Financial

SMART Healthcare Services provides expertise in financial analysis for long term health care facilities.

Financial Expertise:

• Skilled Nursing Facilities
• Medicare and Medicaid Ancillary Reimbursement
• Documentation Guidelines and Intermediary Expectations & Interpretations
• Equipment Reimbursement
• Billing Practices
• Outpatient Services
• Home Health

• RUGS Category by resident for each day of Part A stay, prepared on a monthly basis
• Calculate therapy component reimbursement by RUGS category for each month
• Calculate therapy cost by month for Part A
• Calculate PPS reimbursement by RUGS category for each month
• Compare PPS monthly revenue to reimbursement under prior cost-based system

Part B

• CPT - 4 Grids prepared for daily treatment by CPT code
• Calculate costs incurred monthly and cumulatively by CPT - 4 Code according to fee schedule

UB 92:

• Compare UB - 92 to minutes log and expected RUGS category - prior to submission to AdminaStar

Remittance:

• Compare remittance to UB - 92