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.

Included in the services provided by our clinical staff are the following:

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

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 .(JavaScript must be enabled to view this email address) at our office (800) 547-3159 for more information.