BILLING This category is for all CORFs, whether operational or in development. To become PROFITABLE, you must get paid. To get paid, you must properly submit your claims. To submit claims properly, you must identify and implement an accurate and detailed BILLING SYSTEM. Fiscal Intermediaries (FIs) expect CORFs to be well-informed and well-equipped regarding their billing systems. Without a proper billing system, your CORF will imply to the FI that they are not equipped to meet the FI's billing system requirements, and may bring a negative focus upon their claims and their services. Errors in claims submissions (billing) can initiate denials, audits, and Medical Review! CORF billing has many unique requirements and DOES differ from billing for a doctor's practice, hospital, or even other outpatient providers! Many software packages exist and many billing companies will be willing to take on a CORF as a client, but FEW offer services for nothing but CORFs. Why settle for an "almost compatible" billing system, or a system that was not designed for your specific needs. CORF HELP can link you to an experienced CORF Billing Specialty Company proficient in the specific requirements and issues associated with submitting claims for a CORF. They will provide you with billing services, or training for your staff to submit claims on your own. Be assured of timely reimbursements and minimal billing errors or complications. Let CORF HELP guide you to the SENSIBLE SOLUTIONS you need to achieve PROFITABLE RESULTS. Contact Us. |
COMPLIANCE This category is for CORFs that are operational and must maintain CMS compliance to assure the integrity of their Medicare Provider Agreement. At times, this may seem like a vast, confusing, and overwhelming maze that every CORF owner, Administrator and staff member is struggling to successfully navigate. Ultimately, only the CORF Owner(s) (the person or persons documented of the 855 Application, Disclosure of Ownership) is legally responsible for all CORF compliance issues. The management and accountability for the daily business operations of the CORF require sophisticated audit systems, detailed tracking procedures, and accurate documentation to accomplish the vital task of compliance. The list below is a brief introduction to only the main topics of a COMPLIANCE program. There are many additional steps required to adequately maintain an acceptable COMPLIANCE record. CORF HELP has programs and tools that are SENSIBLE SOLUTIONS you need to guide you towards achieving COMPLIANCE. Contact Us. |
For guidance and assistance on the path towards COMPLIANCE, Contact Us. |
PROFITABILITY This category is for CORFs that are operational but unable to achieve profitablity, or are struggling with inadequate cash-flow. You are not alone! As with any business, it is necessary to deliver the highest quality products and services, while meeting and exceeding operational costs, in order to BE PROFITABLE. Over the years (especially since the Balanced Budget Act of 1997) many CORFs have not been profitable and have been closed. This is unfortunate, since medical communities and patients in these areas lose a much-needed and effective rehabilitation option. There are common OBSTACLES which many CORFs encounter and few are able to solve. Let the experts at CORF HELP provide you with the SENSIBLE SOLUTIONS you need to develop the PROFITABLE RESULTS you want. Contact Us. |
MEDICAL REVIEW This category is for operational CORFs preparing to submit their initial billing, submitting on-going billing, or currently in Medical Review. Medicare Part A Intermediaries will initiate a pre-payment, educational Medical Review to determine if Medicare guidelines are being met. Frequently the Medical Review is initiated with the first CORF billing, or shortly thereafter. The CORF must submit information as required by Additional Documentation Requests (ADRs) from the Fiscal Intermediary (FI). Medical Records must support the billing submissions. The length of Medical Review will be based on the CORF's billing utilization and denial experience, and may last from 2 months to one year! The percentage of claims in review can range from 25% to 100%! While in Medical Review, payment of claims which are in Medical Review status will be withheld until the claim(s) are approved and released for payment. Claim(s) may also be partially or completely denied, resulting in either a reduced payment or no payment at all for those services your CORF has already provided! The Medical Review Department at your Fiscal Intermediary will attempt to audit your claims as quickly as they can, depending on available staff and their other prioritized responibilities. Claims in Medical Review may not be released for payment for weeks, or even months. After the initial Medical Review, a determination will be made by your FI regarding your percentage of denials or "error rate". This determines whether your CORF will be placed into additional Medical Reviews and may require that a corrective plan be submitted by your CORF. Upon acceptance by the FI, a corrective plan must actually be implemented, and another Medical Review will be initiated in order to audit your medical records for compliance. Medical Review can cost you MONEY and TIME. Your CORF must be prepared for Medical Review. CORF HELP has SENSIBLE SOLUTIONS to prepare and assist you before, during, and after Medical Review. Contact Us. |
