PPS Management, Medicare
Part B & Denials
PPS Management
PPS requires significant case management, increased efficiency and
effectiveness of rehab services delivered. The Flagship management
team has extensive experience in the delivery of cost effective, quality
focused rehab programs. Our therapists receive continuous training
in the management of skilled patients in order to assure the most effective
and efficient quality of care for your residents.
Medicare Part B
Flagship Rehabilitation increases Medicare Part B caseloads through
our Part B screening of residents and specialty programs in the facility.
Our therapists are trained on the screening process, Medicare Part
B and specialty programs, such as Restorative Nursing, Dementia, Falls,
and Restraint Reduction. Federal and State regulations are complied
with by Flagship Rehabilitation through the provision of policies and
procedures, tracking instruments and training of our therapists on
those regulations.
Denials
Flagship Rehabilitation stands behind the rehabilitation services
delivered by our trained professionals. We provide rehab services that
are in compliance with Federal and State regulations, according to
the needs of the patient, based on the physician's orders.
Flagship Rehabilitation will assist your Facility in appealing denials
of claims for rehabilitation services up to and including the Administrative
Law Judge level if necessary. If Flagship Rehabilitation receives payment
from the facility for a service that is later disallowed in part or
in full, Flagship Rehabilitation shall refund those direct charges
of Flagship, but only if the denial is based on a finding that the
services were not medically necessary or the services were not supported
by timely and complete documentation for billing.