Clinical Concepts and Solutions

Today's healthcare environment is highly regulated. Government and non-Government denials are rapidly increasing. The impact on revenue can damage the providers ability to provide care. Hospitals, Physicians, and other clinicians in private practice are often inundated with audits that detract from patient care. Clinical Concepts and Solutions can provide consultation on Recovery Audit Contractor (RAC), OIG, ZPIC, and other government audits including:

• Program design
• Denial management
• Medicare, Medicaid, and Commercial Appeals
• Post Acute provider Appeals
• Internal Audits