A nurse helping people in a nursing home

Clinical & Operational Consulting

Our Clinical & Operational Insight Supports Your Initiatives

As health care providers, clinical and operational excellence is at the heart of what you do. Our professionals have varied backgrounds—including former administrators, nursing directors, and registered nurses—and can provide assessments and training to help fulfill your mission. Browse our services below for a better understanding of how we help organizations like yours.

Operational Assessments

BKD can assess your current operations—including a review of existing policies, programs, rate structure, and available services—through an on-site visit and an environmental market assessment. We’ll make recommendations for possible program or revenue enhancements and cost-saving measures as well as financial ratio targets in collaboration with your management team.

BKD employs both qualitative and quantitative research techniques to collect and analyze data. This includes staff interviews, data abstraction from extant databases and personal observation. Upon completion, BKD provides specific recommendations in a report that can help management and board members plan and make informed decisions.

PPS & MDS Assessments

Our skilled nursing facility (SNF) prospective payment system (PPS) analysis uses information from Medicare cost reports to compare facility-specific data to national averages and industry-specific best practice benchmarks. Management can use this information to identify enhanced reimbursement opportunities, control costs, and address concerns related to possible compliance issues.

Our minimum data set (MDS) operational assessments help identify coding inconsistencies and documentation issues that can result in lost Medicare revenues and expose the facility to certain risks, including Medicare contractor probe reviews, Recovery Audit Contractor (RAC) audits, and other third-party reviews.

Medicare Management Training

Our Medicare certification and management training program was specifically created for the issues facing SNFs. Our five-session Medicare training program provides insight on:

  • How to manage Medicare within the guidelines and federal regulations
  • Medicare admission and inquiry processes
  • Part A PPS
  • ICD-10 coding and documentation guidelines
  • Notice of Exclusion from Medicare Benefits (NEMB), Advance Beneficiary Notice (ABN), quality assurance, and medical review
  • How to complete on-site follow-up program review and training

How can we help you?

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We have 42 offices in 19 states , with BKD Trusted Advisors™ who offer solutions for clients across the country.

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