Celtic’s scope of reimbursement and revenue services have guided Skilled Nursing Facilities across the country to recoup millions of dollars in unrealized revenue. The firm’s accomplished Clinical Reimbursement specialists understand the detailed workings of the exceptionally regulated reimbursement process and recognize opportunities for improvement. The firm provides advisory services at all levels of Denials and Appeals with extensive knowledge of the MDS 3.0 RAI Manual, and the supportive documentation necessary has collected dollars even years after the initial denial.
- Reimbursement and Regulatory Expertise
- Healthcare Litigation Support
- Mergers and Acquisitions Due Diligence
- Revenue Integrity Audits
- Monthly Claims Review
- Clinical Meeting Oversight (Medicare Meeting, Triple Check Meeting)
- Additional Development Request (ADR) Response
- Interim Leadership Management
- PDPM/MDS/CMI Training, Education, and Monitoring
- PDPM Partner Program, including Celtic’s proprietary PDPM Toolkit©