Our expertise is guaranteed. Our solutions empower.

We solve financial, operational, and clinical challenges for acute and post acute providers.

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A HOLISTIC PERSPECTIVE

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"We bring deep, focused expertise to address our clients’ most critical issues.

What sets us apart is our ability to see the big picture, across both the industry and the entire provider organization."

Marty Brutscher, CEO
McBee Associates
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McBee Services
We have been working with McBee Associates for more than 18 years on our bundled payment initiatives.  Their system tracks profit and loss on a case level and establishes meaningful benchmarks so we can easily judge the success of our program.  We feel confident knowing we have experts who understand the full continuum of care on our side for the CCJR model.

Trisha M. Frick-Hoff MS RN - Johns Hopkins HealthCare

Billing Services

From staff training to full outsource, we’ve got your billing needs covered.

Our account resolution specialists employ expert techniques so that you collect on difficult claims and keep cash flowing for your organization.

Advantages
• Consistent claim tracking and reporting
• Extensive systems experience
• Consultants are platform certified
• Experience with all Medicare, Medicaid, and commercial payers nationally

Related
Coding Services
Cash Acceleration
Interim Management
Bundled Payment Solutions

To make the transition to bundled payments, we help you choose the right strategy, the right partners, and the right technology.

With a client base that spans the continuum of care, our insight into both acute and post-acute operations will position your organization to thrive under new models.

On the back end, our Bundled Payment System tracks profit and loss by case, keeping you informed on the performance of each function and partner.

Advantages
• 18+ years experience working with all bundled payment initiatives in health systems
• Intricate understanding of acute & post-acute operations

System Advantages
• Tracks cost data and profitability of services by any variable, including payer, physician, diagnosis, and post-acute provider
• Interfaces with billing systems
• Allows multiple fee schedules for physician payments
• Includes compliant general ledger reporting

Related
Revenue Cycle Process Improvement
Vendor Management System
White Paper: Turning Around a Health Care System in a Global Cap Environment: A Balancing Act in Acute and Post-Acute Care
Case Management Support

We help you get the patient status decision right the first time. To prevent denials and reduce the number of future appeals, our first-level reviews verify that documentation meets medical necessity criteria in real time.

Advantages
• Remote, first-level utilization review coverage any time: overnight, weekend, and holiday shifts
• Expert application of InterQual® and MCG® Guidelines
• Emergency department, inpatient, or PRN case review support options
• Case managers with an average of 15 plus years of experience

Related
Infographic: Four reasons why a fully staffed case management department is essential
Webinar: Return of the RACs: What It Means for Hospital Case Management and Finance
Denials and Appeals Management
Denials & Appeals Management

We manage denials so you can focus on preventing them. We identify the root causes and craft compelling appeals that overturn denials incurred. Our case managers then provide recommendations to improve both the coding process and documentation to reduce denials over the long term.

Advantages
• Key metrics to categorize denial reasons and quantify financial impact
• Evidenced-based industry criteria cited to develop the most persuasive appeal letters
• Registered nurses and physician assistants with deep experience in patient care
• Staff has an average of more than 10 years of experience in diverse specialty areas
• Appeals to the ALJ level and beyond

Related
Case Management Support
Webinar: Return of the RACs: What It Means for Hospital Case Management and Finance - Recording

Interim Management

From chief financial officer to director of nursing positions, we serve in key leadership roles within finance and clinical operations across the care continuum. Our interim managers have the leadership experience to tailor their approach to your organization’s specific needs as well as the strategic vision to achieve clinical, financial, and operational goals.

Advantages
• Real-world leadership experience in acute and post-acute care settings
• Assistance in the recruiting process, guidance during the transition, and ongoing support as needed
• Available temporary staffing
• Experienced resources, including the expertise of the entire firm to achieve engagement goals

PACT Payment Recovery

To ensure your hospital receives proper payment on claims subject to the PACT policy, our validation and verification processes go beyond mere confirmation in the Medicare database. We confirm information directly with post-acute care providers to provide you the highest level of accuracy and adherence to compliance standards.

Advantages
• More than $60 million in payment recoveries to date
• Post-acute care visits confirmed directly with the provider
• We work with every major hospital information system.
• Fees are fully based on contingency of payment recoveries.

