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Compliance Solutions

Celtic’s external analysis has served as an integral tool in managing regulatory compliance and avoiding potential fines and civil monetary penalties for hundreds of long-term care providers. Compliance program design, implementation, and evaluation form the cornerstone of our solutions, risk assessment, auditing, and monitoring, paired with investigation support and monitorship (e.g., Independent Review Organization, Board Advisor).

  • Compliance Solutions including Medicare Compliance Auditing
    • Admission Document Verification
    • Medicare Program Integrity
    • Medical and Clinical coding including supportive documentation
    • Financial and Billing aspects
    • Managed Care/Medicare Advantage and other Insurance Entities
  • Independent Review Organization (IRO)
  • Corporate Integrity Agreement Auditing and Reporting
  • Corrective Action Plan Development
  • Identification of Organizational Financial Risk Indicators
  • Rehab Documentation Compliance