Skilled Nursing Facility Services


Interim or Temporary CFO Service


Skilled Nursing Facility/Long Term Care Services Include:

Health Information Management Operations Assessment and Consulting Services:

Assessment and consulting services for HIM/Medical Records department including (but not limited to):

  • policies and procedures, including but not limited to:
    • completion of medical records
    • documentation standards
    • thinning records
    • release of information
    • retention
    • abbreviations
    • late entries and amendments
    • concurrent and closed record review
  • implementation of electronic health records including template design, HIM workflow analysis and document imaging coordination
  • maintenance of medical records, including retention, organization and accessibility
    • establishing legal health record definition
    • proper destruction procedures
    • e-Discovery readiness
  • communication protocols between HIM and clinical staff
  • training and education opportunities/access/content development
    • HIM staff
    • Facility staff: Privacy and Disclosure practices
  • review of staff qualifications and contribute to performance evaluation
  • auditing and monitoring methods
  • compliance assessment:  release of information, record documentation, HIPAA State regulations, and State and Federal Conditions of Participation

Focused CASPER Validation Audits:

Does the CASPER report reflect the true quality of your facility?  One incorrect entry on the MDS can have devastating effects on your CASPER report and 5 Star reported quality metrics.  Our focused CASPER audits validate the quality metrics and can identify documentation voids that may contribute to lower quality scores.  We also can provide assistance with internal tracking of these metrics and integration into the Quality Assurance process.

Comprehensive medical record audits:

A facility’s backbone for reimbursement and continuity of care is medical record documentation.  We provide comprehensive medical record audits that address compliance with (but not limited to):

  • MDS requirements
  • Medicare “skilled” requirements
  • State and federal regulations
  • Timeliness and accuracy
  • Facility specific policy and procedures, rules and regulations and medical staff bylaws

Privacy and Security Assessment:

Have you updated your HIPAA policies and procedures after your full (or partial) EHR implementation?  Are you in compliance with the HITECH changes from 2013?  Is your facility ready for an OCR audit?  Our team of consultants includes experts certified in privacy and security.  We utilize the latest OCR audit protocol and guidance to assess your facility for compliance.  We can develop policies and procedures, provide education and serve as an ongoing resource for any privacy related issues.

Survey Preparation and Plan of Correction Implementation:

Whether you are expecting a survey or need assistance correcting cited deficiencies, our professionals can help ensure your HIM department gets back on track.  Fluent in Illinois and Missouri state and federal regulations, we can assess the HIM department for compliance with regulations and initiate any necessary plans of correction.

Temporary Management of Health Information Management Department:

A facility can rapidly deteriorate without the services of an HIM department.  We will transition into your organization with ease and manage the everyday functions of the HIM department effectively.  We will also assist you with finding a qualified replacement.



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