Revenue Cycle Improvement

For optimization of your current workflows or a financial turnaround, our consultants collaborate to design lasting solutions at any stage in the revenue cycle. We deliver a full range of services that address every area from patient intake to cash posting. The result is always a strategic process improvement that works in your organization.

Advantages
• Total revenue cycle assessment, operations re-engineering, and process improvement
• Management and expertise from financial leaders, policy analysts, and information technology specialists
• System implementation support
• Billing loan staff and training as needed
• Accounts receivable resolution and cash acceleration

Related
Interim Management
White Paper: Turning Around a Health Care System in a Global Cap Environment: A Balancing Act in Acute and Post-Acute Care
Webinar: Return of the RACs: What It Means for Hospital Case Management and Finance - Recording
Vendor Management System

We simplify the process of managing outsourced collections. Our Vendor Management System automates the tracking of outsourced collection activities, making important information about your vendors available in mere keystrokes. Our customized dashboard tracks payments and multiple collection vendors, so that duplicate payments are a worry of the past.

Advantages
• Increased collections
• Prevent duplicate payments to multiple vendors
• Eliminate the need to manually validate vendor invoices
• Centralize inventory management for vendors within one system
• Confirm payments via cash posting
• Monitor and compare the performance of vendors

Related
Bundled Payment Solutions
Revenue Cycle Process Improvement
ADR & Pre-Bill Services

Prevent reduced payments with a proactive strategy. Our clinicians respond to ADRs, craft winning appeals for denied claims, and review medical records to identify essential documentation needed to prevent future denials. The firm also offers pre-bill reviews with clinical feedback and recommendations for increased compliance and improved processes.

Advantages
• Clinical consulting group with more than 20 years of experience
• Well-crafted, winning appeals
• Proprietary software tool designed for pre-bill audits
• Pre-bill audits to improve billing quality in response to Medicare focused review

Related
Coding Services
Billing Services
Billing Services

From staff training to full outsource, we’ve got your billing needs covered. Our account resolution specialists employ expert techniques so that you collect on difficult claims and keep cash flowing for your organization.

Advantages
• Consistent claim tracking and reporting
• Extensive systems experience
• Consultants are platform certified
• Experience with all Medicare, Medicaid, and commercial payers nationally

Related
Coding Services
Cash Acceleration
Interim Management
Cash Acceleration

If you’re experiencing payment issues, we help keep the cash flowing. Our experts help eliminate backlogs and bring receivables up to date. We know the intricacies of each payer and go a step further by identifying missed revenue, correcting claims errors, and resolving problem accounts with no disruption to your organization's daily operations.

Advantages
• Experience with all Medicare Administrative Contractors nationwide and commercial payers
• Manage accounts receivable on site or remotely
• Utilize your existing accounts receivable system or employ our secure proprietary collection system

Related
Billing Services
System Conversion Support
Interim Management
Clinical Compliance Review

On matters of clinical compliance, we make sure you know where you stand and give you the tools to improve when necessary. To maintain regulatory compliance and consistently receive correct payment, our clinical team provides quality chart audits and education on thorough clinical documentation, ADR responses, and the appeals process.

Advantages
• Mock surveys to prepare for accreditation
• Quantitative audits to provide feedback on Medicare regulatory practices to show compliance
• Audit reviews to support your QAPI data
• Education sessions that improve documentation to support medical necessity and process improvement initiatives

Related
Coding Services
ADR and Pre-bill Services
Hospice Coding Services

To ensure your agency receives the correct reimbursement, and is fully compliant, our coding services are conducted by certified clinicians with meticulous attention to documentation detail and rigid quality standards.

Advantages
• All coding conducted onshore
• Every coder is certified in hospice coding (HCS-H)
• Minimum 97% accuracy rate
• Comments cited with CMS regulations and Decision Health guidance

Related
Billing Services
Webinars: Hospice Physician Documentation and Intake Needs in ICD-10 - Recording
Hospice Clinician Documentation in ICD-10 - Recording

Interim Management

From chief financial officer to director of nursing positions, we serve in key leadership roles within finance and clinical operations across the care continuum. Our interim managers have the leadership experience to tailor their approach to your organization’s specific needs as well as the strategic vision to achieve clinical, financial, and operational goals.

