Have Questions? Call Us Today! 346-225-8781

Thank you for your interest in our company’s products. Our staff of RN and BSN prepared QA nurses deliver compliance driven review of all agency documentation to assist you in maintaining regulatory compliance. We currently offer QA services for Kinnser, Cradle, DeVero, Tynet, and Axxess, OnDemand, Winnolas, MaxRemind software subscribers. (We will learn any software as needed. Our staff is highly competent in computer charting and we have IT staff on call.)

Before we begin to QA your company’s documents, we provide instruction on the standards and regulations we follow in performing the QA process. We offer on-site in-services for a nominal fee with handbooks for each clinician. Or, you may choose just the handbooks, which we will supply to your agency at no additional cost. It has been our experience through the past 11 years that clinicians prefer on-site instruction as it allows them time for questions and speeds up document submission time.

Remote QA: Notes/OASIS/POC

NOTES – HOW IT WORKS

  1. Your agency designates a contact person to work with our QA supervisor. Your contact person will provide access for the QA nurses and give our supervisor your agency’s preferences in QA.
  2. Our QA supervisor will make assignments by the alphabet. Before starting to QA, the nurses’ notes, our QA nurses will review your OASIS, POC, communication notes and orders. The QA nurse will review these documents for completeness and consistency. (This review does not take the place of OASIS/POC QA. It is a review for consistency. For example: wound is on the right leg in the OASIS and the left leg on the POC or there is no order for diabetic foot exam or AV assessment on the POC.)
  3. The QA nurse will then begin to QA your notes. The nurse will compare all notes to the POC for functional limitations, homebound status and to ensure all ordered assessments are completed. The QA nurse will monitor teaching to ensure it is from the POC or meets an immediate need and to ensure there is no duplicate/repeated teaching. If the note is approved, it will be passed. If there are corrections to be done, the note will be returned to the nurse. There is no additional charge for the QA nurse checking the note when returned to ensure corrections are completed

OASIS QA AND CODING – HOW IT WORKS

  1. The patient list is checked daily for submitted documents. Our goal is to have all OASIS reviewed and returned if needed within 48 hours.
  2. PLEASE NOTE: FOR YOUR AGENCY’S PROTECTION, ONLY THOSE OASIS FORMS ACCOMPANIED BY A COMPLIANT MD REFERRAL, FACE-TO-FACE FORM, CLINICAL NOTES OR HOSPITAL H & P WILL BE ACCEPTED FOR OASIS QA AND CODING
  3. OASIS are coded and audited vertically, within the same document, and horizontally between previous certifications. OASIS are audited for supporting information for primary and secondary diagnoses, therapy, MSW and HHA; M numbers (using our copyrighted M number audit tool); Medication profile; orders; supportive assistance; teaching (per regulations and is measurable); supervision. Since Medi- care has targeted therapy episodes for audit, we also focus on rehab potential and if the RN validated the need for therapy.
  4. Please note: we will make corrections to spelling and grammar, add supporting phrases if the agency so desires and correct small narrative errors. We do not touch M numbers, assessments or medications. We will review the coding for appropriateness with home care diagnoses.
  5. As with the notes, if the form is approved, it will be passed. If it requires corrections, we will return the form. There is no additional charge for checking the form when returned to ensure corrections are completed

POC – HOW IT WORKS

  1. The patient list is checked daily for submitted documents. Our goal is to have all POC’s reviewed and returned within 48 hours.
  2. Our QA staff will review the OASIS, orders, 60-day summary, H & P, and communications notes prior to QA’ing the form.
  3. The POC will then be QA’d based upon the review. We then QA for all Medicare required elements which include: ensuring the functional limitations are consistent with OASIS; DME consistent with OASIS; Diet consistent with OASIS; Mental status is consistent with OASIS; orders and goals are patient and disease specific; orders and goals are not repeats of earlier POC’s; number of orders match visit frequency.
  4. Wound care orders/IV/Foley changes are QA’d using the standards established by the WOCN and the Nurse Practice Act for your state
  5. The medication profiles are QA’d to ensure: generic and brand names are not interchanged; there are no duplicates; antibiotics and other intermittent medications are discontinued in a timely manner and spelling is correct.

We assign specific QA nurses to your account and do not change them unless you ask. This allows the QA nurses to get to know your field nurses. This has proven to be a help for both the field nurse and the QA nurse. Another benefit to your agency is that our QA nurses are a ‘neutral’ voice and personality problems are eliminated. We demand our nurses communicate in a respectful tone and language at all times. If there is a problem with a particular nurse, we will notify your agency’s DON and wait for instructions before proceeding.

Personal consulting by one of our clinical documentation specialists to ensure we follow your agency’s specific requests as well as all applicable regulations and standards.

Our assessment tool for OASIS RN’s, “Questions to Establish Medical Necessity”, that clearly documents patient/caregiver knowledge deficits and greatly reduces the risk for Medicare denial of OASIS forms

Guidance for your RN’s on OASIS assessments for all M numbers

Our Word document “Phrases that Support Medical Necessity” to guide your RN’s in effective OASIS comments.

Thank you again for your interest in our company. We are happy to discuss any part of this proposal/Contract     with you.

ACCURATE QA SOLUTIONS is your affordable remedy for costly non-compliance

Thank you,