Covenant Legal Nurse Consulting
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    • LNC Services
      • Services
      • Catastrophic Injury
    • Compliance
    • About
    • Contact Us
Covenant Legal Nurse Consulting
  • Home
  • LNC Services
    • Services
    • Catastrophic Injury
  • Compliance
  • About
  • Contact Us

Services provided

Pediatric Therapy Audit

  •  Evaluate the appropriateness and specificity of individualized treatment plans for pediatric patients.
  • Verify that treatment goals are measurable, realistic, and tailored to the unique needs of each patient
  •  Verify the qualifications and credentials of therapists providing pediatric therapy. 

Pediatric Private Duty Audit

  •  Review billing practices to ensure accurate coding and billing for pediatric therapy services.
  • Confirm that billing aligns with the services provided and complies with reimbursement guidelines.
  •  Review nursing documentation, including nursing notes, medication administration records, and care logs.
  • Confirm that documentation adheres to regulatory standards and accurately reflects the care provided.

Investigation Assistance

  •  The investigation process typically commences with the reporting of the adverse event. Clear procedures for incident reporting ensure that any negative patient outcomes are promptly documented. 
  •  Upon receiving the incident report, an immediate response is initiated to address the patient's immediate needs. This may involve medical intervention, communication with the patient's family, and ensuring the safety and well-being of the patient. 

Customized Plan of Correction

  • Review of the summary of deficiencies from the State, Accrediting Agency, etc.
  • Develop a customized Plan of Correction in line with the rules and regulations

Administrative Support and Guidance

  •  If the investigation reveals gaps in staff knowledge or skills, an educational plan is implemented to address these deficiencies. Continuous training ensures that staff members are well-equipped to provide high-quality care. 
  •  The agency establishes ongoing monitoring mechanisms to track the effectiveness of implemented changes. Feedback loops are created to encourage reporting, learning, and continuous improvement. 

Is Your Home Health Agency Audit-Ready?

Is your home health agency waiting until a state, payer source, or OIG audit to find billing, documentation, or safety issues?


It could cost you $20,000–$200,000 or more in fines!


Some of the most common audit findings include: 

  • Documentation that doesn’t support medical necessity 
  • Incorrect billing codes leading to denied claims 
  • Missing eligible diagnosis codes 
  • Improper use of modifiers that trigger red flags

Don’t wait until it’s too late! Schedule appointment TODAY!

Book appointment

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