Advantages
• Real-world leadership experience in acute and post-acute care settings
• Assistance in the recruiting process, guidance during the transition, and ongoing support as needed
• Available temporary staffing
• Experienced resources, including the expertise of the entire firm to achieve engagement goals

System Conversion Support

Transition seamlessly to a new system with support from home health and hospice experts who fully understand your need for consistent cash flow and productivity during a conversion. From project management to change management, we assist you through each step of new system implementation.

Advantages
• Resolve legacy system accounts receivable as new system is implemented
• Securely maintain data from legacy system on our HIPAA-compliant storage
• System and workflow optimization to maximize potential of new system
• Customized user training on the new system
• Interim staffing support options

Related
Revenue Cycle Process Improvement
Cash Acceleration
ADR & Pre-Bill Services

Prevent reduced payments with a proactive strategy. Our clinicians respond to ADRs, craft winning appeals for denied claims, and review medical records to identify essential documentation needed to prevent future denials. The firm also offers pre-bill reviews with clinical feedback and recommendations for increased compliance and improved processes.

Advantages
• Clinical consulting group with more than 20 years of experience
• Well-crafted, winning appeals
• Proprietary software tool designed for pre-bill audits
• Pre-bill audits to improve billing quality in response to Medicare focused review

Related
Coding Services
OASIS Accuracy
Billing Services
Billing Services

From staff training to full outsource, we’ve got your billing needs covered. Our account resolution specialists employ expert techniques so that you collect on difficult claims and keep cash flowing for your organization.

Advantages
• Consistent claim tracking and reporting
• Extensive systems experience
• Consultants are platform certified
• Experience with all Medicare, Medicaid, and commercial payers nationally

Related
Coding Services
Cash Acceleration
Cash Acceleration

If you’re experiencing payment issues, we keep the cash flowing. Our experts help eliminate backlogs and bring receivables up to date. We know the intricacies of each payer and go a step further by identifying missed revenue, correcting claims errors, and resolving problem accounts with no disruption to your organization's daily operations.

Advantages
• Experience with all Medicare Administrative Contractors nationwide and commercial payers
• Manage accounts receivable on site or remotely
• Utilize your existing accounts receivable system or employ our secure proprietary collection system

Related
Billing Services
System Conversion Support
Interim Management
Home Health OASIS & Coding Services

To ensure your agency receives the correct reimbursement, and is fully compliant, our concurrent OASIS and coding services are conducted by certified clinicians with meticulous attention to documentation detail and rigid quality standards.

Advantages
• Minimum 97% accuracy rate, meeting highest quality standards
• Comments cited with CMS regulations and Decision Health guidance
• Every coder is certified in OASIS (HCS-O), home health (HCS-D), as applicable to their expertise, including ICD-10
• Rapid turnaround
• Web-based, HIPAA-compliant interface
• All coding conducted by U.S. based McBee employees
• Comments cited with CMS regulations and Decision Health guidance

Related
OASIS Accuracy
Billing Services
Webinars: Hospice Physician Documentation and Intake Needs in ICD-10 - Recording
Hospice Clinician Documentation in ICD-10 - Recording
Home Health Physician Documentation and Intake Needs in ICD-10 - Recording
Home Health Clinician Documentation in ICD-10 - Recording
Episode Management

We make sure high care quality and financial viability are within your reach. Our approach to episode management improves the delivery of the patient's plan of care. Our clinical teams partner with yours to develop custom care guidelines that reduce readmissions, improve visit utilization, and provide patients with a positive outcome. Patients, and referring providers, will count on your agency for the best care and patient experience.

Advantages
• Focus on higher Quality of Patient Care and Patient Survey Star Ratings
• Clinician-to-clinician review of care plans to improve utilization
• Trend reporting to determine and address root causes of low utilization
• Analysis of open episodes to identify potential LUPAs and prevent them
• New care patterns engrained into agency culture

Related
OASIS Accuracy
Revenue Cycle Process Improvement

Impact Analysis

Our comprehensive impact analysis helps you forecast the financial effects your agency can expect under new regulations by repricing a sample of your claims according to the regulations. Armed with this information, you’ll be able to anticipate the changes and plan accordingly.

