Long-term care consulting services

Operational consulting services specific to the long-term health care and senior living industries

With more than 45 years of experience serving the long-term care industry, we bring our clinical and financial insight to offer innovative and practical solutions to help clients increase efficiency and profitability. Some of our long-term care consulting services include the following.

Senior care advisory services

Our advisory team can assist your organization with:

  • Performance and development of an implementation plan to drive greater efficiencies, reduction in costs and sustained profitability
  • Expense reduction in nursing administration, resident assessments and direct care staff
  • Shared services
  • Ensuring appropriate Medicare reimbursement and utilization
  • Assessment of organizational compliance with the Office of Inspector General of the U.S. Department of Health and Human Services standards
  • Streamlining financial record keeping and reporting
  • Effective accounting, tax and business strategies based on industry best practices

In addition, the team is uniquely positioned to assist your long-term care organization with provider enrollment strategies, initial enrollment, revalidations and updates to the Provider Enrollment, Chain and Ownership System (PECOS), as needed. Our professionals work with you to ensure that necessary documentation is submitted, and the application process is timely and successful.

Our long-term care consultants are committed to helping you increase the profitability of your facility so you can focus on delivering high-quality, affordable services to your residents. Our reimbursement specialists understand the complexities caused by the interrelationships of payment systems, pricing transparency and regulatory reporting concerns. We will use our knowledge and experience to help you understand what works best for your organization.

As part of our long-term care consulting services, our team can provide:

  • Clinical studies and in-service training to help ensure regulatory compliance
  • Corporate compliance programming
  • Results-oriented solutions tailored to your long-term care operations
  • Systems to enhance quality and reduce costs
  • Streamlined financial record keeping and reporting
  • Effective accounting, tax and business strategies based on industry best practices 

Technology consulting

Combining technical knowledge and business savvy with our full range of IT services, we assess complex situations, devise solutions and implement them for you - efficiently and with minimal disruption. Services include:

  • Strategy and advisory
  • Business intelligence and performance management
  • Electronic medical record (EMR) system selection and implementation
  • Infrastructure
  • Cloud computing
  • Business process outsourcing
  • Enterprise resource planning (ERP) and customer resource management (CRM) systems
  • Program and project management

Business intelligence and analytics

Our professionals help long-term care organizations bring all of their data into one place, and make information available to the appropriate team leaders and members. Using analytics, statistical modeling and business intelligence software tools, we build dashboards and real-time analytics that provide users with a flexible view, from macro to micro. Typical projects include: shared services analysis, admissions rapid process, and spend analysis and cost savings road maps.

Rapid Assessment and roadmap

Our team provides long-term care industry clients with assessments of their clinical and business operations, as well as their technology environments. Based upon the client’s challenges, tactical and strategic goals, and the results of the Rapid Assessment, we can create a road map that will lead the organization toward its goals for growth and profitability.

HIPAA/HITECH compliance

We understand the unique regulatory challenges long-term health care organizations face to comply with existing and newer requirements, and we can identify where security gaps may exist. Our health care data security consultants have extensive experience in evaluating organizational processes to help our clients ensure they are compliant and that sufficient controls are in place. We deliver data security and compliance solutions to a variety of health care organizations. Some of our services include:

  • Readiness review
  • Risk assessment
  • Policies and procedures development and update
  • Self-assessment training

Long-term care facility construction and cost recovery consulting

We assist management in the selection of a suitable contract delivery method, and subsequent development of the applicable construction contract with a goal of better facilitating cost avoidance, savings and recovery. Also, we can perform an industry standards analysis of proposal submissions to assist and advise management in the proposal negotiation process. Our team can perform pay application reviews, which yield cost savings and recovery as well, to determine: 

  • Contractor compliance with specific contract terms related to inclusive costs and procedures for usage of owner funds, allowances, contingencies and other provisions, as applicable
  • Propriety and validity of payments to date and whether they, and projected payments, are in concert with the project budget and timelines
  • Contractor adherence to business and economic contract terms to facilitate cost avoidance and savings
  • Determination of the project financial status and cost to complete
  • Post-completion contract cost reviews
  • Negotiation, dispute resolution and claims assistance
  • Forensic accounting, fraud and litigation services

Debt financing support

Your long-term care organization has special needs related to its financing structure, whether it is tax-exempt, private placement, bank-qualified bonds or more traditional financing. We are ready to support your organization from pre-issuance to ongoing compliance with the following projects: 

  • Projected or forecast financial statements
  • Bond or debt comfort letters
  • Forecast covenant compliance letters 

Learn more about RSM's long-term care and senior care consulting services.

Other Insights

Late-year fiscal aid lifts growth prospects for 2021


Late-year fiscal aid lifts growth prospects for 2021

Aid package will bolster U.S. growth conditions in the first half of 2021, likely preventing another economic downturn previously implied.

  • January 07, 2021
Late year fiscal aid lifts growth prospects for 2021


Late year fiscal aid lifts growth prospects for 2021

Congress passed a $900 billion rescue package that includes funds for midsize companies, direct payments to households and jobless benefits.


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Outsourcing integration management led to measurable impact for a PE-owned SaaS provider to the long-term care market.

  • December 21, 2020
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Policy snapshot: Life sciences


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Biden plans to expand Medicare, a move that the Congressional Budget Office estimates would cut drug spending by $450 billion over 10 years.

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How can we help you?

To discuss how our team can help your business, contact us by phone 800.274.3978 or

Events / Webcasts


HITRUST for health care: The path to streamlining risk and compliance

  • December 10, 2020


HHS Provider Relief Fund and AICPA health care expert panel

  • November 20, 2020


Health care industry webcast series

  • October 22, 2020