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Medicaid Consulting

Meet Medicaid challenges including eligibility and application management, appeals and Adjudication Resolution services.

Richter Healthcare Consultants works with LTPAC providers to implement processes built around Medicaid regulations, and will train staff on the latest billing and reporting requirements. Our team can provide a comprehensive review of claims and documentation to help ensure compliance with the Centers for Medicare and Medicaid Services (CMS) Medicaid Integrity Program.

Richter Healthcare Consultants staff attends industry events to make sure that we maintain the most up-to-date information and training. Our consultants serve on multiple trade association committees and work closely with state and county agencies. From claims resolution to appeals, Richter Healthcare Consultants help LTPAC providers manage Medicaid challenges.

Our Medicaid consulting services include:

  • Application and appeals management
  • Medicaid program education:
    • Eligibility requirements and process
    • Medicaid pending case management
    • Medicaid managed care
  • Adjudication resolution
  • Program compliance audits
To learn more about how Richter Healthcare Consultants can provide customized solutions for your Medicaid challenges starting today, please request more information.

cms quality measures guide

  • Five Strategies to Boost Patient Care through Revenue Cycle Management
    Revenue cycle management (RCM) lies at the heart of a long-term post-acute care (LTPAC) provider’s operation.  Without the proper processes in place, cash flow slows down, bad debt increases and customer satisfaction declines. So how can your LTPAC organization optimize its RCM function? We recommend starting with the five strategies outlined below.
  • CMS to Implement Changes to Beneficiary Identifiers
    Since the inception of the Medicare program in 1965, beneficiaries have been identified by a Social Security number-based identifier known as the Health Insurance Claim (HIC) number.  This unique identifier has been used to determine the beneficiary for all Medicare transactions such as eligibility, billing and claim status inquiries.  As a means to help fight […]
  • Home Health's Best Kept Secret: Outpatient Therapy
    With reimbursement rates and profit margins shrinking and unfunded mandates and regulations increasing, home health agencies must look for ways to diversify services all while increasing revenue. One home health service that agencies can offer is home health outpatient therapy, despite it not always being provided in a clinic, hospital or private practice.
About Richter Footer Content

Achieve the operational, clinical and financial results you need with the trusted professionals of Richter Healthcare Consultants. Experienced specialists in consulting, accounting and revenue cycle management solutions for senior living and LTPAC providers nationwide. We listen, we understand. We deliver. Before long, you’ll feel like we’re part of your team.

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8948 Canyon Falls Blvd #400, Twinsburg, OH 44087

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