Resolution Healthcare Management is a team of Post-Acute Care and Technology experts that are devoted to using our vast expertise to help you solve many of the challenges that are specific to the Post-Acute Care industry. We have expertise in Clinical Reimbursement, Accounts Receivable, Home Health and Hospice, Clinical Informatics, Physician Practices in Post-Acute Care and Information Technology. Regardless if you want a few hours of phone consulting, a few days onsite to help you through a tricky problem or circumstance, or you want us to partner with your team, ResolutionHCM is ready to help.

Services Offered

Accounts Receivable Consulting

  • Medicare Part A/B
  • Managed Care Part A/B
  • FFS/CHC
  • Medicaid 180 Day
  • Medicare A Coinsurance
  • UMR Tracker Rebilling
  • Business Office Processes
  • Claims Readiness
  • Private Collections
  • PA Medicaid Application Process
  • Medicare A Coinsurance
  • PCC Billing/Set Up
  • Policy and Procedure Review
  • Business Office Compliance
  • Resident Trust Funds
  • Business Office Procedures
  • Claims Readiness
  • Billing Procedures
  • AR Reviews
  • Collections
  • PA Medicaid Application Procedure
  • PCC
  • Resident Trust Funds

Clinical Reimbursement Consulting

  • PDPM Evaluation and Education
  • Medicare and Medicaid
  • HCC Risk Scoring
  • Quality Measures
  • ADL Training
  • Ownership Transition and EHR Transition
  • Education and Training

Home Health and Hospice

  • Financial analysis
  • Education/training on industry standards
  • Organizational Structure Setup
  • Quality Assessment Performance Improvement (QAPI)
  • Medical Record Audits
  • Mock Survey
  • Agency Action Plans before or following State Survey
  • Training on compliant and cost efficient intake process
  • Training and audit on Medicare F2F Process
  • Improve HHCAHPS
  • Analysis of billing practices

Information Technology

  • Strategy and Planning
  • Service Management Assessment
  • Cost Optimizations
  • Risk Assessment
  • Infrastructure Performance
  • Cloud/Datacenter Advancement 
  • Help Desk Services
  • Project Management

Physician Practice and Advanced Clinical Solutions:

  • Physician Practice and Advanced Clinical Solutions:

    Consultative Guidance and/or assistance to beginning a physician’s practice

    Advanced Clinical Services implementation in the following settings:

                      Skilled Nursing

                      Personal Care

                      Assisted Living

                      ISNP (Institutional Special Needs Plan)

    Advanced Clinical Services for the key focuses and specialties (including but limited to):

                      Reducing avoidable hospitalizations

                      Pro-active and preventable approach to illness and disease processes

                      Goals of care

                      Pressure Injuries

                      Palliative care

                      Employee and Occupational Health

    Operations for:

                      Recruiting and retaining Advanced Practice Nurses

                      Revenue generation

                      Expense control

  • Skilled Nursing
  • Personal Care
  • Assisted Living
  • ISNP (Institutional Special Needs Plan)
  • Reducing avoidable hospitalizations
  • Pro-active and preventable approach to illness and disease processes
  • Goals of care
  • Pressure Injuries
  • Palliative care
  • Employee and Occupational Health
  • Recruiting and retaining Advanced Practice Nurses
  • Revenue generation
  • Expense control
Please fill out your contact information below for more information on our services.