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What you should know about Prospective Payment Systems
Losing $$ because of RUG 53 Errors?
Many skilled nursing facilities and swingbed units are missing valuable reimbursement opportunities by not understanding or properly using the new Medicare Part A RUG 53 payment system. Is yours one of them?

Learn more about a free analysis from BKD Health Care Group to help skilled nursing facilities and swingbed units evaluate their RUG 53 payment system and identify potential improvements. More »»

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Request a call from a BKD advisor Payer reforms, regulatory compliance issues, rising costs, ever-changing technology, shifts in demand and industry dynamics place enormous financial and management pressures on health care providers.

BKD Health Care Group can help. For example, we combine a comprehensive knowledge of Medicare, Medicaid and other third-party reimbursement and health care consulting with practical experience in developing and implementing strategies for your success.

Our work with thousands of health care providers speaks for itself. We encourage you to talk to our clients and learn how we’ve helped take them beyond their numbers through some of the solutions described below.

Read more about our health care solutions in our
Health Care Brochure.

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For information about BKD Health Care Group's informative one-hour webcasts, to register for an upcoming presentation, or to view an archived webcast, see our webcast page.

Assurance, Reimbursement & Finance

  • Provide audits, reviews and compilations in accordance with industry standards
  • Explore reimbursement alternatives while preparing interim and year-end cost reports
  • Evaluate special designations and other payment exceptions
  • Evaluate the benefits of adding new products and services
  • Evaluate reimbursement changes created by new laws and regulations
  • Assist organizations in addressing and evaluating compliance with ever-changing regulations

Prospective Payment Systems

Revenue & Performance Management

  • Streamline the revenue cycle process
  • Improve documentation and billing realization
  • Identify compliance and revenue improvement opportunities through reviews of charge description masters, APC coding and billing, DRG assignments and concurrent coding
  • Identify and implement strategies to decrease accounts receivables and improve collections
  • Perform managed care payment audits
  • Provide billing assistance and outsourcing for long-term care, home health and hospice organizations
Our Clients
Our Advisors
  • Auditors, internal auditors & SOX 404 consultants
  • Reimbursement advisors
  • Former fiscal intermediary professionals
  • Former hospital & nursing home executives
  • Nurses & case management specialists
  • Physician practice managers
  • Operations consultants
  • Revenue cycle improvement advisors
  • Coding & billing consultants
  • Tax advisors
  • Litigation & support professionals
  • Forensic consultants
  • Strategic planners
  • Information technology professionals

Operations & Clinical Consulting

  • Improve operational profitability and performance
  • Provide clinical training on documentation and case mix issues
  • Provide staffing benchmarks
  • Evaluate operational contracts
  • Evaluate performance of managed care arrangements
  • Provide Medicare skilled nursing management system training
  • Evaluate human resource and employee benefit programs

Forecasts & Strategic Planning

  • Prepare prospective financial statements
  • Analyze capital financing alternatives such as traditional bonds, HUD, USDA or other financing
  • Assist with operating and capital budgets
  • Organize and facilitate leadership retreats
  • Prepare strategic business plans
  • Identify clinical service growth priorities
  • Prepare debt capacity studies
  • Plan and structure transactions to strategically manage tax obligations
  • Obtain and maintain tax-exempt status

Compliance & Corporate Integrity

  • Conduct annual reviews of compliance programs and plans
  • Evaluate compliance programs, recommend improvements, design plans and provide training
  • Complete compliance plan assessments and risk assessments
  • Develop corporate integrity assessments
  • Review policies and procedures
  • Provide independent review organization (IRO) services
  • Comply with SOX 404
  • Evaluate internal controls

Information Technology

  • Strategically evaluate systems based on current and future needs
  • Assist with vendor selection and software and hardware implementation
  • Provide HIPAA technology, patient confidentiality and education solutions
  • Provide data extraction, security and continuity planning services
Request a call from a BKD advisor

For More Information

Contact your BKD advisor or:

Ann King
BKD Health Care Group Leader
800.581.4290
CPAs and AdvisorsBeyond Your Numbers
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