Advantages
• Analysis of agency’s OASIS, diagnosis coding, and actual visit utilization
• Detailed reporting to thoroughly explain all aspects of the regulations and how they affect your agency
• Operational improvement service options that increase profitability
• Recommendations for operational adjustments that improve financial performance

Interim Management

From chief financial officer to director of nursing positions, we serve in key leadership roles within finance and clinical operations across the care continuum. Our interim managers have the leadership experience to tailor their approach to your organization’s specific needs as well as the strategic vision to achieve clinical, financial, and operational goals.

Advantages
• Real-world leadership experience in acute and post-acute care settings
• Assistance in the recruiting process, guidance during the transition, and ongoing support as needed
• Available temporary staffing
• Experienced resources, including the expertise of the entire firm to achieve engagement goals

OASIS Accuracy

For the most thorough review on each chart, we evaluate OASIS responses and coding decisions using all available documentation.

You achieve the best clinical and financial outcomes possible by optimizing your OASIS process with a focus on compliance and nuances of proper OASIS completion.

Advantages
• Side-by-side comparison of pre-submission OASIS charts with coding and rescoring recommendations
• All reviewers certified in OASIS (HCS-O) and home health (HCS-D) with an average of more than 15 years of experience
• Recommendations cited with CMS regulations and Decision Health guidance
• Financial impact analysis of potential reimbursement on each chart
• Trend reports showing target areas for improvement
• Targeted training based on reviews by clinician and code

Contact us for a free 45 minute demonstration.

Related
Coding Services
Episode Management
Webinars: Home Health Physician Documentation and Intake Needs in ICD-10 - Recording
Home Health Clinician Documentation in ICD-10 - Recording
Revenue Cycle Improvement

For optimization of your current workflows or a financial turnaround, our consultants collaborate to design lasting solutions at any stage in the revenue cycle. We deliver a full range of services that address every area from patient intake to cash posting. The result is always a strategic process improvement that works in your organization.

Advantages
• Total revenue cycle assessment, operations re-engineering, and process improvement
• Management and expertise from financial leaders, policy analysts, and information technology specialists
• System implementation support
• Billing loan staff and training as needed
• Accounts receivable resolution and cash acceleration

Related
Interim Management
Cash Acceleration
Episode Management
White Paper: Turning Around a Health Care System in a Global Cap Environment: A Balancing Act in Acute and Post-Acute Care
Revenue Recovery

To prevent financial risks associated with underpayments and overpayments, we help you receive accurate reimbursement for paid Medicare claims and engrain compliant practices to protect your bottom line. Our revenue recovery process is built to handle every step from claim review to payment verification.

Advantages
• Industry leader in Medicare revenue recovery since the inception of PPS
• National reputation for offering the most comprehensive screening and review methodologies
• Guidance in revamping billing and operational processes
• Contingency-based fee structure

Related
OASIS Accuracy
Coding Services
System Conversion Support

Transition seamlessly to a new system with support from home health and hospice experts who fully understand your need for consistent cash flow and productivity during a conversion. From project management to change management, we assist you through each step of new system implementation.

Advantages
• Resolve legacy system accounts receivable as new system is implemented
• Securely maintain data from legacy system on our HIPAA-compliant storage
• System and workflow optimization to maximize potential of new system
• Customized user training on the new system
• Interim staffing support options

Related
Cash Acceleration
Revenue Cycle Process Improvement

EXPERTISE GUARANTEED

All consultants, from junior staff to senior management, know health care policy at a granular level, and stay ahead of all compliance issues that could impact clients.

To ensure subject matter expertise on the application of policies, and the development of practical approaches to new regulations, bi-weekly training sessions are conducted, during which The Federal Register is reviewed. We guarantee that engagements are staffed with consultants with in-depth knowledge of health care policy and compliance, including:

  • Medicare
  • Medicaid
  • JCAHO
  • HIPAA

Compliance with health care policy and regulations is an integral part of all phases of client engagements and the firm’s internal training processes. McBee helps clients establish, update, and review compliance programs. The firm’s compliance expertise is also utilized internally by maintaining an active compliance program that includes training, risk assessment, extensive review of high-risk engagements, and self-audits. McBee believes that compliance is essential to good business.

  • Extensive health care regulation research
  • Documentation of opinion
  • Continuous regulatory training
  • Comprehensive policy implementation

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