Corporate Integrity Agreements

MDS Consultants has the experience and expertise to ensure Skilled Nursing Facilities stay compliant with Medicare Guidelines

Our Corporate Integrity Agreement Services

Is your facility under a Corporate Integrity Agreement and subject to obligations as part of a civil settlement?
In long term care, the purpose of a Corporate Integrity Agreement is to improve the quality of healthcare provided by the affected skilled nursing facility (SNF).

Corporate Integrity Agreements typically require the SNF:

  1. Hire a compliance officer or appoint a compliance committee
  2. Develop written standards and policies.
  3. Implement a Comprehensive Training program or process to ensure compliance.

How MDS Consultants Can Help

MDS Consultants can assist in developing standards, policies and implementing a comprehensive training program for your staff – as well as the processes needed – to ensure compliance in these areas:

Billing

 

  • Correct ARD placement in the MDS
  • Correct MDS Type
  • PDPM Score Validation
  • ICD-10 Coding accuracy
  • Accurate NTA Capture
  • Accurate MDS Data

ADL Documentation

 

  • Verifying the Nursing Function Score
  • Verifying the Therapy Function Score

Therapy Documentation

 

  • Accuracy of Days of Service
  • Reviewing and validating Active Diagnoses
  • Reviewing and validating accurate physician orders as it relates to therapy services
  • Care Plan Documentation requirements associated with skilled therapy services
  • Compliance with Therapy Evaluations

Skilled Services Documentation

 

  • Verifying the presence of Skilled Nursing Documentation in compliance
  • Reviewing and validating compliance with Physician Certifications
  • Evaluation of documentation in the Care Plans substantiating skilled needs.

Complying with a Corporate Integrity Agreement can get complicated. 

Let’s have a discussion about the requirements you are under, and how MDS Consultants can help.

Discuss My Needs