Ruth Coté, MSN, RN

A diligent healthcare manager with over 20 years’ experience in hospice and home health, Ruth Coté has a proven track record of assisting hospice agencies with a broad array of compliance and risk management support. Over her decades of experience she has helped hospice providers achieve initial accreditation with CHAP, conducted clinical record audits as part of due diligence during mergers and acquisitions, and supported multiple hospice agencies in ending MCR provider-specific probe edits within 3- 6 months of initiation. Ruth works both remotely and on-site to provide:

  • Compliance risk assessment

  • TPE Audit support

  • Assessment of IDG and patient visit procedures

  • Mock certification surveys

  • HIPAA compliance review and risk assessment

Prior to becoming a consultant to hospices, Ruth was Vice President of Quality and Performance Improvement for a multi-state provider and managed a quality department of more than 20 staff members in five states. Under her leadership, that department achieved an 85% reimbursement rate with initial ADR claims and 90% favorable rate with Administrative Law Judge hearings under CMS. As primary lead in a case contesting a preliminary finding of Medicaid overpayment, her team successfully reduced the overpayment amount by 95%.