UDSMR’s training and educational sessions are highly regarded and well respected, and its clinical expertise goes beyond IRF-PAI rating and coding. UDSMR offers a cadre of consultative services, including the following:
- Chart audits and documentation assistance
- Quality measure education
- IRF ICD‑10 coding consultations
- PPS consultations
- IRF-PAI completion
- Program operations and performance improvement initiatives
- Workshops and webinars
- Physician education
In addition to these services, UDSMR provides its subscribers with many free services on a daily basis, including:
- A clinical support department that answers subscribers’ clinical questions about many topics, including FIM® ratings, section GG codes, the IRF Quality Reporting Program (IRF QRP), 60% rule compliance, impairment group codes, the Medicare Benefit Policy Manual (MBPM), and IRF‑PAI completion
- An ICD‑10 Help Desk that answers ICD‑10-CM questions
IRF Medicare Chart Audits
UDSMR’s Education, Training, and Consultation (ETC) department, now part of McBee, offers many valuable types of chart audits. Whether you need feedback on code selection, preadmission screens, or CMGs, we’ve got you covered!
- Coding/clinical audits (coding-only and clinical-only options available)
- A review of the ICD-10 codes your facility recorded on the IRF-PAI for etiologic diagnoses, comorbid conditions, and complications, plus an analysis of the impact of these codes on tiers and compliance
- A clinical review of the accuracy of your facility’s impairment group codes (IGCs) and case-mix groups (CMGs)
- An optional review of the principal and secondary diagnoses your facility recorded on the UB‑04
- A clinical review of required IRF documentation technical criteria, medical necessity criteria, therapy intensity criteria, and admission IRF-PAI coding for section GG (self-care and mobility) and section H (bladder and bowel continence), plus the effects of these factors on your facility’s reimbursement
- Preadmission screen audits
- A review of your facility’s preadmission screens
- A review of acute care documentation associated with each case in order to determine the accuracy of the information in your preadmission screens
- Four-digit CMG audits
- A review of your facility’s IGC selections and admission IRF-PAI coding for sections GG and H, plus an analysis of their effect on reimbursement
- An optional add-on review of your facility’s discharge IRF-PAI coding for sections GG and H, plus an analysis of their effect on outcomes
Each audit type includes various deliverables designed to meet your facility’s specific needs: a report that identifies observations and trends, individual scorecards for each case, and follow-up calls to discuss the review’s findings with your team.
If your facility will be affected by the IRF Review Choice Demonstration (RCD), our audits and follow-up education will help you prepare for its implementation in your state. Our evaluation of your IRF records and our valuable follow-up recommendations will improve your likelihood of positive affirmation rates for either the pre-payment or post-payment review process.
Education and Training Opportunities
In addition to chart audits, UDSMR provides a vast array of education and training opportunities, including several workshops designed to help facilities improve their outcomes and financial performance. The following list identifies UDSMR’s most popular and most requested workshops.
For a list of all our upcoming trainings, please click here.
Located across the country, UDSMR's respected clinical team provides an array of training, coding, consulting, and support assistance to our subscribers every day.
