QUALITY ASSURANCE & COMPLIANCEA Partner You Can Trust
Our proprietary compliance and quality assurance programs are the foundation of our care delivery model and customer support system, ensuring our therapists receive oversight and education that encourages compliant practices. It’s all part of our culture to Do the Right Thing.
Customer Partnering Services
Clinical education is at the core of quality carte, measurable outcomes, and clinical compliance. Our clinical services group, partnered with CEU360, provide professional education to meet regulatory requirements as well as clinical pathways and tools to guide and enhance quality post-acute care.
We conduct audits at multiple levels and include monthly manual and EMR auto-trigger reviews. Our audit, clinical education, and operations teams review and audit our sites of service to achieve well-defined standards of care and reduce risk for our partners.
Medical Review and Clinical Appeals
We have successfully appealed over 95% of all medical reviews. Our success in supporting medical review brings significant value to our partners. It also helps partners’ revenue cycle by providing information to submit proper claims and appeal reimbursement denials.