Showing posts tagged with: Oasis

CoPs Breakdown on the New QAPI Regulations

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Clinical Documentation Improvement, Clinical Practices, Coding, Compliance, Conditions of Participation (CoPs)

CoPs Breakdown on the New QAPI Regulations

Adopt New Techniques

 
On January 13th, the rules for CoP's Quality Assessment and Performance Improvement regulations changed. Section 484.65 QAPI has replaced sections 484.16 (Group of Professional Personnel) and 484.52 (Evaluation of the agency’s program). The new section does a great deal to highlight the responsibilities of the agency's executive team and expects the governing bodies to focus on technology concepts like data- driven indicators to identify, track, and measure quality initiatives for high risk, high volume or safety issues. The program includes 5 standards: • Program Scope 484.65 (a) • Program Data 484.65 (b) • Program Activities 484.65 (c) • Performance Improvement Projects 484.65 (d) • Executive Responsibilities 484.65 (e) Program Scope Agencies are required to develop a data-driven QAPI program with measurable improvement indicators. The organization must measure, analyze, and track quality indicators including a patient’s adverse events, as well as other signs of performance to assess processes, services, and operations. However, it is not enough to just create the indicators. Agencies must use data to provide evidence that the improvement has led to improved health outcomes (ex: reduced hospitalizations, ED visits), safety and quality of care for patients. Program Data The QAPI program must utilize quality indicator data, including measures derived from OASIS that CMS has reported, to assess the quality of care provided to the patients and identify, prioritize, and manage opportunities for improvement. The QA efforts, including data collection, should focus on high-priority safety and health conditions. Like the program scope, data collected should support the quality measures and identify opportunities for improvement. Agencies will need to focus on those areas of past performance which have proven problematic for the agency over time or areas where there was clear evidence of poor patient outcomes as well as high risk and high volume. Program Activities The QAPI activities should include incidence, prevalence, and severity of problems in those areas. So that preventative actions and mechanisms can be implemented, agencies must track and analyze activities over time to ensure sustained improvements. Management should immediately correct any issues identified that directly or potentially threaten the health and safety of patients. Performance Improvement Projects The QAPI program requires that agencies performance improvement projects be conducted annually, at a minimum. The plan should reflect each agencies unique scope, complexity, and past performance. There should be clear documentation of the QAPI projects including the reason for conducting these projects and the measurable progress achieved. The agency’s governing body must define, implement, and maintain a program for quality improvement and patient safety that is ongoing and agency-wide. Executive Responsibilities The governing body for each agency is responsible for ensuring the QAPI reflects the complexity of the organization and its services, including contract and arrangement, are focused on indicators related to improved outcomes. They must also approve the frequency and level of detail in data collection. The governing body should establish clear expectations for patient safety and address issues in performance across the spectrum of care including the prevention and reduction of medical errors. For more information on this topic or on our Document review and Coding Services or Revenue Cycle Management, please call Select Data at 1.800.332.0555.
Check out our FREE 30-minute webinar for OASIS-C2 corrections and more. Select Connects with Clinicians Click here to read more.

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STAR Ratings and OASIS Accuracy | Select Connects With Clinicians

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Events, OASIS-C2

STAR Ratings and OASIS Accuracy | Select Connects With Clinicians

STAR Ratings and OASIS Accuracy

 

In this session, attendees will be able discuss STAR ratings history and application.

How did STAR ratings come into being? Two Acts Pave the way. The Affordable Care Act (2010) and the IMPACT Act (2014). Why should you care? STAR ratings are used as a reference when people are selecting healthcare providers. Patients are healthcare consumers. STAR ratings will impact a Home Health Agency's reimbursement. Select Data’s OASIS Review and Coding services improve the agency’s Star Ratings by ensuring the patient’s fragility is captured appropriately with each quality episode.  This allows the patients that can improve to be reflected in the STAR Rating calculation and those patients who are not likely to improve in that outcome measure to not be calculated in the agency’s Star Ratings.
To watch the STAR Ratings and OASIS Accuracy live presentation fill out your name and email address

 For more information regarding Star Ratings and OASIS Review and Coding services for your agency, contact us today!
Select Data is committed to a strong compliance program that includes educating all personnel on mitigating HIPAA breaches. For more information about Select Data and their commitment to quality in Home Health and Hospice, call 1.800. 332.0555.

