Former QIO advisor. Former QIO advisor. Nurse consultant. Your compliance partner.
For nursing homes, law offices, and insurance claims teams. I help you turn complex medical and regulatory challenges into confident decisions.
All Turnaround times are business days and begin when we receive all requested documents. Rush service is available for 25% fee
Now I help facilities, attorneys, and insurers understand what surveyors and regulators are really looking for.
As a Quality Improvement Advisor for both the state and federal QIO, and contracts, I didn’t survey facilities. I coached them. I analyzed their data, identified systemic gaps, and helped them fix problems before surveyors arrived.
Both CMS and Office of Inspector General, DHS and DQA all has a clear 2025 – 2026 target list for facilities and quality of care. We help you stay ahead of it. *All Turnaround times are business days and begin when we receive all requested documents. Rush service is available for 25% fee*
All Turnaround times are business days and begin when we receive all requested documents. Rush service is available for 25% fee
Comprehensive review of opioid & controlled substance practices, including storage, access logs, signatures, gaps and diversion controls.
Full gap assessment against OIG’s ICPG and your own facility assessment.
(59 pages, 4 risk area, 7 elements, and review of facility assessment). Includes a remediation roadmap.
Review medical director contracts, PBJ hours/reports, and duty documentation and Anti-Kickback Statute compliance. Identify gaps & compliance with CMS, OIG & Survey expectations.
Comprehensive review of high-risk areas: all behavioral health medications (psychotropic, antipsychotic) use, prescribing, indications, patterns and risks. Identification of gaps in: diagnosis, care plan, interventions, GDRs & documentation.
Review of GDR’s, MDS/claims reconciliation, medical director & consultant pharmacist oversight and policy & procedures.
Scope: 15 – 25 high-risk charts
Full comprehensive audit & correction for all residents on behavioral health medications. Identification of gaps in diagnosis, care plan, interventions, GDRs & documentation.
Includes MDS/claims reconciliation, oversight review, care plan & intervention corrections, physician contact for diagnosis/indication fixes, & education tools. 60-page executive report, 30/60/90 day roadmap, and sustainability plan.
Full mock survey using current CMS protocols. Citation report by severity, survey readiness score, POC template.
$4500 (2 days)
Comprehensive Mock survey with deeper review & more observations. Includes post-survey staff debrief, and action plan.
$6000 (3 days)
* Includes everything in the 2-day.*
CMS compliant POC development based on citation volume* & includes SOD review.
Citation and POC Support: Advisory Service. SOD review, guidance on writing your own POC & review draft
Tier 1 (≤8*): POC writing & SOD review for up to 8 citations.
Tier 2 (9-16*): Tier 1, but adds RCA, 30-day action plan for 9-16 citations.
Tier 3 (17+ or IJ*): Tier 2, Adds a 60-day action plan, post-POC follow up & drafted policy changes for 17+ or IJ.
*Multiple IJ’s is additional cost.*
*Rush services available 25% more
Determine your facility’s risk of Special Focus Facility placement. Includes prevention roadmap, & guidance.
For facilities on the SFF list. Gap analysis, post-graduation monitoring plan, board summary and roadmap to prevent reoccurrence.
Emergency support for facilities in crisis. When a surveyor walks in unexpectedly or day one derails, Innovative Insights Consulting deploys fast.
Services include SOD review, continued survey presence, POC development, IJ prevention, abuse investigations, and same-day triage or education after surveyors exit. One call. One signature. That’s it.
Your go-to southern Wisconsin nurse consultant.
Federal Regulators found that facilities were inappropriately Dx’s of schizophrenia to hide antipsychotic misuse.
We audit every disqualifier. We give you a completed Plan of Correction. If we miss a gap and you lose your RBS spot, we fix it for free.
Federal Regulators are now auditing inflated leases and management fees to related parties.
New Rules: Surveyors must stay 5+ hours day 1 and must have consecutive first 2 days. We test your readiness.
SOD, POC, DPOC and Writing available at fixed and hourly rates whichever is better.
We can assist with regular nurse consulting oversight for SNF, LTC, and RN Delegation for ALC’s should you need that assistance.
Federal Regulators have announced sweeping review of opioid controls in nursing homes and are reviewing it closely.
Federal Regulators are now auditing inflated leases and management fees to related parties.
We audit every disqualifier. We give you a completed Plan of Correction.
If we miss a gap and you lose your RBS spot, we fix it for free.
A cloud-based policy management system built with free tools that turns static binders into a trackable reviewable auditable system. Every policy has a version history and next review date. Managed and kept up to date by us.
Automated email reminders when a policy is due for review with highlights on changes. Staff acknowledgement forms, and designed education for any changes for you to present at the next staff meeting. Central, searchable, accessible from anywhere.
Plus custom education ready to deliver and learn. Learn more today!
I am a Registered Nurse with State and Federal QIO experience. I help plaintiff and defense attorneys understand the medicine behind the case. My goal isn’t to make you dependent on me. It’s to show you the red flags before you invest hours in a case.
Teaching your team how to spot medical red flags before you invest hours in a case.
Claims adjusters: Stop guessing. Get a nurse’s perspective.
All Turnaround times are business days and begin when we receive all requested documents. Rush service is available for 25% fee
© 2023 ii consulting• All Rights Reserved
© 2023 ii consulting• All Rights Reserved