Audit (on site and remote) 

Overview:

Harmony HealthCARE Specialists provide an invaluable, proactive, detailed chart review process to assist with accurate and appropriate reimbursement from Governmental agencies including Medicare and Medicaid Revenue.  

Harmony Healthcare International (HHI) audit services help to identify compliance areas that place providers at risk for repayment of monies to the state and federal government for services provided. These proactive audits allow facilities to avoid the potential for false claims and associated fines.

The Harmony Healthcare International (HHI) audit process includes, but is not limited to, medical record review, onsite education for appropriate staff, staff interviews, a summary of findings via an exit conference with facility leaders, in addition to a comprehensive written report.

Harmony Healthcare International (HHI) provides specialized audits in the following areas:

  • Medicare
    • Skilled Therapy Documentation Review 
    • Integrity (Therapy, MDS, etc.)
    • Medicare Part A
    • Medicare Part B
    • Mock RAC (Recovery Audit Contractor)
    • Mock RAC (Recovery Audit Contractor) Therapy and MDS
    • Mock MDS Focused
  • Medicaid 
    • Case Mix
    • MMQ (Massachusetts)
    • OMIG (New York)
  • Managed Care
  • Managed Medicare
  • Mock Regulatory Survey
  • Billing and Coding
  • Compliance
  • QAPI
  • Quality Measure Audit
  • Five-Star Quality Rating Audit & Improvement Methods
  • Home Care
  • ZPIC