Compliance & Quality Assurance and Performance Improvement Programs

Rivetus combines strong ethical values with industry experience to meet CMS regulations while maximizing financial and clinical outcomes.  Our value-based clinical programs link performance with organizational success.

Medicare Regulations and Reimbursement

Rivetus delivers:
  • Experience with Bundled Payment Continuous Improvement (BCPI), Accountable Care Organizations (ACO) and value-initiative programs.
  • Innovative Therapy software ensuring mandatory completion of CMS Regulatory Components and all documentation requirements.
  • Interface capabilities between the Electronic Medical Record and Billing Software with full access to view therapy documentation.
  • State Survey compliance including; in-services, background checks, license verification and therapy clinical support to the interdisciplinary team.
  • Expertise and consultation for Medicare Regulatory Guidelines.
The Rivetus compliance and quality assurance program provides the best defense against potential audits and denials that directly impact your bottom line.
CMS intermediaries (NGS and WPS) have verified our ability to provide the highest standard of care with the most effective use of Medicare dollars.   In recent audits, 190+ claims were reviewed across 5 facilities with an error rate of less than .071%.