To achieve the PROFITABLE RESULTS you want for your CORF, Contact Us. |
For further details or questions regarding CORF Certification, Contact Us. |
CORF HELP CONSULTING CATEGORIES |
CERTIFICATION This category is for owners / investors choosing to purchase contracted consulting services to establish a Medicare-certified CORF. Our highly-specialized services begin with the identification of a market that can support a profitable CORF, and culminate with the approval of the Medicare CORF Provider Agreement / Provider Number. Throughout this process, the CORF owner will benefit from our helpful tools, our proven programs, and the continual guidance of our team of CORF HELP experts. CORF HELP offers the complete package for interested owners / investors. Contact Us. |
Is your facility COMPLIANT in all of these areas? Do you have an expert in each? Governing Body / Board of Directors Corporation / Articles of Incorporation State and Local Laws Civil Rights HIPAA Requirements and Deadlines State Licensure Requirements / Personnel and Facility Property Lease / Rental Contract Requirements Budget Change of Ownership Change of Information - Managing Employee Physician, Physical Therapy, Social Work or Psychological - Minimally Required CORF Services Committees and Meetings - Required Members, Required Frequency, Required Documentation Employee Handbook / Personnel Policies / EOE Personnel File Requirements Medical Director / CORF Physician Administrator Patient Care Coordinator Patient Care Policies Fire, Safety, and Disaster Policies and Programs Patient Case Reviews Utilization Review Program Continuous Quality Improvement / Patient Satisfaction Data Clinical Record Review Infection Control Policies and Programs and more............ |
CERTIFICATION This category is for owners / investors choosing to purchase contracted consulting services to establish a Medicare-certified CORF. Our highly-specialized services begin with the identification of a market that can support a profitable CORF, and culminate with the approval of the Medicare CORF Provider Agreement / Provider Number. Throughout this process, the CORF owner will benefit from our helpful tools, our proven programs, and the continual guidance of our team of CORF HELP experts. CORF HELP offers the complete package for interested owners / investors. Contact Us. |
CORF HELP CONSULTING CATEGORIES |
Review this list to determine which OBSTACLES you need to eliminate or overcome: Interim Rate Unknown Cost-Reimbursed Codes Unknown Coding Errors (ICD-9, HCPCS and Modifiers) Denials Contract Adjustments Medical Necessity Unsupported by Documentation Low Census Inadequate Physician Referrals Inadequate Referrals from the Medical Community Inaccurate Billing System - not designed for a CORF Incorrect CORF Billing Software Patient Non-Compliance Frequent Cancellations Deciphering LCDs (Local Coverage Determinations) / LMRPs (Local Medical Review Policies) Implementation of LCDs / LMRPs Patient Scheduling Difficulties Retention / Recruitment of QUALITY Professional Staff Recruitment of Supportive and Involved Medical Directors and more............ |
CORF HELP |
THE COMPLETE SOURCE FOR HELP WITH YOUR CORF! |
CORF HELP provides more than any other CORF consulting program: Identify and Define an Appropriate Market Develop a Physician Network Facility Site Selection Liason with the Fiscal Intermediary Application Process Survey Readiness On-Site Survey Assistance Staff Documentation Training Medical Review Preparation and Training and more............ All delivered WHEN you need it, DIRECTLY to you, with the CONSISTENCY and CONTINUITY you require, by an EXPERIENCED PROFESSIONAL, and AS PROMISED in your contract. |
CORF Certification Consulting Package Fees (All-Inclusive Unlimited Access Professional Services) : Please call for a quote. Services are available hourly, per program, or as Package. |
For further details or questions regarding CORF Certification, Contact Us. |
This page was last updated on: 11/14/05
To achieve the PROFITABLE RESULTS you want for your CORF, Contact Us. |
