials Management Support

  • Compliance
  • Medical Review

Medical Review? Let us take it from here.

In order to best support our clients, HTS utilizes a 3rd party, independent auditing team that assists in not only medical review but also to clean-up Medicare processes and facilitate best practice approaches for an optimal SNF experience for staff and patients. With a 97% success rate at the ALJ level and less than a 3% error rate company wide. HTS is fully invested with education on an on-going and on-demand basis. Our commitment is to excellence.

You can count on us for services that yield results as proven by our 6-prong approach:

• Established compliance program based on the standard 7 compliance elements

• Complete management of medical review requests (ADRs)

• Expert representation for appeals including ALJ hearings

• Targeted documentation training focused on areas of high risk medical review

• Audits performed on 14 documentation measures that define medical necessity and support for reimbursement

• Specific risk assessment including PEPPER Analysis

• Rehab RUG support and compliance systems

  • The consulting team consists of certified MDS/RAI Coordinators, health facility administrator experts, former corporate level clinical nurse specialists, therapy operations directors, physical therapists, occupational therapists, speech-language pathologists, and compliance officers.

Does Your Medicare Compliance Make the Grade?