Optimize internal operations to enhance compliance and streamline processes.

Compliance audits serve as an integral part of a healthcare organization’s operations and facilitate addressing critical business risk areas and compliance issues. With our proactive audits, you’ll develop wide range of communication and decision-making throughout your organization to help avoid and uncover potential risks & challenges in the future. We position your organization to actively respond to the ever-changing healthcare regulatory environment.

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The McBee Advantage

Whether clinical or financial, our systematic, disciplined approach to achieving internal compliance is tailored to your specific goals. With our various audits and mock surveys, we identify potential pitfalls and make detailed recommendations to optimize your current compliance plan or implement a new one. We prepare you for regulatory changes and reduce the risk of receiving future audits. Paired with our compliance education sessions, our internal audits increase staff confidence and knowledge to ensure organizational and regulatory risk is mitigated. Our team can assist with:

  • Mock surveys to identify gap and risk assessment

  • Quantitative audits to provide feedback on regulatory practices to show compliance

  • Audit reviews & comprehensive findings of OIG requirements

  • Conduct billing and reimbursement reviews that prepare organizations compliance with regulatory changes and updates

  • Full coding/clinical IRF chart audits to ensure documentation meets technical and medical necessity compliance

  • Pre-admission screen audits to build a strong foundation for an IRF admission

  • Customized four-digit CMG audits relative to reimbursement and outcomes

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WHITEPAPER

Medicare’s Transfer DRG Policy:
How Hospitals Uphold Compliance and Recommendations to Get Paid Correctly

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