BR Healthcare Services provides an Operations Review of the Nursing Home. It includes a review of general operations, an analysis of all financial services, an evaluation of the charge structure, a review of the facility’s Cost Report, and recommendations for revenue enhancements and cost reductions based on current utilization.
The goal of the review would be to provide the Governing Board and Administration with a thorough evaluation of operations and financial performance of the Nursing Home to act as a blueprint for the future.
Some of the areas of review would include:
- Conduct interviews with Hospital Administration, Nursing Home Administration, all managers, physicians, and any other individuals identified by Hospital Administration
- Conduct a revenue cycle management review to evaluate financial performance that includes:
- Accuracy of patient billing
- Tile Rates
- Accounts Receivable
- Collections
- Charge capture
- Management and operations
- Identify lost income due to billing/coding errors and omissions, lost charges, and improper billing
- Review financial reporting procedures
- Evaluate Inventory control policies and procedures
- Review all leases and contracts
- Evaluate charting and documentation
- Review MESAVs, 3618s, and Medical Eligibility for timeliness of filing
- Provide an analysis of overall financial performance
- Audit rejected claims
- Review Admission process
- Assess flow of operations
- Review Dietary portion control and weight loss/gains
- Review of the staffing budget by department as compared to actual staffing by department
- Review of staffing and salaries, wages, and benefits
- Review Tube feeders
- A review of the budget for the past FY and a comparison to the actual expenses and volume for the current FY
- A review of the overall expenses
- Brief analysis of quality indicators
- Evaluate appropriateness of patient care
- Review policies and procedures