Case Management Services

Clinical staff provides comprehensive review of patient's chart from SOC to Re-Cert and Discharge, helping to monitor compliance with Medicare documentation and ensuring patient care is accurately reflected in documentation and outcomes. *This service can be provided REGARDLESS of which software your agency uses.

Our clinical staff can help you prepare for any survey or ADR that comes your way. Our staff will perform comprehensive reviews of entire patient charts from beginning to end to ensure compliance with Medicare and CMS.

Our experienced clinicians review your entire patient chart from SOC to Recert or Discharge, ensuring that you are survey-ready all the time. We help to monitor compliance with Medicare documentation based on CMS Conditions of Participation.

We also ensure patient care is accurately reflected in the clinician’s documentation, ensuring Quality of Care is reflected in the outcomes, and also monitor Rehab Therapy Visits and compliance with required Assessment/Reassessment Visits, Rehab/RN Conferences, and Therapist/Therapy Assistant Supervisory conferences.

  • What people are saying about Pre-Claim Review

    "We signed up for Pre-Claim Review not knowing what to expect with it being a new rule and all. We were pleasantly surprised when our clinicians advised us that the two initially submitted to Synergy was affirmed. We're feeling hopeful again!" - Cristina C. (Director of Nursing)

  • What people are saying about Pre-Claim Review

    "7 out of 8 Pre-Claim affirmations! WOW" Patricia O. (Owner)

  • What People are saying about Chart Review

    "The clinicians performing chart review provide excellent customer service, sound advice and feedback on the document being reviewed. We are satisfied and pleased with the outcomes!" - Valentine A. (Owner)

Case Management Chart Review

  • Comprehensive review of the entire patient's chart from SOC to RECERT and Discharge
  • Monitor Compliance with Medicare documentation based on CMS' Conditions of Participation
  • Ensure patient care is accurately reflected in clinicians' documentation and quality care is reflected in the outcomes.
  • Case Management ADR

  • Perform review of full chart and 60-Day Summary of the episode requested.
  • Physicians Orders, Face to Face, and other important documents will be compared to show consistency with each other and the plan of care.
  • Suggestions and recommendations will be provided for each deficiency identified (based on Condition of Participation and Medicare clinical guidelines). .
  • Case Management Pre-Claim Review

  • We perform a comprehensive review of the required documents to be submitted for Pre-Claim Review.
  • Identify deficiencies and ensure that Clinicians' documentation meet Medicares Conditions of Participation.
  • Provide a summary based on the Clinicians' documentation describing patient's condition and medical necessity for home health care.
  • You have the freedom to choose if this is a one-time service or ongoing. We can perform a free trial of 1 patient chart (with 3 or less episodes) over three calendar days. Invoicing is provided monthly.

    *This service can be provided REGARDLESS of which software your agency uses.

    Start your free trial now!

    No contracts, no long term commitments. Contact us today and receive a free trial of up to three patient charts for free!

    Contact Us

    Questions? Contact HealthCare Synergy Today!