Celtic Consulting

Compliance & Clinical Reimbursement for Long-Term Care

Celtic Consulting provides nursing home consulting services to long term care, post-acute providers, including educational and training services, to promote overall efficiency and compliance.

Celtic Consulting commonly provides services to nursing homes in the following areas: PDPM Preparation & Transition Implementation Management, MDS Management, Compliance Auditing, Quality Assurance Performance Improvement (QAPI), 5 Star Rating System Improvement, ICD-10 Diagnosis Coding Training, Billing and Denials Management and Regulatory Survey Preparation. 

                     


Events

  • "PDPM: Auditing for Medical Review" Webinar, presented for AANAC

    Thu, Oct 22, 2020

    2:00pm - 3:00pm

    Webinar

    A year following the implementation of the Patient-Driven Payment Model (PDPM) and medical reviews returning from the hiatus caused by COVID-19 and the public health emergency (PHE), providers may begin seeing Medicare claims come under scrutiny. Areas of non-compliance can result in both financial and possible criminal implications depending on the finding. Nursing facilities are being denied payment related to improper documentation or coding. This 60-minute webinar will identify ways to improve audits and develop solid systems for accurate documentation and data collection that will result in correct revenue reporting and compliance.

    Public
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  • "COVID Reporting & Infection Control Survey" Webinar presented for HCANJ

    Wed, Oct 28, 2020

    This presentation will review NHSN and CDC requirements for reporting related to infection control and COVID-19.

    Public
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  • "COVID-19 Billing in Skilled Nursing Facility" Webinar, presented for HCPro

    Wed, Nov 4, 2020

    1:00pm - 2:00pm

    Webinar

    With all of the recent changes related to the COVID-19 pandemic, many long-term care billers have been experiencing claims processing errors. In this 60-minute webinar, long-term care billing expert Maureen McCarthy, RN, BS, RAC-MT, QCP-MT, DNS-MT, will explain common processing issues, as well as how to correct and avoid them.

    Public
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Testimonials

  • “Maureen McCarthy is a giant in the community of risk assessment with respect to verifying the billing process within the Medicare market in post-acute care. Maureen is diligent, smart, and extremely knowledgeable in the third party world of payers. She keeps her clients informed about the findings, suggesting corrections and/or systems changes, and offers insights to areas that can be an opportunity in the changing landscape. Utilize her services on a regular basis, gives peace of mind that we are performing due diligence particularly in light of PEPPER reports.”
    Celtic Consulting Client
  • “Maureen has helped us increase from a 1-star in Quality Measures and today we are a mere 5 points from a 4-star. She has also assisted us with survey preparation, in order to improve our survey star rating as well. Her services are highly recommended and my only regret is that we did not implement services quickly enough when started seeing problems. If we had, we could have been included in the ACO we were trying to be considered for. If you are starting to see potential issues with your quality metrics, contact her right away! Maureen and her team not only report findings, they assist us in correcting the issues and improving our performance. Celtic Consulting provides the ‘whole package’.”
    Celtic Consulting Client
  • We can’t thank you enough for all of the critical assistance you gave us in this estate! Looking forward to working with you again, on the next one!
    Attorney to Celtic Consulting Client