Medicaid/Medicare Documentation Risk Assessment

Bonadio will review documentation that supports your claims (IEP, ISP, service plans, physician orders, evaluations, service documentation, service plan reviews) to give you an assessment of the adequacy and degree of compliance with current Medicaid/Medicare program regulations and requirements.

The goals of this service are to:

• Protect your funding
• Assure claims (revenue) are substantiated by adequate documentation
• Identify risks and red flags prior to an audit
• Make senior management and board members aware of the organization’s risks and exposure to possible paybacks, fines, penalties, and loss of funding

Bottom line: Bonadio will assist with the early detection of problematic claims, and give you better control of the outcome of an audit.

Overview of Bonadio’s Healthcare Compliance Solutions Team and Services

When the regulatory and funding compliance requests of federal, state and local funding sources seem overwhelming and confusing, healthcare and human services organizations throughout New York turn to The Bonadio Group for assistance.

Our team of registered nurses, compliance professionals, rate and reimbursement specialists, consultants and trainers possess the clinical, regulatory and administrative expertise to assist you in making your healthcare compliance efforts comprehensive, yet affordable.

We have assisted clients in achieving compliance with a broad spectrum of regulations and programs, including HIPAA, Medicare, Medicaid, DOH, NYCRR and various other guidelines. The Bonadio Group has worked with many healthcare and human services entities to develop, implement and monitor required corporate compliance plans. We even provide outsourcing functions such as compliance hotlines and ongoing auditing and monitoring.