Medicaid Compliance and Consulting Services

Enhance Medicaid Outcomes Including Eligibility and Application Management, Appeals and Adjudication Resolution Solutions

As market opportunities drive increasing numbers of baby boomers to long-term post-acute care (LTPAC) facilities for residence and care, pressures mount to meet Medicaid challenges.

To adequately serve residents and help ensure optimal outcomes while remaining profitable and compliant, it is more important than ever to meet every Medicaid challenge your facility knows about—as well as those you may not be aware of, or don’t fully understand.

Today, more and more LTPACs turn to Richter for insights, expertise, training and customized Medicaid solutions.

Medicaid Challenges We Solve

• Meeting eligibility requirements
• Managing pending cases
• Reviewing claims and documentation to ensure compliance
• Successfully resolving applications and appeals
• Ensuring that documentation supports your facility’s billing
• Managing adjudication orders to ensure proper disposition
• Staying on top of continually evolving Medicaid rules and regulations
• Educating and training staff on the latest billing and reporting requirements

How We Do It

Richter works with long-term post-acute care (LTPAC) providers throughout the U.S. to implement processes built around Medicaid regulations. Our seasoned performance advisors will train your staff on the latest billing and reporting requirements. We can also provide a comprehensive review of claims and documentation to help ensure compliance with the Centers for Medicare and Medicaid Services (CMS) Medicaid Integrity Program.

Richter staff attends industry events to ensure we stay on top of the most up-to-date information and best practices around training. Our consultants serve on multiple trade association committees and work closely with state and county agencies. From claims resolution to appeals, Richter helps LTPAC providers effectively and efficiently manage Medicaid challenges.

Medicaid Compliance and Consulting Services

• Application and appeals management
• Medicaid program education:
  • Eligibility requirements and process
  • Medicaid pending case management
  • Medicaid managed care
• Adjudication resolution
• Program compliance audits

Enhance Medicaid Outcomes With Richter

To learn more about how Richter Healthcare Consultants can provide customized Medicaid compliance and consulting solutions for your challenges starting today, please fill out the form below or contact us here.