GENCO HEALTHCARE MANAGEMENT MEDICARE COMPLIANCE, AUDITS, MEDICAL BILLING
For Attorneys
As healthcare business owners we spent 20 years balancing the need to create and maintain a culture of compliance, with the challenge of providing the most appropriate level of service at the lowest responsible cost, while quickly and accurately turning our medical transactions into cash.
The Genco healthcare consulting team brings an entrepreneur's perspective to the regulatory process. We have seen first hand what happens to a provider who runs afoul of the regulations. We leverage this experience to allow attorneys to unbundle their services in an audit response or other similar situations.
Our approach is to lighten your workload by partnering with your law firm and handling the details (reviewing data, medical records, operating policies, staff training, etc.). This will allow your legal team to focus on the complex legal issues that often accompany Medicare and Medicaid audits.
Since our cost structure is typically much lower than that of a law firm, clients can better allocate their cash, which tends to dry up quickly when responding to an audit or recovery of funds situation. We win the confidence of the clients because we’ve walked in their shoes.
Our healthcare consulting team offers the following services to the legal community. Click to learn more:
Audit Response & Defense
Compliance and Audit Risk Management
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Conduct independent review of client’s medical records, billing and business process to refute allegations of improper billing
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Prepare detailed analysis of findings in a user friendly, claim by claim format comparing each allegation with our findings and explanations of variance when appropriate
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Provide hands on assistance in crafting responses to audits from OMIG and other agencies, Medicare Pre-Payment Reviews, Department of Health and OSHA Site Inspections, Plans of Correction, requests for documentation, etc.
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Perform “mock” audits and site inspections to identify areas that need attention; develop action plans, and assure proper, timely corrective action
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Develop compliant documentation tools, integrate with EMR system and train staff in their proper use, monitor progress
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Improve collaboration between clinicians and billers
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Work with clients to create a “Culture of Compliance” throughout a practice, to reduce the risk of audits, and to be prepared should they occur
We specialize in the following medical practice areas:
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Multispecialty Physician Practices and Medical Groups
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NYS Article 28 Outpatient Facilities
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Physician, Facility and Therapist owned Outpatient Rehabilitation Centers
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(Physical, Occupational and Speech (SLP) Therapy)
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Durable Medical Equipment, Orthotics and Prosthetics suppliers
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EMS, Ambulance, and Medical Transportation Providers