MEDICAL REVIEW This category is for operational CORFs preparing to submit their initial billing, submitting on-going billing, or currently in Medical Review. Medicare Part A Intermediaries will initiate a pre-payment, educational Medical Review to determine if Medicare guidelines are being met. Frequently the Medical Review is initiated with the first CORF billing, or shortly thereafter. The CORF must submit information as required by Additional Documentation Requests (ADRs) from the Fiscal Intermediary (FI). Medical Records must support the billing submissions. The length of Medical Review will be based on the CORF's billing utilization and denial experience, and may last from 2 months to one year! The percentage of claims in review can range from 25% to 100%! While in Medical Review, payment of claims which are in Medical Review status will be withheld until the claim(s) are approved and released for payment. Claim(s) may also be partially or completely denied, resulting in either a reduced payment or no payment at all for those services your CORF has already provided! The Medical Review Department at your Fiscal Intermediary will attempt to audit your claims as quickly as they can, depending on available staff and their other prioritized responibilities. Claims in Medical Review may not be released for payment for weeks, or even months. After the initial Medical Review, a determination will be made by your FI regarding your percentage of denials or "error rate". This determines whether your CORF will be placed into additional Medical Reviews and may require that a corrective plan be submitted by your CORF. Upon acceptance by the FI, a corrective plan must actually be implemented, and another Medical Review will be initiated in order to audit your medical records for compliance. Medical Review can cost you MONEY and TIME. Your CORF must be prepared for Medical Review. CORF HELP has SENSIBLE SOLUTIONS to prepare and assist you before, during, and after Medical Review. Contact Us. |
PROFITABILITY This category is for CORFs that are operational but unable to achieve profitablity, or are struggling with inadequate cash-flow. You are not alone! As with any business, it is necessary to deliver the highest quality products and services, while meeting and exceeding operational costs, in order to BE PROFITABLE. Over the years (especially since the Balanced Budget Act of 1997) many CORFs have not been profitable and have been closed. This is unfortunate, since medical communities and patients in these areas lose a much-needed and effective rehabilitation option. There are common OBSTACLES which many CORFs encounter and few are able to solve. Let the experts at CORF HELP provide you with the SENSIBLE SOLUTIONS you need to develop the PROFITABLE RESULTS you want. Contact Us. |
For guidance and assistance on the path towards COMPLIANCE, Contact Us. |
COMPLIANCE This category is for CORFs that are operational and must maintain CMS compliance to assure the integrity of their Medicare Provider Agreement. At times, this may seem like a vast, confusing, and overwhelming maze that every CORF owner, Administrator and staff member is struggling to successfully navigate. Ultimately, only the CORF Owner(s) (the person or persons documented of the 855 Application, Disclosure of Ownership) is legally responsible for all CORF compliance issues. The management and accountability for the daily business operations of the CORF require sophisticated audit systems, detailed tracking procedures, and accurate documentation to accomplish the vital task of compliance. The list below is a brief introduction to only the main topics of a COMPLIANCE program. There are many additional steps required to adequately maintain an acceptable COMPLIANCE record. CORF HELP has programs and tools that are SENSIBLE SOLUTIONS you need to guide you towards achieving COMPLIANCE. Contact Us. |
BILLING This category is for all CORFs, whether operational or in development. To become PROFITABLE, you must get paid. To get paid, you must properly submit your claims. To submit claims properly, you must identify and implement an accurate and detailed BILLING SYSTEM. Fiscal Intermediaries (FIs) expect CORFs to be well-informed and well-equipped regarding their billing systems. Without a proper billing system, your CORF will imply to the FI that they are not equipped to meet the FI's billing system requirements, and may bring a negative focus upon their claims and their services. Errors in claims submissions (billing) can initiate denials, audits, and Medical Review! CORF billing has many unique requirements and DOES differ from billing for a doctor's practice, hospital, or even other outpatient providers! Many software packages exist and many billing companies will be willing to take on a CORF as a client, but FEW offer services for nothing but CORFs. Why settle for an "almost compatible" billing system, or a system that was not designed for your specific needs. CORF HELP can link you to an experienced CORF Billing Specialty Company proficient in the specific requirements and issues associated with submitting claims for a CORF. They will provide you with billing services, or training for your staff to submit claims on your own. Be assured of timely reimbursements and minimal billing errors or complications. Let CORF HELP guide you to the SENSIBLE SOLUTIONS you need to achieve PROFITABLE RESULTS. Contact Us. |
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