Manage and minimize risks and position for success.
SimiTree’s compliance and regulatory experts will assist you in developing and maintaining a dynamic compliance program, minimizing risk, and improving performance to ensure quality, address vulnerabilities and improve outcomes. Current, former, and certified surveyors, auditors, and consultants have the expertise to shore up risk, correct deficiencies, put in place corrective plans, and help organizations move forward with confidence.
Through working with thousands of organizations across home health, hospice, home care, behavioral health, and other settings, SimiTree sees the interconnected nature of compliance, regulatory and quality goals and can help clients achieve more.
With Strength in Numbers – and Insights
600+
Industry Experts
16,000+
Organizations Served
770
Active Clients
A Full Complement of Services.
Improve quality and reduce risks.
SimiTree’s track record of collaboration includes successful efforts with home health, hospice, and behavioral health providers, healthcare attorneys, corporate compliance and audit professionals, accreditation and survey agencies, government agencies and contractors. Whether developing a new agenda or taking corrective action, SimiTree comes to the table with timely guidance and support. Services include:
Risk Mitigation
- Identify, monitor, and mitigate all areas of risk with expert guidance from our team of certified healthcare leaders with experience across all healthcare settings
- Our expertise includes clinically complex Medicare methodology and medical review processes. As former auditors and surveyors, we understand the nuances of medical review
- Guidance for development of processes, procedures, and policies required to shore up risk and address vulnerabilities in billing practices, operations, and clinical documentation
Audits & Appeals
- Assistance with Additional Documentation Requests, audits and appeals, and ALJ Expert Witness services for all government contractor audits (MAC, TPE, SMRC, OIG, RAC, etc.)
- SimiTree serves as an Independent Review Organization (IRO) for organizations under Office of Inspector General Corporate Integrity Agreements
- Ongoing Compliance Resources and Support related to Medicare payment regulations and key audit focus areas
Pre-Bill Audits
- Pre-bill and post-payment compliance audits
- Ongoing education and strategies to strengthen clinical documentation and processes to support Medicare and other payor coverage of services
Quality Reporting
- Effectively quantify your organization's processes and structural organization for quality healthcare delivery, improved patient outcomes, and patient perceptions
- Work with our knowledgeable consultants to develop fully compliant and sustainable quality goals, improvement processes, and set into place the mechanism for delivering optimal care.
Survey Readiness and Correction
- Mock Surveys and survey readiness support, including Plan of Correction development and implementation
- Training in CoPs and other regulatory requirements for organization leaders, clinical managers, and clinicians
- SimiTree serves as an Independent Consultant for agencies under State or Federal survey enforcement orders
- Ongoing Regulatory and Survey Readiness Resource and Support
