Establishing clear policies and procedures is an essential step when implementing a Medical Necessity/ABN solution.

Our "Best Practices Approach" focuses on improving the detailed processes as they pertain to Medical Necessity, Compliance, and Revenue Cycle Management.

This includes but is not limited to the following areas:

  • Medicare Medical Necessity Policy and Procedures
  • Patient Access/Admitting
  • Physician Education Programs
  • Health Information Management (HIM) and Coding
  • Patient Financial Services (PFS) and Billing Issues
  • ABN/CDM Coordination

Specific Engagements

Clients frequently hire us to perform specific services in one of these functional departments. These separate service offerings group into the following types of engagements:

  • Assessments
  • Make Process Improvements
  • Medical Necessity Consulting and Training
  • APC/OPPS Consulting and Training