Overview

Asserta Healthcare Consulting Services specializes in the exclusive management of audits and appeals for therapy services. Our team has over 50 years of combined experience managing the process exclusively for Physical, Occupational and Speech therapy services delivered in the Home Health, Skilled Nursing and Outpatient Clinic settings. Additionally, our compliance team has over 20 years in Medicare and managed care regulatory affairs, compliance and audit readiness. We have worked and established solid relationships with CMS contractors nationwide, including MACs, RAC, ZPIC, CERT and SMRC. Let us run interference for your therapy team and business office managers with these contractors! Together we have managed thousands of ADRs and appeals for companies with a small number of claims to those with as much as $10 million at risk. CMS Audits of inpatient and outpatient therapy services are on the rise as Medicare and other payers continue to look for “improper payments” made on your claims! As with most audits, denials and over payments are inevitable. The audit and appeals process can be daunting, frustrating and time-consuming especially if you don’t’ have dedicated staffing resources. Don’t ignore denials or be satisfied with just “writing them off”. This only raises more red flags and could subject your claims to even more scrutiny. You deserve to get paid for the services you provided! Whether you have us manage the process or use us as a valuable resource, AHCCS is your solution to audits and appeals management of therapy services! Call today for your free consultation! 909-734-8126