PDGM-Ready Coding Services

How Do Fazzi’s Outsourced Coding Services Help You with PDGM?

We’ve been getting a lot of questions about how our Outsourced Coding Services help agencies with PDGM so we decided to share this information with all of you. Here goes:

  • Alerts! We’ve instituted a questionable encounter alert system into our standard coding process. That means that when an agency’s documentation and coding guidance call for a primary diagnosis code that does not fit into a PDGM clinical grouping, we will alert the agency prior to RAP. That way the agency can do some intervention with the referral source/intake/clinician to see if the documentation or plan of care need to be adjusted.
  • Reports! We’re providing our clients with primary diagnosis trend reporting for insight and training purposes. (New clients can receive these reports as soon as volume thresholds are met.)
  • Accuracy! We have a long standing proven track record of accuracy. In fact, while CMS is projecting that approximately 15% of episodes will not fit into a clinical grouping, our data shows percentages for current clients to be 7%, on average. We attribute this to the skill of our coders in finding the accurate and specific diagnosis in our clients’ documentation and also the close communication between our coders and our clients when clarification is needed.
  • Advice! Our coding services include consultation, and we are encouraging agencies to:
    • Work with their referral source and clinical teams to make sure the more specific condition to the symptom code is included on the referral. One example is a patient with osteoarthritis in their legs who is presenting with a gait abnormality. Instead of coding the gait abnormality, the agency should consider coding the osteoarthritis as it is the source of the gait abnormality.
    • Work with clinical teams to make sure that when their treatment is directed at a symptom they are documenting the original source of that symptom.
  • Reduced or Eliminated Costs of Recruiting, Training and Managing Staff: Efficiency and cost control will become even more important under PDGM. (We’ll take care of your back office while you take care of your patients.)

Want to learn more about how Fazzi’s Outsourced Coding can help you with PDGM? Simply click the link below.

Learn More About Fazzi’s Outsourced Coding Services

OASIS-D1: What You Need to Know

Just this week CMS announced that OASIS-D1 is available for review. The revised OASIS data set will take effect on January 1, 2020 and includes updates that will support the Patient-Driven Groupings Model (PDGM).

Highlights include:

Two existing items are added to the Follow-Up time point for data collection. This includes:

  • M1033 Risk for Hospitalization
  • M1800 Grooming

In addition, data collection at certain time points for 23 existing OASIS items is optional.

Click here to find a memorandum containing details about the changes to OASIS effective January 1, 2020.

Get access to our entire suite of OASIS online learning and testing programs with the Fazzi Learning Center. This includes OASIS-D1 updates as well as training on the key PDGM OASIS items.

Learn More About OASIS Education

PDGM Readiness: Fazzi’s Answers to Questionable Encounters

Fazzi’s Findings and Advice about Questionable Encounters: A Complimentary Position Paper

One of the biggest concerns for agency leaders around the Patient-Driven Groupings Model (PDGM) is the issue of submitting claims with primary diagnoses that do not fit into one of the 12 clinical groupings in the payment model.

Read our position paper on this topic to learn:

  • Fazzi’s findings about questionable encounters from our own database.
  • How Fazzi is helping our outsourced coding clients to minimize questionable encounters.
  • Important compliance considerations.

Continue reading “PDGM Readiness: Fazzi’s Answers to Questionable Encounters”

PDGM Readiness Webinar Recording: Clinical Groupings, Case Management and LUPAs

Under PDGM, it is critical that you fully understand the clinical groupings, how they impact case mix and, of course, reimbursement. Also, best practice case management including efficient visit utilization and managing LUPAs will become even more important in the new world.

Join PDGM industry experts Gina Mazza and Cindy Campbell as they explain, discuss and provide insights about:

  • The Clinical Groupings component of the PDGM case mix
  • Key concepts for best practice case management
  • Effective approaches for efficient visit utilization including managing LUPAs

Continue reading “PDGM Readiness Webinar Recording: Clinical Groupings, Case Management and LUPAs”

Increase Cash Flow and Get Real Time A/R Reporting

Claim management Services Produce Dramatic Results and Give You 24/7 Transparency to Your A/R Data

When you partner with us for Outsourced Billing, you of course receive timely, accurate and compliant claim submission and cash posting services. But what you might not know is that you also receive:

  • Robust claims management and follow up services.
  • 24/7 access to reports that show you the real time status of every claim.
  • Up to the minute information about A/R and cash flow.
  • Insights into the reasons for denials and ADRs.

