Continuous compliance monitoring
Compliance issues flagged before month-end, not at audit
Most Part B billers review documentation once, after the month closes, when many gaps can no longer be fixed. CareComply checks every supply and respiratory therapy order every day and emails your team a short list of exactly what to fix, so every claim we bill is defensible and nothing billable is lost.
Reports your team receives every morning
Delivered by email around 4 AM facility time, scoped to residents who are in the building and Part B eligible.
Part B Supply Compliance Report
- Qualifying diagnosis
- Dressing size and change frequency
- Wound location and supporting assessment
- Weekly utilization against LCD limits
RT Compliance Report
- Valid RT CPT code on the order
- Treatment frequency that meets the code (e.g. 3× daily)
- Qualifying pulse-ox diagnosis for pulse oximetry
- Supporting physician note
Eligibility reports
- Residents who should start, continue, or stop
- Part B activation and termination
- Medicare Advantage enrollment changes
- Expired Medicare IDs to update in PointClickCare
Payer change alerts
- Daily payer changes per facility
- Organization-wide payer tree updates
- Eligibility errors that need a data fix
- History for every resident
Fix it while it’s billable
Every flag names the resident, the order, and what’s missing, so a nurse can fix it in PointClickCare in minutes.
Snooze what’s handled
Reviewers can hide a resident for 30 days when an issue is already being worked, so reports stay short.
Audit-ready by default
Every claim ties back to the order, administration record, and the checks that ran on it.
Compliance FAQ
What does “continuous compliance monitoring” mean?
CareComply checks every supply and RT order against Medicare documentation requirements every day and emails your team a report of what is missing, such as a dressing size, a wound location, a qualifying diagnosis, or a physician note. Your team fixes it while the claim is still billable.
What happens if we get audited?
Every claim we bill is tied to the order, administration record, and documentation in your chart, and our daily reports show the compliance checks that were run. That makes it straightforward to respond to a documentation request.
See your compliance gaps today
A free sample scan shows the documentation gaps in your current supply and RT orders, and the revenue they’re costing you.