Cost-effective and time-saving medical record retrieval and organization.
Customizable tools created from the most relevant, critical facts found in your medical record.
Services to help you assess risk and ensure the integrity of your clinical documentation.
An easy, secure, and convenient way to access and navigate your records and reports online.
Home Compliance Internal Audits
When you want to verify how well your facility is complying with regulatory standards, an internal audit may be in order. Excelas can objectively review a sample of your records—no matter how big or small—to assess the criteria you specify. Common areas of focus include skilled nursing facility and therapy documentation, hospice compliance with Medicare requirements, Medicare and Medicaid fraud and waste, and necessity for prolonged services in acute settings.
Our work will determine the following:
We can provide a brief summary of our findings, or simply pull out data points for your review.
Enterprise Risk Management (ERM) is simply assessing how risks affect an organization and devising plans on how to approach different risks. ERM is an organization-wide strategy, both top-down and bottom-up, to identify and prepare for hazards and mitigate operational, financial, compliance, legal, and other risks.
Excelas supports our clients’ ERM programs through data abstraction, audits of medical and related records, and record production support. These audits can reveal gaps in documentation, provide documentation support for claim submissions, and ensure compliance with regulatory requirements. Excelas’ experienced legal nurse analysts can evaluate your facility’s compliance with your current risk management guidelines as well as provide recommendations for documentation improvement.
Our team is standing by to help you in any way we can.
It means a lot that we’re able to rely on Excelas. You’ve helped us dig out of a large backlog of cases, and we’re feeling a lot less stress now. Thank you!
- A legal nurse consultant
Blog
The plaintiffs’ bar has redirected its efforts from the allegations relating to a breach of the standard of care to claims of fraud and conspiracy in the name of corporate profits.
02.05.25
No word yet on healthcare carveouts
01.23.25
Rule widely expected to be trimmed
01.09.25
Increased oversight and lower staffing levels