SimiTree helps clients with Medicare’s questions, audits and denials.

It can be unsettling when Medicare delivers an Additional Documentation Request (ADR) or one of Medicare’s numerous types of contractors informs your organization that you’ve been selected for audit.

A team of SimiTree experts works with clients to make the experience less intimidating and more of a learning experience for how to better insulate against unpleasant future scrutiny with best practices and better documentation.

SimiTree also provides services to clients appealing a Medicare Administrative Contractor (MAC) or Qualified Independent Contract (QIC) determination or seeking an Office of Medicare Hearings and Appeals (OMHA) ruling. SimiTree’s regulatory and compliance team is comprised of leading experts in the field, serving providers across the nation.

team member Kim Skehan

“As we provide guidance and support to our clients, we identify areas where additional training is needed to better document eligibility and medical needs.”

SimiTree Director of Compliance, Regulatory & Quality Kim Skehan, RN, MSN, HCS-D, COS-C

20+ years of experience

SimiTree helps clients with:

Comprehensive assistance from your SimiTree team.

Help with pre-bill audits. 

Organizations under audit often need ongoing help with pre-bill audits and seek SimiTree’s expertise to determine the likelihood of payment by Medicare. Eligibility, timeliness and clinical documentation requirements are all reviewed.

 

img blog training v2

SimiTree transforms businesses.

At SimiTree, every solution is a strength. Compliance and regulatory experts work closely with SimiTree’s clinical and financial experts to strengthen the delivery of top-notch services and approaches designed for quality, efficiency, growth and profitability.

Whether you need help responding to an ADR or tackling a backlog of claims needing pre-bill audits, SimiTree can help make your organization stronger, healthier and better able to focus on patient needs.

img blog training v2