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1

Therapy Documentation Audits

Comprehensive reviews of therapy documentation to assess accuracy, completeness, and regulatory compliance. Audits focus on medical necessity, skilled services, treatment frequency and duration, plan of care alignment, and consistency across the medical record. Findings are provided with clear recommendations to support compliant documentation practices and reduce audit risk.

2

Billing & Claims Compliance Reviews

Independent reviews of therapy billing and claims to evaluate compliance with Medicare, Medicaid, and applicable payer requirements. Reviews assess coding accuracy, billing units, therapy modes, unbundling practices, and potential upcoding risks. Services are designed to identify vulnerabilities and support corrective action without disrupting operations.

3

Education and Compliance Support

Customized education and compliance support for leadership and therapy staff, based on audit or monitoring findings. Education focuses on documentation best practices, regulatory expectations, and risk mitigation strategies to support long-term compliance improvement.

Contact

Get in touch to learn more.

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ProActive

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carriew@proactivetherapycompliance.com

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866-577-7622

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Disclaimer:  Services provided by ProActive Therapy Compliance are advisory in nature and do not constitute legal advice.

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