PATIENT CHART REVIEW
Chart Review | Targeted Probe & Educate | Review Choice Demonstration
ADR | QAPI
Concerned about your next survey or ensuring that both Patient Care and Quality Care are accurately reflected?
Our clinical staff can help you prepare for any survey or ADR that comes your way. With HealthCare Synergy’s Case Management Services our staff will perform comprehensive reviews of your entire patient charts from beginning to end to ensure compliance with Medicare and CMS.
Our experienced clinicians review your entire patient chart from SOC to Recert or Discharge, ensuring that you are survey-ready all the time. We help to monitor compliance with Medicare documentation based on CMS Conditions of Participation.
*This service can be provided REGARDLESS of which software your agency uses.
The services below can be provided regardless of which software your agency uses.
Our Clinical staff performs a review of the full chart and the 60-day summary of the episode requested.
Are you a Medicare Home Health Provider in IL, TX, FL, OH, or NC?
We have the knowledge and experience from receiving 100% affirmation during the Illinois Pre-Claim Review period!
Take advantage of our Home Health Review Choice Demonstration (RCD) Services. We ensure that documentation for your home health services are appropriate for payment based on your choice.
“When performing medical review as part of Targeted Probe and Educate (TPE), Medicare Administrative Contractors (MACs) focus on specific agencies that bill a particular item or service rather than all agencies billing a particular item or service. MACs will focus only on agencies who have the highest claim denial rates or who have billing practices that vary significantly from their peers. TPE involves the review of 20-40 claims per agencies. This is considered a round, and the home health provider has a total of up to three rounds for reviews. After each round, agencies are offered individualized education based on the results of their reviews. Home health agencies are also offered individualized education during a round to more efficiently fix simple problems.” – Center for Medicare/Medicaid Services
Is your agencies QAPI program survey ready?
The new 2018 Home Health Conditions of Participation require your agency have an agency-wide, data-driven quality assurance, performance improvement (QAPI) program that effectively identifies areas for improvement in quality care and patient safety. Healthcare Synergy’s experts will partner with you to develop or strengthen your QAPI program via fact-finding interviews, analyses of your current QAPI practices, and review of outcome results. Your agency will receive a proactive QAPI model that reflects your strategic priorities and the requirements set in the Conditions of Participation for Home Health and or Hospice Agencies.
Specific results of the Healthcare Synergy QAPI Program Consultation include:
– Valentine A. (Owner)
– Arun Mahtani (Owner)
– Cristina C. (Director of Nursing)