Axiom Healthcare Group strives to be a comprehensive resource to the Long Term Care Profession and offers clinical, fiscal and administrative consultation in both nursing and rehabilitation. The integration of the two disciplines affords our clients a comprehensive service that allows for accuracy of resident assessment, quality of care, appropriate reimbursement, efficiency, technical support, compliance with state and federal guidelines, education and training, and system development with implementation support. These services include:

Fiscal Consultation

We will provide consultation from a clinical prospective that has fiscal impact for the facility.

• Audit of current utilization trends including PPS RUG III Categories, and Medicare Part B.
• Conduct a cost analysis of financial areas impacted by PPS
• Analysis of efficiency of service delivery; i.e. staffing, productivity, and cost
• Capture of proper reimbursement in a multi-tiered Managed Care contract arrangement with control of services
• Examine service costs and recommend cost management measures

Clinical Nursing Consultation

Our nurse consultants approach service delivery from a quality, compliance and fiscal point of view. Enhancement of your services is achieved through:

• Analysis of MDS for Accuracy exploring:
  • Quality indicators
  • Clinical/logistical consistency
  • Quality measures
  • Facility profiles
  • Diagnostic support
  • Resident care plan/therapy treatment plan

• Audits of MDS to check for:
  • Appropriate utilization of PPS & OBRA assessments
  • Documentation supportive of Medical Necessity
  • Section G - ADL index accuracy
  • Appropriate utilization of OMRA
  • Verification of reported therapy minutes
  • Section T utilization

• Training and system implementation in RUG III Category Maximizing Appropriate Reimbursement/Accuracy
  • Optimize accuracy of the ADL index
  • Implementation of RUGS III analyzer system to determine likely RUG score prior to admission

• Instruction in a Case Management model as it relates to both a Medicare and Managed Care environment
  • Effectively implement and utilize case management
  • Determine how to allocate resources
  • Develop an admission screening process
  • Train staff to identify costs of cases through the pre admission screening process
  • Deliver medically necessary services in an efficient and cost – contained manner

Clinical Rehabilitation Consultation

Consultation of both in-house and contracted rehabilitation programs is provided. Rehabilitation services in combination with nursing impacts the fiscal solvency of your facility as well as its ability to comply with regulatory guidelines, deliver quality care, and maintain its reputation. We assist you in these goals through:

• Analysis of current utilization trends and projection of potential utilization
• Clinically audit for evidence in support of medical necessity
• Training and education in specialty clinical programs
  • Wound Care
  • Pain Management
  • Urinary Incontinence
• Assist in the development of a rehabilitation service delivery model to optimize appropriate utilization
  • Policies and procedures to assure quality services and regulatory compliance
  • Forms for documentation and tools for managerial oversight
• Operational oversight of both in-house and contracted programs
• Train rehabilitation staff in therapy billing for SNFs

Combined nursing and rehabilitation consultation in the following areas:

• Survey preparedness
• Compliance Assurance Services
• Serve as a Clinical Resource
• Assist in post payment review to minimize risk and exposure
• Assist with the Medicare review/denial process

for more information, call us at 888-66-AXIOM