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Our Services

MDS & Medicare PPS

In 1997, Hansen Hunter & Co. added Clinical Consulting to the services we provide to our long-term care clients. This was in response to the direction we saw the industry moving in terms of Medicare PPS and Medicaid Case-Mix reimbursement systems. Our RNs spend most of their time on-site at our clients’ facilities reviewing and evaluating systems and teaching PPS/MDS to care teams, managers, administrators and physicians.

SERVICES OUR CLINICAL STAFF PROVIDE:

PPS/CASE-MIX AUDITING:

  • MDS/PPS/RUGs
  • Clinical records
  • UB04s/Billing
  • PPS process
  • Medicaid case-mix default analysis
  • Therapy services
  • Documentation
  • Analysis of findings
  • Recommendations

EDUCATION:

  • MDS completion
  • Understanding the answers
  • PPS process
  • Quality Indicators
  • Documentation
  • Medicaid case-mix and PPS reimbursement significance
  • Systems to enhance efficiency
  • Compliance issues and programs
  • Education of staff, vendors, resident families
  • Monthly webinars

MOCK SURVEYS:

  • “Friendly surveys” using current CMS surveyor guidelines
  • Evaluation and recommendations
  • Further education

Our objective is to assist clients in understanding, completing and documenting the patient assessment instrument correctly in order to obtain the appropriate reimbursement under Medicare PPS and Medicaid case-mix.

Please contact Jeff Moore at our office (800) 547-3159 for more information.