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Our compliance team of qualified, US-based, licensed RN, and certified consultants will be able to assist you with navigating this onslaught of change coming with OASIS-E, additional ICD-10 codes, and Home Health Value-Based Purchasing (HHVBP) payment model to all 50 states. The year 2023 will bring many changes to our industry that will not necessarily make our lives any easier, but there’s no need to worry, knowing that our team of experts will help you every step of the way. ICD-10 coding set changes are extensive for October 1, 2022, along with OASIS E data set collection becoming effective January 1, 2023, including the effective date for the expansion of the Home Health Value-Based Purchasing (HHVBP) payment model to all 50 states coming January 1, 2023. Thus, your agency needs to be prepared for all these changes – LKN Strategies is here to provide assistance and make the transition easier for your agency.
We have designed a variety of service packages and rates that can be tailored to fit the specific needs of your agency:
LKN Strategies can assist your agency through the ADR process and the redetermination and reconsideration levels of appeals to ensure a timely and effective response at each of these crucial Pre-ALJ stages. Our ADR and Medicare Appeals Services assist by ensuring that all supporting clinical documentation submitted is correct, complete, and concise with initial submission to the MAC or oversight contractor. This service includes a written clinical summary to support homebound and medically necessary services at redetermination and an argumentative rebuttal brief for unfavorable determinations that appeal to the 1st and 2nd level of the CMS appeals process.
Our knowledgeable staff can assist you through:
LKN Strategies provides Pre-claim Review (PCR) audits to ensure clinical and billing compliance with Medicare regulations is met prior to claim submission. This is a pre-bill service that provides a meticulous review of all clinical documentation that is present in the medical record to support the 30-day claim period. This review always includes FTF encounter compliance and all service assessments, evaluations, daily notes, communication notes, and miscellaneous items like physician follow-up encounters, labs, etc. It includes a comparison of the medical record documentation to the UB-04 claim to ensure the claim is accurate and supported.
This service assists the agency in:
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LKN STRATEGIES is a healthcare consulting, medical billing, revenue cycle and business management firm with over 20 years of industry experience.