Post-Acute Care Frequently Asked Questions
Which reimbursement functions should a post-acute provider review regularly?
Review applicable Medicare and Medicaid cost reports, payment analysis, assessment data, and management understanding of reimbursement requirements. The scope should reflect the services and care settings involved.
What compliance areas are especially relevant to post-acute care operations?
Consider documentation, coding, medical necessity, compliance-program effectiveness, and applicable quality measures together. Where MDS assessments apply, include the related documentation and quality-measure information.
What should a post-acute provider evaluate before pursuing a new service, market, or affiliation?
Market analysis, financial feasibility, and the proposed operating model help define the opportunity. Planning should address implementation and any relevant episodic-payment or shared-savings arrangements.
How can a post-acute organization address information technology risk?
Review cybersecurity and compliance responsibilities alongside the organization’s operating, reimbursement, and accounting processes. The work should connect technology risks with the services and information the provider relies on.
Which accounting and tax needs may arise for a post-acute provider?
Financial reporting may require audits, reviews, or compilations, supported by accounting policies and internal controls. Tax needs can include planning, returns, and examination support. Disputes or financial irregularities may require forensic accounting.
