SOC to RAP in 5 Days – Process Optimization (3-Part Series)
Session 1 (FREE) - Intro - Can an OASIS Review be Done in 5 days? (see link and handouts attached)
· The ability to get a “clean” OASIS out the door in a timely manner has been an ongoing challenge to the home health industry. The resources consumed by the QA process can be a financial strain on the organization which has become even more of an issue in the PDGM environment. Focusing almost exclusively on the QA process in order to speed up the process will produce limited results and may actually drive up costs. This series of webinars will address the three pillars that impact achievement of a “clean” OASIS:
o Information collection by Intake
o Data Collection by Clinicians
o Accountability of Clinicians and QA
· Articulate the relationship between OASIS accuracy and timely billing
· Discuss the common pitfalls that slow down QA
· Identify the three pillars the impact the OASIS review process
Session 1 - OASIS Review: Getting the Right Information at the time of Intake
· The information collected prior to the first home care visit has evolved well past the days of just getting a name and an address. The referral process has implications related to Face to Face compliance, Review Choice expectations and the ability to code accurately. Incomplete information related to coding will delay the ability to finish an OASIS regardless of the accuracy of the clinician data collection or the speed of QA review. This session will focus on the elements that must be present as part of the referral to ensure the coding is done accurately and timely.
- Define the elements of ICD-10 Coding that are impacted by intake functions.
- Articulate what will qualify as a “confirmed diagnosis”.
- Outline key pieces of documentation that should be collected by Intake staff.
Session 2 - OASIS Review: Accuracy of Clinician Data Collection
· There is a grace period for clinicians that are new to home care as they learn to complete an OASIS. As time passes and patterns of errors emerge, a point is reached where the amount of rework created by QA review and the need for the clinician to make corrections becomes a costly (and frustrating) burden. As opposed to an entry level OASIS education, this session will focus on the most commonly seeing OASIS errors and provide candid explanations regarding the need to “get it right the first time”.
· Identify three of the most commonly seen OASIS errors
· Connect fall risk and the accurate completion of OASIS functional items
· Analyze the key components of the cognitive behavioral related OASIS items
Session 3 - OASIS Review: Accountability of and to the QA Process
· Review of a completed OASIS document was never intended to be as “time and dime” consuming as it has become in home health. The intersection of a cumbersome and inconsistent review process and clinicians not responsive to education or making corrections timely can become a black hole that delays getting the RAP out the door. The best education in the world will not get agencies where they need to be UNLESS the issue of accountability for everyone involved is addressed. This session will provide a framework for creating a climate of accountability specific the management of OASIS data.
· Discuss where breakdowns occur in the interaction between clinicians and QA staff
· Outline key areas of clinician accountability to OASIS accuracy
· Identify the elements of QA accountability in a consistent review process
All Handouts and Links Attached Here - will appear on receipt for download after purchase!