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Long Term Care

Med-Rec Systems specializes in providing clinical and regulatory compliance services to long term care facilities with a focus on both the health care centers and residential facilities. Our experienced team of AHIMA credentialed health information consultants can identify documentation problems and offer solutions, assist with coding accuracy, determine potential Medicare reimbursement issues, promote health care privacy and security practices and educate facility staff.

HEALTH INFORMATION CONSULTATION SERVICES

  • On-going analysis and organization of the health information processes
  • Detailed reviews of the clinical records to assure accuracy, timeliness and consistency with emphasis placed on adherence to facility and corporate policies and procedures as well as State and Federal regulations
  • Assistance with resolution of documentation issues
  • Scanning and indexing guidance in the electronic health record
  • Areas of expertise and focused audits include:

MEDICARE AND MEDICAID REIMBURSEMENT

ICD-10-CM CODING

PDPM READINESS

MDS ACCURACY

ADMISSION, ON-GOING AND DISCHARGE

QUALITY ASSURANCE/QUALITY MEASURES

HIPAA COMPLIANCE

‚ÄčON-SITE STAFF TRAINING

  • ICD-10-CM coding
  • Confidentiality and HIPAA Compliance
  • Nursing documentation for admission, on-going and discharge
  • Medicare and Medicaid Documentation

‚ÄčINDEPENDENT REVIEW ORGANIZATION

  • Conduct independent review audits for companies under a Corporate Integrity Agreement 
  • Review of Medicare claims and related polices 

TEMPORARY CLINICAL RECORD SERVICES

  • ICD-10-CM coding
  • Clinical record auditing
  • Scanning and indexing
  • Thinning active records


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