Coastal Home Health Solutions, Home Health Care & Hospice Provider Consultanting of Florida

Home Health Care Consultants Florida
Compliance & Risk Management - Chart Reviews - Medicare Appeals
Audit Response & Appeals - Reimbursement Consultation & Education
Phone:  561-628-6614      Fax:  561-914-8600

Coastal Home Health Solutions of Florida, Home Health Care & Hospice Medicare Appeals and Chart Reviews


Coastal Home Health Solutions, Home Health Care and Hospice Provider Consultants of Florida
Home Health Care Consultants of Florida

Phone: 561-628-6614
Fax: 561-914-8600

HHC Consulting Services

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Welcome to Coastal Home Health Solutions an innovative and exciting Home Health Care Consulting company founded and ran by registered nurses with extensive home health care experience to meet all of your needs in the home health field. We are experts in pre/post edits, and preparing Medicare appeals at all levels. We are also available to attorneys to review medical charts for them.

Home Health Care and Hospice Provider Services include;

  • Medicare Appeals
  • Medical Chart Reviews
  • DDE Appeals
  • Chart Audit Preparation
  • ADR Response Preparation
  • Reimbursement Consultation
  • Compliance and Risk Management
  • RACs, MACs and ZPIC Audit & Appeals Management

Home health care is changing and having to adapt to the ever increasing competitive market out there. It has also been hard hit by the Government in an attempt to curb Medicare fraud. In response to losing billions of dollars each year due to fraud, abuse and wasteful practices such as over utilization of services, Medicare has developed programs such as Recovery Audit Contractors (RAC) to search for overpayments and underpayments. In order to do this the RAC companies shall post- audit charts, audit providers, identify improper payments and claim reviews. The RACs are private companies and are paid on a contingency fee. Basically, the more charts they deny the more money they get for themselves. They are very well motivated to find mistakes or over utilization of services. According to ACHI spokeswoman Becky Reeves on February 20th 2014 that " The RAC program recovers more than $1 billion per quarter while only reviewing 2% of medical records. That is a shocking percentage and should strike fear into the hearts of all Medicare providers!

There is also the Medicare Administrative Contractors (MAC) to deal with and again they are private contractors. The MACs conduct prepayment audits and will deny payment if they so choose. They, like the RAC entities work on a contingency basis.

Then there is Zone Program Integrity Contractors (ZPIC). ZPIC can, and will initiate an investigation against you if it is suspected fraud has taken place. They will then turn you over to the Department of Justice and/or the Office of Inspector General to be investigated. It is imperative when dealing with a ZPIC request for documentation that suppliers immediately address the targeted audit issues using strategic planning.

Coastal Home Health Solutions is very experienced in dealing with ZPIC audits and 100% pre-payment reviews. Let us prepare your ADR requests, deal with the RACs, MACs and ZPIC. Our success rate in dealing with all the aforementioned is upward of 90%. We are affordable, reliable and will fight hard to keep the money you rightfully earned.