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Long-term Care Reviews

Part of our suite of Payment Integrity solutions.

Tricky? Sure. Worth doing? Every time.

Long-term care facilities present a particular challenge for overpayment identification and recovery efforts because of several unique situations that can arise.

These include facility transfers, discharges, hospital and therapeutic leave bed holds, as well as coordination with Medicare and other insurance. Long-term Care Reviews address these difficulties and more. Our unique approach gives us insights from providers—the direct users of the claims payment system—and enables us to recommend improvements that help avoid future improper payments.