“Maximizing Clinical Care and Reimbursement with Integrity”
While we have a very comprehensive and practical understanding of the reimbursement complexities of skilled nursing and the long term care industry in general, we never lose track of the facility resident who is at the core of everything we do.
When a facility provides the highest quality of care, they not only achieve regulatory compliance but also optimize financial outcomes. We ensure that the facility:
- Is appropriately reimbursed for the care they provide.
- Provides care that is reasonable, medically necessary and cost effective
- Documents the care they provide according to Medicare and other payor requirements.
Theracore is able to accomplish these goals because of a level of knowledge and expertise that extends beyond therapy services and encompasses the operations of the skilled nursing environment; its processes, communication and procedures.
Our expertise in skilled nursing facility operations as a whole, has become particularly important in the new age of PDPM; where appropriate resource utilization has become a critical element for ensuring positive financial outcomes.
While the contract therapy business model historically drives toward over-utilization of therapy; Under PDPM, where there is a demand for more controlled therapy utilization, they have been incentivized to increase their profit margins in other ways. Contract companies have now resorted to hiring less expensive therapy assistants to replace therapists in SNFs and have significantly increased group and concurrent treatment instead of individual patient treatment. In the end, Under PDPM, contracted therapy will significantly increase their profitability at the expense of the quality of SNF resident care.
This is why it has become even more important for SNF providers to stop outsourcing their therapy services and bring them In-house. Let Theracore be your choice for transitioning your therapy in-house. We will implement effective and efficient systems that address the care needs of SNF residents and ultimately enhance the clinical and financial health of the facility as a whole.