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ManageUnder historic grant or program based funding plans, a resource block was allocated and available prior to the provision of particular services. Audit practices were largely holistic and program or outcome based in nature. In the shift to the waiver form of funding, services must first be performed, properly and often painstakingly accounted for with a level of detail previously unseen, then submitted for funding and, finally, funded. Any misstep in this administrative flow can delay funding and even create legal exposure. As one executive directed bemoaned, “There is no such thing as a Medicare Mistake. It’s called Medicare fraud.”
For these reasons – the escalating administrative load, the funding cycle requirements to be accurate and timely in the recording of service events, and the increased legal exposure in what has always been a simply administrative function – it is critical that agencies avail themselves of the automation tools to successfully navigate this increasingly difficult terrain. AIM and the CASPer system provide the tools, the process, and the solution.
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