Nathan J. Shaw, RN, BSN, MBA, HCRM, RAC-CTA

Vice President of Clinical Reimbursement & Analytics

 

Nathan Shaw has enjoyed a nursing career for over
22 years with the past 17 years in long-term care.

 

His experience covers direct patient care to management in positions from Staff Nurse, MDS Coordinator, ADON, Regional MDS Consultant,
as well as Corporate Director of Clinical Reimbursement.

 

With RB Health Partners, Mr. Shaw works as the
Vice President of Clinical Reimbursement & Analytics.

 

Mr. Shaw's skills and expertise ensure his ability
to assist clients with:

  • Expert RAI & PPS systems knowledge

  • Expert, state specific, Medicaid/ Case Mix reimbursement systems knowledge

  • Detailed cost management strategies and analysis related to Consolidated Billing

  • Excellent individual & facility based educator in RAI processes

  • Detail oriented auditor

  • Knowledge of Medicare regulations

  • Detailed visit summary reports with recommendations

 

His expertise also includes:

 

  • Medicare audits

  • Triple Check

  • Medicare billing accuracy

  • Medicare compliance review

  • Nursing documentation training to support skilled services

  • CNA documentation systems and training to support the ADL index

  • Implementation of risk-friendly facility programs that enhance quality of care and reimbursement

  • Medicare enhancement

  • Keane and PCC software systems

 

Mr. Shaw has a passion for education and enjoys presenting to facility staff on a one-on-one or group setting basis.