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Key performance indicators (KPIs) (monthly dispatch) -
PDPM Benchmarking (quarterly dispatch) - Total therapy minutes per patient per week
- Total therapy days per week
- Average LoS (length of stay)
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3 rd party RAC – CTA audits (monthly dispatch) - Medicare Part A chart audits to ensure:
- Well established medical necessity (rehab & nursing notes) and skilled care justification for the entire LoS (rehab SOAP notes)
- Education and training
- Long Term Care Clinical Programs audits to ensure corporate compliance for comprehensive medical necessity (rehab, MDS, & nursing notes) (quarterly dispatch)
- Medicaid CMI & Medicare Part B audits
- Medicare Part A chart audits to ensure:
- New employee and terminations alerts
- Licenses and registrations
- Physical examinations
- Backgrounds checks
- Orientations & mandatory trainings