Inpatient Rehab & Psych PPS

Incorrect coding under the prospective payment system (PPS) for inpatient rehabilitation and psychiatric programs can have a significant negative effect on your facility’s reimbursement. BKD National Health Care Group helps hundreds of facilities nationwide bill for the payments to which they are entitled. We also help our clients’ coders, PPS coordinators and physicians understand the operational, billing and coding issues related to inpatient rehab and psych PPS. Our solutions for inpatient rehab and psych PPS include:

Inpatient Psychiatric Facilities

Operational Analysis

  • Assess current coding process and quality of medical staff documentation
  • Review inpatient charts for quality of clinical documentation related to coding
  • Compare DRG assignment to medical record documentation
  • Identify documentation opportunities related to diagnosis and procedure code assignment
  • Review the ICD-9-CM code(s) assigned to the chart
  • Review secondary diagnosis (co-morbidity) code assignments

Financial Analysis

  • Assess the provider’s current financial performance as it relates to Medicare reimbursement
  • Estimate the financial impact of known changes in Medicare
  • Review Medicare cost report for opportunities and refinements

Inpatient Rehabilitation Facilities

Operational Analysis

  • Assess staffing needs, productivity and cost effectiveness
  • Assess market penetration
  • Review data collection process
  • Conduct benchmarking

Financial Analysis

  • Review patient assessment instrument for submission timeliness and proper code assignments
  • Identify documentation issues affecting CMG assignment
  • Identify coding issues affecting CMG and co-morbidity tier assignments
  • Train physicians, coders and PPS coordinators
  • Benchmark co-morbidity tier and case mix index
  • Confirm compliance with 75% rule

Jordan Valley Community Health Center

“I have used BKD at two different facilities for a full range of financial services. Their professionals have provided us with audit, tax, coding and billing and cost report services and have assisted us in operations management and revenue enhancement. Routinely, implementation of their recommendations had a positive influence on the financial outcomes of our programs.”

— Brooks Miller, Executive Director
Jordan Valley Community Health Center
Springfield, Missouri

Excell Home Care

“The people at BKD are a great asset. Our advisor is easy to work with and very knowledgeable. He is accessible and takes the time to teach and advise, showing he really cares about our business.”

— Mina Acquaye, Chief Executive Officer
Excell Home Care
Oklahoma City, Oklahoma

Catholic Health Partners

“Catholic Health Partners is an important client—that’s the clear message I get from BKD. From partner interaction to the hands-on involvement and accessibility of senior-level and other personnel, theirs is an adept team effort that works very well. They are highly responsive to our needs. I also appreciate the wide range of BKD services I can use for more complex business issues.”

— Scott D. Schitter, CPA, Corporate Director of Reimbursement & Tax Services
Catholic Health Partners
Cincinnati, Ohio

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