OASIS Accuracy & Coding
Achieve accurate OASIS and coding for enhanced clinical and financial outcomes.
_________________________________________________________________We know improving OASIS accuracy can be a challenge for home health organizations of all sizes. With our Home Health OASIS Accuracy and Coding Services, our clinicians provide the most thorough review on ICD-10 coding and OASIS scoring and identify gaps in documentation to enhance education and engrain best practices into your culture. Utilizing a focus on quality and accuracy in OASIS data collection and scoring, you can foster and achieve the best clinical and financial home health outcomes possible with SKBC.
Interim Management and Temporary Staffing
Take on the transition of leadership and staffing with SKBC's guidance and support.
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From addressing transitory gaps in management and assessing current operations to implementing best practices into your culture—SKBC has an impressive track record serving in key interim executive leadership roles within finance, senior executives, and clinical operations across the care continuum in 2023.
SKBC will partner with you to build a completely customized and comprehensive work plan to not only receive valuable insights but also learn how to incorporate sustainable initiatives into your operations for successful turnaround management. Our interim managers have the leadership experience to tailor their approach to your organization’s specific full-time or part-time needs as well as the strategic vision to achieve long-term and short-term clinical, financial, and operational goals.
Revenue Integrity
Realize and increase your current revenue stream.
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SKBC’s Revenue Integrity Management Services take a holistic approach to optimizing your revenue. From identifying missed medical billing opportunities and validating claims to performing an in-depth audit to optimize charge capture processes, we implement strategic plans to improve annual incomes and mitigate risks to your revenue stream. We partner with you to develop customized, sustainable strategies to achieve significant increases in annually recurring net revenue.
Episode Management
Optimize visit and discipline utilization to achieve clinical excellence and financial viability.
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Home health organizations are finding it difficult to navigate periods of care, with many facing increased rates of over and under-utilization occurrences, including Low Utilization Payment Adjustment (LUPA) rates. SKBC Episode Management Services help improve the delivery of the patient’s plan of care. Our clinical team partners with your organization’s clinical leaders to develop custom care guidelines that reduce rehospitalization, help mitigate avoidable LUPAs, improve visit utilization, and achieve value-based care delivery with improved clinical outcomes. Patients and referring providers will count on your organization for the best care and patient experience.
An episode management analysis performed by SKBC tracks care patterns and documents the root cause of both LUPAs and over-utilization within each period of care. With a patient-centric approach, our clinical consultants provide your organization with key insights and discipline utilization to identify trends, optimize areas of improvement, and recommend next best steps to integrate new care patterns into your culture.
PDGM
Identify critical challenges and pinpoint where future opportunities exist under PDGM.
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PDGM is the most sweeping change facing home health agencies since 2000. SKBC can help you make a successful transition with solutions for redesigning processes, staff education and KPIs to monitor ongoing performance. The goal is to engrain the new model into the culture of your organization and ensure the future success of your agency.
ADR Compliance & Pre-Bill Review Services
Receive Accurate & Timely Reimbursements With an Efficient ADR Process and Proactive Pre-bill Review.
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With the uptick concerning additional document requests that come with initiatives like Targeted Probe and Educate (TPE), providers are required to produce documentation in a timely manner to prevent denials or payment delays. Our strategy is multifaceted—we respond quickly to ADRs, craft winning appeals for denied claims, and go a step further to engrain pre-bill review best practices into the culture.
Our ADR compliance & pre-bill services take a direct approach in helping providers develop a proactive review process and strategy to ensure that all supporting clinical documentation is present prior to billing. By reviewing your specific ADRs & denied claims, we identify areas for improvement, educate staff on pre-bill best practices, and provide tailored solutions to optimize your current processes and reduce future risk. We provide clinical feedback and recommendations to increase billing compliance and prevent continued denials.SKBC
Outsourced Billing Services
From staff training to full outsource billing services, we’ve got your outsourced billing services needs covered.
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With the uptick concerning additional document requests that come with initiatives like Targeted Probe and Educate (TPE), providers are required to produce documentation in a timely manner to prevent denials or payment delays. Our strategy is multifaceted—we respond quickly to ADRs, craft winning appeals for denied claims, and go a step further to engrain pre-bill review best practices into the culture.
Our ADR compliance & pre-bill services take a direct approach in helping providers develop a proactive review process and strategy to ensure that all supporting clinical documentation is present prior to billing. By reviewing your specific ADRs & denied claims, we identify areas for improvement, educate staff on pre-bill best practices, and provide tailored solutions to optimize your current processes and reduce future risk. We provide clinical feedback and recommendations to increase billing compliance and prevent continued denials.
ICD-10 Coding Services
Detailed, timely and accurate ICD-10 coding to improve your bottom line
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It takes a trained eye and a great deal of experience to understand the nuances of ICD-10 coding. Increased scrutiny by Medicare and third-party payers leaves little room for errors or oversights that lead to financial risk. Our team of clinical and coding experts is here to support home health, hospice, physician, palliative care and inpatient rehabilitation facilities (IRFs) and ensure that your organization receives correct reimbursement and is fully compliant with regulatory standards.
We establish a trusted partnership to ensure that your ICD-10 coding is of the highest quality, that it meets industry standards and that your teams are provided with the best resources to maintain accuracy.
