Reimbursement Maximization

Reimbursement Maximization

When you are passionate for quality care and commit to knowledge of regulations, your customers will be successful.

Through continuous education of our managers, or facility rehabilitation coordinators (FRCs), and fostering the clinical growth of our clinicians, an increase of quality therapy programs is realized in each customer’s facility. This leads to not only better outcomes for the long-term care residents and short-term rehab-to-home patients, but an increase in reimbursement for our customers to continue to provide and enhance their service delivery. With quality clinical skills, knowledge of coverage details and monitoring of compliance, we can assure you that claims are legitimate and will be reimbursed.

Clinical skills = increased programs
Knowledge = maximization and capturing of what is being delivered
Compliance = accuracy of claims

Aspen Therapy utilizes a three-branched approach to reimbursement maximization.

1. Ownership in the success of each facility we service

We pride ourselves in being the best at what we do. We understand that in order to achieve that, we must go beyond traditional contract therapy services and become an extension of each facility. This means knowing more about the Minimum Data Set (MDS) than just how to complete Section O. This means knowing more about billing than just if our invoice is complete. This means knowing more about case mix than if we have a resident in a Rehab Resource Utilization Group (RUG). For our corporate team, it means being involved—being present, knowledgeable, accessible and proactive; knowing the residents and patients our therapists are treating; and knowing the facility staff.

We are successful in maximizing our customers’ reimbursement by our:

  • Formal case mix management
  • Set procedures for monitoring
  • Consistent review of key indicators
  • Knowledge of the regulations
  • Variety of skill sets
  • Attention to detail
  • Growth of clinicians
  • Development of FRCs   
  • Coordination of care
  • Benchmarking to peer group
  • Passion for intervention
  • Continued monitoring for compliance
  • Thorough use of software systems
  • Complementary teams
  • Involvement of the regional director                                    

2. Confidence in our clinicians

  • Ongoing development of programs and training for a variety of skill sets ensures that every resident in need of intervention will be properly serviced
  • Continued monitoring of quality intervention ensures appropriate RUG utilization and length of stay
  • Constant support ensures claim integrity, including internal quality assurance systems

3. Fortitude of our facility rehab coordinators (FRCs)

  • The knowledge base of our FRCs is unparalleled. In addition to experience and longevity, these individuals demonstrate ongoing enhancement of their skill sets, which is evidenced by their completion of quizzes and competencies         
  • Ongoing education and training with our FRCs equates to successful capturing of our services to optimize reimbursement for our customers
  • Knowledge and resources invested in our FRCs equates to improved support for customers’ MDS and Registered Nurse Assessment Coordinators (RNACs). As a result of this collaboration, you will realize increased accuracy of the MDS and optimized assessment reference date (ARD) selection. Through better coordination of care and communication, enhancement of case mix is achieved

Are you looking for contract physical, occupational and speech therapy services for skilled nursing facility, continuing care retirement community, or home health and outpatient settings? Contact Aspen Therapy at 440-423-0381 or fill out our contact form below.

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