“Please accept my thanks for all your hard work and persistence in educating me during our interviews, and in carefully editing your Declaration. I appreciate the thoroughness and professional manner in which you conducted the [nursing home] surveys and our time spent together and look forward to working with you on future surveys."
—Assistant Regional Counsel, Health and Human Services
Relevant NAICS Codes: 541611, 541618, 541690, 541720, 541990, 541511, 541512, 541519, 541720
Ascellon's interdisciplinary teams of medical professionals (physicians, registered nurses, social workers, pharmacists, therapists, etc.) and technical experts (statisticians, economists, investigators, etc.) have the experience and knowledge to assist our customers in complying with regulations and standards affecting the quality of care. We have broad expertise and experience in healthcare issues, and particular expertise in Medicare and Medicaid programs.
Our scope of services and expertise range from review of payment systems, medical records review, facility inspections, analysis of reimbursement patterns, and elimination of fraud, waste or abuse in government funded healthcare programs.
Our services in this area include:
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Independent review of payment systems and processes;
Independent medical record reviews to validate diagnosis codes (ICD-9, ICD-10,
CPT, etc.) against claimed reimbursements;
Simulating the impact of diagnosis changes on cost and reimbursement models;
Identify medical coding discrepancies and their impact on reimbursement formulas;
Survey and inspection services for residential, acute care and non-residential health
care facilities (e.g., hospitals, nursing homes, assisted living centers, etc.)
Conducting Life Safety Code (LSC) inspection of residential and non-residential
facilities to improve safety;
Developing and monitoring of quality of care indicators;
Preparing and completing surveys to meet Federal and State regulations;
Preparing survey reports and performing analysis of non-compliance issues; and
Providing Quality Assurance services that include documenting quality objectives,
developing quality indicators, monitoring performance against quality goals, and
developing quality assurance procedures.