FULL CMS VALIDATION SUPPORT

Full CMS Validation Support with Direct Difference

Ensure accuracy, reduce mismatches, and defend your data with confidence.

Direct Difference offers comprehensive Full CMS Validation Support designed to minimize discrepancies and maximize compliance. Our expert team handles the revalidation process from start to finish—delivering precision, speed, and full transparency every step of the way.

1. Chart Re-Review

• Our experienced account managers re-review each flagged chart.
• Focused on clinical accuracy, correct measure logic, and documentation verification.
• Identifies discrepancies and re-validates abstracted elements for submission integrity.

2. PDF Audit for Missing Data

• Comprehensive review of chart PDFs to identify overlooked or misfiled data.
• We examine every page to locate missing elements that impact CMS outcomes.
• Reduces false mismatches and improves audit performance.

3. Page Number & Source Tracking

• All supporting documentation is mapped to specific PDF page numbers.
• A reference log is created to support abstraction decisions in case of CMS mismatch.
• Saves internal teams time and provides clear evidence for resubmission or appeal.

4. Mismatch Analysis & Education

• We assess CMS mismatches to identify legitimate disagreements.
• Provide documentation-based explanations and educational insights into why the abstraction was accurate.
• Drafts challenge language if facility chooses to appeal a CMS determination.

5. Partner Communication & Reporting

• Dedicated account managers provide hands-on support and guidance throughout the audit process.
• Regular updates, real-time Q&A, and optional screen share sessions.
• Final report includes: re-reviewed abstractions, page references, and validation notes—ready for CMS submission.

The Outcome

Defense-ready documentation. Fewer mismatches. Stronger CMS performance.
With Direct Difference, your facility gains clarity, control, and confidence in every CMS audit cycle.

Why Choose Direct Difference for CMS Validation Support?

With decades of experience in healthcare quality, abstraction, and regulatory compliance, Direct Difference is the trusted partner for facilities seeking precision and peace of mind during CMS audits. Our expert team enhances data accuracy, reduces mismatches, and alleviates the workload on your internal staff.

Partner with us to protect your outcomes, defend your data, and stay ahead of CMS reporting demands.