LTSS Consulting
Frustrated with licensing, claims, audits, and regulatory matters?
LTSS Consulting helps home and community-based service providers get paid, remain compliant, and operate more efficiently.
We solve problems!
Why does your business need LTSS consulting?
Rollercoaster rates, eligibility, new billing codes and procedures, EVV, new kinds of denials, multiple portals and information sources, inadequate payer support, and feedback, all lead to erosion of your cash flow.
We can help unravel the knots and get you paid!
Audits and reviews by government branches and an alphabet soup of multiple audit contractors and investigators can cost even the most compliant provider substantial recoupment liability if your staff lacks the time or expertise to respond accurately.
We teach your staff the ropes, increase your chances of a good result, and work with your attorney to lower costs if a legal challenge is necessary!
Today’s provider needs to master at least a dozen computer systems to do business, each with its own website or portal . . . and that does not count special new or one-time portals and systems that spring up for special purposes.
You can count on LTSS Consulting to help you master All these systems!
Experience is Key
LTSS Consulting Inc. supports and trains home and community-based services providers in North Carolina, including personal care and waiver programs managed by Medicaid and other payers.
We have over 25 years of experience with licensing, authorization, claims resolution, enrollment audits, and general regulatory matters.
A Plan Just Right for You
Family Care Homes
Do you struggle to keep up with Medicaid developments, policies, and rules? With a monthly LTSS Consulting plan, you'll get:
- Weekly informational calls
- Industry-specific newsletter
- Free calls for advice
- Two one-hour online training sessions for staff about PCS
- If an audit occurs that requires intense work, up to 75 hours of support will be provided at an additional cost.
Adult Care Homes
LTSS can help transform your community into a top performer in your market. With your monthly LTSS Consulting plan, you'll get:
- Weekly informational calls
- Industry-specific newsletter
- Free calls for advice
- Two one-hour online training sessions for staff about PCS
- Expert assistance with claims and audit issues
Members of NCALA and NCSLA are eligible for significant discount on services.
Home Care Agencies
Need help navigating licensure, regulations, EVV, Medicaid Managed Care, claim denials, and turnover? Your LTSS Consulting plan offers:
- Weekly informational calls
- Industry-specific newsletter
- Free calls for advice
- Two one-hour online training sessions for staff about PCS
- If an audit occurs that requires intense work, up to 75 hours of support will be provided at an additional cost.
REACH OUT FOR MORE INFORMATION
About Our Team
Richard Rutherford
Richard Rutherford is a graduate of Harvard College (BA) and Columbia University (JD) and has worked for many years in the NC Medicaid arena as a consultant, provider, speaker, and advocate for the residents receiving care. He participates as a teacher on PCS topics in the NCSLA Administrator in Training program and received the 2021 Long Term Care Champion award from North Carolina Senior Living Association for his service to adult care communities and their residents. He is a member of many stakeholders and provider groups, and supports the Association for Home and Hospice Care, NC Assisted Living Association, and NC Senior Living Association.
Marjorie Rutherford
Marjorie Rutherford is a graduate of Northwestern University (BA, Phi Beta Kappa), Duke University graduate school (MA), and the University of Pennsylvania (MA). She has worked with LTSS Consulting on many projects to support providers, including audit reviews, policy revision, and helping providers with claims and enrollment and related challenges since its founding in 2019.
Polly Rutherford
Polly Rutherford is a graduate of Wellesley College (BA), Boston University (MA, Public Health), and Boston College School of Law (JD) and joined LTSS Consulting in 2020. She helps synthesize and digest information about changes in the Medicaid environment and works with providers and billers in resolving eligibility, claims, enrollment, audit support, and related challenges.
Tim Rutherford
Tim Rutherford has worked as an advertising executive, marketing professional and national sales trainer for more than 45 years. He attended the Governor Dummer Academy in Byfield, Massachusetts, and the University of Wisconsin, Madison. He sits on the Board of Directors of The Contraband Historical Society in Hampton, Virginia and The Other 50% Foundation, Inc., Boston, Massachusetts. Tim has run two Boston Marathons and is the single most devoted Boston sports fan living today. He and his wife have three children, six grandchildren and live outside Boston.
Reach Out for a Consultation!