Outsource

Outsourcing your quality assurance has never been easier. It is a requirement that Home Health Agencies adhere to coding and OASIS guidelines. Coding and OASIS inaccuracies can create a significant adverse impact on compliance, outcomes, and reimbursement. While up-coding can lead to potential compliance/legal issues, down-coding can result in substantial revenue loss. If your agency fails to adhere to OASIS guidelines the end result will be revenue loss and poor quality outcomes. Enrolling in our Virtual QA program you will be provided with accurate coding and OASIS review services.

OASIS Review Process

We believe it is essential to look at the entire OASIS assessment including medications and past certification periods when reviewing the accuracy of OASIS data items rather than comparing only OASIS data items for inconsistencies. We use trained, certified staff (COS-C and HSC-D) to review the OASIS assessment. We recommend coding service in combination with OASIS review to ensure a more comprehensive, accurate assessment which includes assignment of diagnosis codes. Each service can be utilized individually.

OASIS Review Process

We believe it is essential to look at the entire OASIS assessment including medications and past certification periods when reviewing the accuracy of OASIS data items rather than comparing only OASIS data items for inconsistencies. We use trained, certified staff (COS-C and HSC-D) to review the OASIS assessment. We recommend coding service in combination with OASIS review to ensure a more comprehensive, accurate assessment which includes assignment of diagnosis codes. Each service can be utilized individually.

Review Process

Services can be provided via fax for agencies that do not use a computer documentation system. For agencies with a computer documentation system we can access the information via your software. We provide results of our review within 24 hours of receipt of your request. (restrictions may be applicable). Once the document has been reviewed your agency will receive a print out including a detailed explanation of discrepancies and the recommended ICD-10 codes. We can also offer feedback on patterns of assessment inaccuracies to improve the quality of future assessments.