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Assigning Diagnoses and Developing a Plan of Care | Select Connects with Clinicians

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Events, OASIS-C2, Uncategorized

Assigning Diagnoses and Developing a Plan of Care | Select Connects with Clinicians

Assigning Diagnoses and Developing a Plan of Care

 

Webinar Overview:

The MD documentation, the diagnoses listed, the OASIS assessment and the plan of care have all got to agree. They are all parts of a cohesive units, or all chapters of the same book. As you go from one part of a patient's documentation to another part of the patient's documentation you should be able to obviously see that they are all describing the same patient. For example: If a patient has some type of wound you should see that wound addressed in the the MD documentation, the diagnoses coding, the OASIS assessment and in the plan of care. To watch the Assigning Diagnoses and Developing a Plan of Care live presentation fill out your name and email address

Select Data is committed to a strong compliance program that includes educating all personnel on mitigating HIPAA breaches. For more information about Select Data and their commitment to quality in Home Health and Hospice, call 1.800. 332.0555.

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What is Medical Coding? – Coding and OASIS Review Services

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Clinical Documentation Improvement, Clinical Practices, Coding, Healthcare, ICD-10 CM, OASIS-C2

What is Medical Coding? - Coding and OASIS Review Services

With the implementation of ICD-10 have we seen an increase in patient outcomes?

 

ICD-10

Since the implementation of ICD-10 by the Centers for Medicare & Medicaid Services (CMS) on October 1, 2015 have we seen an increase in the shear number of procedural and diagnosis codes. Currently, there are 68,000 ICD-10-CM codes and 87,000 ICD-10-PCS codes compared to 14,000 ICD-9-CM codes and 4,000 ICD-9-PCS codes available (ACR, 2012). Medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The diagnoses and procedure codes are taken from medical record documentation, such as transcription of physician's notes, laboratory and radiologic results, etc. (AAPR, 2017). But, have we seen an increase in patient outcomes?

Quality Outcomes Matter

Luckily for our clients, Select Data had been preparing for the ICD-10 increase of codes months prior to the implementation. In addition, our professional medical coders & billers have an average of 8+ years of Coding experience. Furthermore, the Select Data Coding and  OASIS Review service improved revenue for our clients on average of 6% and a reported 40% reduction rate in hospital readmissions.

Our Process

It is not enough to review the entire integrated OASIS assessment for completeness and conguency. We query the agency clinician on incongruencies between the physician orders, clinical record and patient's condition. Our process changes the behavior because we engage the clinician when suggesting changes. So that you can focus on patient outcomes.

Our Motto

Driving outcomes guided by compassion, values and a sense of stewardship. Because patients are more than a number. Each deserves their own portrait. At Select Data, we code with an artist's brush, not a rubber stamp. We help you focus on patient outcomes. Check out our Coding and OASIS Assessment review services today!

Helpful Tip


With over 20 years of professional coding service experience in and   is uniquely qualified to mitigate operational challenges.

References AAPC (2017). What is Medical Coding? Retrieved from: https://www.aapc.com/medical-coding/medical-coding.aspx American College of Radiology (2012). Prepare Now for ICD-10-CM and ICD-10-PCS Implementation. Retrieved from: https://www.acr.org/Advocacy/Economics-Health-Policy/Billing-Coding/Prepare-Now-for-ICD10  

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Wounds and OASIS Documentation

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Clinical Documentation Improvement, Educational Videos, OASIS, OASIS-C2, Wound Care

Wounds and OASIS Documentation Presentation

Wounds and OASIS Documentation Key Facts

 

Upon completion of this session, attendees will be able to:

  • Documenting surgical wounds
  • Identifying and documneting skin ulcers
  • Documenting other skin lesions and skin alteration
To watch the Wounds and OASIS Documentation live presentation fill out your name and email address

Select Data is committed to a strong compliance program that includes educating all personnel on mitigating HIPAA breaches. For more information about Select Data and their commitment to quality in Home Health and Hospice, call 1.800. 332.0555.

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What is Select Connects with Clinicians?

JP Boranprasit
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Clinical Practices, Coding, Compliance, OASIS, Training

Select Connects With Clinicians

A free 30-minute training to help clinicians improve OASIS assessment accuracy. All attendees will be eligible for prize drawings.

 

You're Invited to February's

Select Connects With Clinicians

When: Wednesday, February 21st, 2018

Time: 10:30AM PT/1:30PM ET

Where: Register with Go To Webinar click here

Topic: Understanding the HH CAHPS Survey and How it Impacts Your Home Health Agency

After registering, you will receive a confirmation email containing information about joining the webinar. Or email us at: services@selectdata.com or call 866-538-CODE (2633). December's training will be a discussion on tips and tricks on making the most of home visits.

What is Select Connect with Clinicians?

Every second month Select Data sponsors a 30 minute training free of charge for clinicians and support staff working in Home Health. This is an effort to support OASIS accuracy and compliance and to promote better outcomes for patients. See our invitation below for our next Select Connects with Clinicians training. For more information please send an email to services@selectdata.com or call 866-538-CODE (2633). For assistance with your revenue cycle, care planning, coding, and OASIS needs, CONTACT SELECT DATA at 1.800.332.0555.

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