CMS AUDIT PREPARATION

Evolving Healthcare Solutions has partnered with a former independent contractor who conducted 50 PACE audits for CMS  from 2019 to 2023. Our CMS consultant represented CMS in many roles to include a clinical element lead, medical record review trainer, and provision of service team member. With his in-depth knowledge of PACE and 26 years of healthcare experience, we can accomplish a thorough independent assessment of your medical records by:

Reviewing documentation to ensure your EHR system meets all PACE compliance standards.
Identifying and reporting issues of potential non-compliance.
Improving documentation accuracy to meet regulatory requirements.
In addition to a thorough review of your medical records, Evolving Healthcare Solutions can train your team on the current audit process, assist during and after the audit field work, and provide guidance on completing Requests for Additional Information (RAI), Root Cause Analysis (RCA), and impact analyses.