This document describes an audit and compliance management software called ARC that helps skilled nursing facilities achieve complete compliance with CMS regulations. It contains over 40 audit modules covering all regulatory areas. The software facilitates auditing, committee review of results, and corrective action tracking. It provides templates and automatically generates documents. Using ARC can significantly reduce facilities' costs and risks of fines while optimizing revenue.

1. Perform audits using comprehensive audit tools.
We provide over 40 user-friendly audit modules
covering all areas of compliance and quality under
federal law.
Review audit reports in key areas. Audit results are
securely distributed to management team members in
a concise, helpful electronic format.
Create and track corrective actions using a simple,
form-based management tool. The corrective action
process is simplified, with auto-generated forms and clear
accountability tracking.
Schedule and facilitate committee meetings with ease.
Standardized committee meeting templates result in
effective compliance meetings documented by
form-generated meeting minutes.
Utilize complete and compliant program documents.
Significantly save time, money, and worry with all
program documents already included in the system.
Comprehensive audit
modules covering all
CMS “Mega Rule” areas
Complete management of
mandated C&E, QAPI, and
Facility Assessment programs
Dramatic cost savings
and reimbursement
optimization
Achieve complete compliance with all of
the new CMS Requirements of Participation
(aka “Mega Rule”) with an innovative,
one-of-a-kind management platform.
ARC is a web-based multi-tool that achieves complete
compliance with the Mega Rule and provides a guiding
arc over a SNF’s operations.
Under the Mega Rule, all SNFs are required
to have three new mandated systems of
internal control: a Compliance & Ethics Program
(“C&E”); a Quality Assurance & Performance Improvement
Program (“QAPI”); and a Facility Assessment Program.
These programs must be coordinated and must contain
detailed written plans and the following key organizational
activities: auditing/monitoring, committee review, and
corrective action management.
ARC contains all of the required documents necessary to
implement and maintain a compliance with the three
mandated programs. The documents are fully compliant
and are updated whenever there is a change in the law.
In addition, ARC contains the three functional components
required under the Mega Rule – auditing, reviewing, and
correcting.

2. Save money
The estimated per-facility cost of creating
and maintaining a compliant, integrated internal
control program under the Mega Rule is $25,000 upfront
and $15,000 per year. This takes into account attorney time,
consultant time, and staff time, but it excludes programming
and other technology fees for electronic implementation.
In addition, facilities that use ARC save an estimated
$20,000 per year in staff time and can expect far less risk
of recoupments, fines, and penalties from the state, CMS,
OIG, RAC, ZPIC, or OCR (HIPAA). An annual subscription
to ARC represents a small fraction of these savings.
Sample Audit Modules
Make money
Utilizing ARC’s PPS audit modules and corrective action
tools have a positive annual financial impact of approximately
5-10% of Medicare Part A revenue. This is achieved by
strengthening the entire process of clinical reimbursement,
thereby protecting revenue from recoupment due to
technical non-compliance and optimizing revenue through
increased accuracy .
Audit
ARC contains over 40 comprehensive audit
modules that cover all of the key federal
regulatory standards for skilled nursing facilities.
Paperless audits are performed by internal staff or external
consultants using the audit modules. The audit entry system
operates in real time and can be easily used with a desktop,
laptop, tablet, or smartphone.
Review
The system contains an electronic reporting system for
all audits and a meeting facilitation function for key
management personnel to review the audit results and
make critical decisions. The meeting facilitation function
contains automated agenda templates and form-based
meeting minutes that are auto-generated as pdfs
immediately upon adjournment of a meeting of the
facility’s compliance committee, QAA committee, or
other committee. ARC also contains all necessary
documents under the Mega Rule – a compliance & ethics
plan, a QAPI plan, and a facility assessment plan.
Correct
ARC contains an innovative and comprehensive corrective
action management system. The program creates,
manages, and tracks auto-generated corrective actions
by guiding facility management through the entire corrective
action process, thereby assuring prompt action in key areas,
significantly reducing administrative burden, and maintaining
accountability for tasks.
ADLs/Mobility
Advance Directives
Behavioral Health
Care Plans
Dental
Discharges & Transfers
Incontinence
Medication
Nutrition & Hydration
Physician Services
Pressure Ulcers
Restraints
Med Part A-MDS
Med Part A-Medical Necessity
Med Part A-Technical
Requirements
Accidents & Incidents
Admission
Food & Nutrition Services
Employee Files
Grievances
Pharmacy
Physical Plant
Policies & Procedures
Postings
Contracts
HIPAA
Stark/Anti-Kickback
www.ltcintegrity.com
(855) 231-9869 • info@ltcintegrity.com
“The ARC program is truly the best SNF management program that I have seen. Instead of being
cumbersome and overly statistical, ARC is simple to use. It covers every possible compliance and
quality area, and it has a huge cost impact – both from a cost-savings perspective and a
revenue-maximization standpoint. I highly recommend ARC.”
-COO, Multi-Facility SNF Operator