Navigating the Post Acute Medicare Rehab World
Hundreds of agencies and practices are finding out the hard way that the way they have been practicing is getting them square in the target of the Medicare Auditors. Many agencies have been forced to close their doors from the financial damage from unrelenting ADRs and Focused or Targeted Medical Review. Names like ZPIC, MAC, and CERT, and RAC are no longer just myths of strangers lurking in the shadows.
Unfortunately, the way out of this scenario is a murky and dark road that very few have had the experience of navigating out of. It is embarrassing, financially painful, and confusing under the best scenario, and in many cases means the closure of doors and the filing for bankruptcy.
We understand that the world of Medicare post acute care can be a very confusing place at time. Navigating these waters has been compared to navigating the oceans without a compass, without a map, and without the stars at night. This feeling of being lost, combined with ever changing rules, regulations, and interpretations has most agencies left completely overwhelmed.
With proper training and guidance, the world of Home Health or Outpatient care will not appear as confusing. Our agency is designed to act as a compass in pointing you in the right direction. We can act as a map in showing you the pathways you can take to financial success while limiting your liabilities. Finally, we can serve as your personal guide, taking your hand when needed and showing you the trail that is hidden beneath the mazes of confusion.
Once you learn the right pathways, implement the necessary changes, and forge on to create your own pathways, others will look to your agency as the trailblazers and light houses as a pattern of an exemplary company that is compliant, profitable, diverse, and one with minimal risk and liability.
Stop believing the spoon fed regurgitation that is constantly put out there and learn for yourself. The rules and regulations have grown very complex and very sophisticated and the tools needed to compete must match the level of sophistication. It will require hard work, dedication, and an engaged and adapting team, but with effort will come reward.
BMG Health Care Services is a team of consultants with specialties that encompass various aspects of home health care and outpatient therapy. We are based out of south Florida. Our consultants are former agency owners, CEOs, CFOs, rehab directors, national speakers on compliance, and still active clinicians. Our network consists of national and regional experts on all things Medicare.
We have recognized the importance of therapy compliance as the foundation for agency growth, agency financial stability, and agency survival. Therapy is the number one target of government audits in home health as it currently stands as the primary factor for reimbursement and continues to be the number one implication towards fraud, misuse, and abuse. Likewise, the scrutiny on outpatient therapy has grown 10 fold since 2009.
With the growing threats of ZPIC, MAC, and CERT audits, we know that a solid foundation in your therapy departments are key for stability going forward. However, no job is too big or too small. Our personnel combined with our close network partners can answer the basic questions and can completely overhaul an agency from the ground floor up.
BMG Healthcare Services and its representatives will not teach you how to make more money. We will not teach you how to over utilize or “maximize your utilization”. We will teach you how to KEEP the money you have earned without constantly looking over your shoulder.
We believe that your agency and its staff has worked too hard to see your earnings taken away by government auditing agencies.
We believe in teaching you how to run your agency properly and profitably while being in compliance with federal rules and regulations. We believe in keeping the earnings your agency has worked hard to obtain through limiting your exposure and reducing your risk and working smarter.
Compliance can mean improved profit margins and reduced liability and risk. Being in compliance is not hard, painful, or expensive as some people mistakenly think. Compliance is a team effort and everyone needs to be on board.
BMG Healthcare Services Consulting limits your exposure, liability, and risk. We know that in doing so, you will be able to open your agency to new revenue streams by freeing up resources, infrastructure, and improving profit margins. Whether it is bringing you through a Rehab Agency accreditation, over hauling your home health therapy department, teaching your home health agency how to perform part B therapy services, or anything in between, you will get the personal and skilled attention of our consultants.