Providing Consultation and Audit Services to Rehab
Providers,
Auditing Firms and Provider Legal Counsel
Carole Galletta, PT, MPH and Sandra
McCuen, PT are recognized in the rehabilitation
community for their reimbursement and compliance expertise. They have provided
consultation to private practitioners, facility administrators, hospital
management, CPA firms, attorneys, and regulatory enforcement agencies.
Both Sandy and Carole have extensive experience as clinicians, practice owners,
educators and consultants.
Our Services:
· Compliance Plan Development,
Review and Support
· Chart Review –
Auditing Firms and Legal Counsel
· Strategy development for
Improving Rehab Reimbursement
How to Contact Us:
|
Carole Galletta 9678 Buckingham Dr. Allison Park, PA 15101 (412) 266-8717 |
Sandy McCuen 409 Evergreen Road New Cumberland, PA 17070 (717) 623-6135 |
Galletta McCuen RCC is sensitive to the
hectic schedules and demands of today’s health care system. We take a flexible
approach to meeting your needs and can provide consultation in person, by
telephone, or via other mutually accessible electronic means. Be assured that
we are keenly aware of the sensitive, proprietary and confidential nature of
the information you share with us. Your information will be handled with the
utmost integrity and in compliance with HIPAA regulations.
For providers…Complying with the chart review mandates
of your corporate compliance program can be difficult to handle internally.
Galletta McCuen RCC can provide an external, objective source of rehabilitation
chart auditing using criteria that track elements required by Medicare and
other key payers.
For Auditing firms and Legal Counsel…allows development of a confidential work
product for your rehabilitation clients, tapping into the expertise of Galletta
McCuen RCC
On-site training for clinical and support
staff is an efficient way to educate your entire staff and comply with employee
education elements of your compliance program. Programs are available in the
following topic areas, and additional training can be customized to your
specific needs.
Documentation strategies that support
medical necessity and minimize insurance denials
Learning the “language” of CPT coding
ICD-9 code selection…what your clinicians
and billing personnel need to know.
Beyond basic coding...Modifiers and CCI
edits
Galletta McCuen RCC can assist you in
identifying and tracking the resources available to stay on top of regulatory
changes that impact rehab reimbursement in several areas including
Strategies for improving reimbursement:
Are you familiar with the recourse you
have when insurers delay or deny payment? There are many sources of
insurance denials including technical omissions of your billing staff,
insufficient documentation by clinical professionals to support medical
necessity, and restrictive policies of the payer, to name a few. Galletta
McCuen RCC can help you to identify problem areas and implement strategies to
improve reimbursement.
Compliance Plan Development, Review and Support:
If your Compliance Program is sitting on
the shelf collecting dust, or if you don’t have a Compliance Program at all,
there may be critical elements in your internal processes that are left
unmonitored and are leading to inefficiencies and possible regulatory
violations. Galletta McCuen RCC can guide you through development of policies
for the seven critical elements of a Compliance Program.
Do your internal billing processes
facilitate efficient reimbursement and minimize the need to re-submit claims?
Galletta McCuen RCC can assist in development or revision of billing policies
and procedures.