This translates to:

  • Improved cash flow.
  • Reduced A/R.
  • Reduced write offs.
  • A clear and up to date picture of dollars coming in the door and dollars in A/R.
  • The information you need to address upstream process and training issues to further improve reimbursement.
  • Reduce or eliminate the cost of recruiting, training and managing staff.

Many of our clients are seeing up to 35% increases in cash flow from denied claims.

We don’t think you’ll find this anywhere else. That’s because we’ve built our own proprietary Outsourced Billing platform that works seamlessly with your EMR and Clearinghouse to drive billing cycle efficiencies and give you complete transparency into your data.

Learn More

SupervisionPlus Online Training Begins April 29th

We’re thrilled to announce the next offering of our popular SupervisionPlus® 8-week online course to begin April 29th, now with an advanced management track included in the program! 

Why have we developed this complete Supervisory and Management Training Program for Home Health and Hospice? Because front-line managers can have the single largest impact on your organization. A good (or bad) manager affects employee performance and satisfaction, productivity, efficiency, turnover, and the overall health of any organization.

SupervisionPlus®
The SupervisionPlus® training is a practical, how-to-do-it training. Attendees will learn about the Functional Management Model, a state-of-the-art supervisory model featured in this training. Each attendee will leave the training having learned the fundamentals of supervision plus highly practical knowledge and skills needed to:

  • Assess the competency and functional level of each of their employees.
  • Increase motivation and commitment of employees.
  • Target improvement strategies for any employee who needs it.
  • Deal with their most challenging employees.
  • Effectively delegate responsibilities and more importantly hold their staff accountable.
  • Increase employee retention and engagement.

SupervisionPlus® is a training that will help build the skill, competence and confidence of those attending the program. They will leave this session excited and ready to use what they learned to improve their support and management of their employees and team.

Bonus Management Track
In our new bonus management track, we expand on our SupervisionPlus® course and review the important interpersonal skills needed to be a successful manager. Topics addressed include:

  • Using motivational interviewing to improve employee morale and performance.
  • Building and running successful meetings with your team.
  • Becoming a successful communicator.
  • Building strong listening skills.
  • Using proven effective problem solving strategies.

This complete program gives managers the skills they need to successfully supervise and manage their staff for increased staff engagement. Those who complete both programs will be invited to attend our Home Health and Hospice Executive Quarterly Forum, which includes free quarterly webinars on key supervisory and management trends.

Pricing

Complete Supervisory and Management Program: Early bird pricing is $399 (Reg. $449) and ends April 15th. Includes FREE Supervisory Manual. Agencies that enroll ten or more people will receive the additional discount of $349 per person.

Learn More & Register!

Fazzi’s OASIS-D Field Guides for Data Collection are Back!

Fazzi’s Field Guides for OASIS-D Data Collection are so popular the first batch sold out in the first month! Our second batch is now hot off the press and available to purchase. This will be our last printed order in 2019. 

Why are our Field Guides to popular? They are the only guides in the industry to include Fazzi’s trademarked OASIS WALK® Toolkit. With our Toolkit your clinicians have access to research-based strategies and resources designed to assist in an completing an accurate assessment every visit.

In addition, our OASIS Field Guide also includes other key ingredients for OASIS Success:

  • CMS OASIS Guidance
  • OASIS Quarterly Q+As separated by OASIS Item
  • OASIS assessment reference sheets
  • Updated Conditions of Participation

Ensure your staff have the guide clients say is a “must have for every field clinician” before they are gone! Price is $55 per guide and includes shipping and handling.

Order Now

Hospice Compare Updated

CMS has posted the quarterly Hospice Compare refresh of quality data on February 26, 2019. All quality measures showed improvement since the last quarterly posting! Pain assessment showed the most improvement, from 85.5% to 87.8%, followed by pain screening.

Updates to the family caregivers’ survey results showed seven measures remained the same.

As of this release, the new “Composite Process Measure” national average is 84.2%, an increase from 83.6%.

Quality measure results are from data collected 2nd quarter 2017 through 1st quarter 2018, and Hospice CAHPS® survey results reported 2nd quarter 2016 through 1st quarter 2018.

View State Level Hospice Compare Charts

PDGM Readiness Webinar Recording – It all Starts Here: Referrals and Intake

Are you aware of the case mix adjuster that’s tied to referral source under the new Patient-Driven Groupings Model (PDGM)? Do you know your referral source mix and, the impact it will have on your reimbursement under PDGM? In this complimentary webinar learn about the admission source and timing components of the PDGM model and, the best practices for the intake, liaison and sales staff that you’ll want to start now. Plus, capturing accurate and specific information at admission is critical to assist clinicians with care planning, accuracy of primary and secondary diagnosis and the entire revenue cycle.

Join us to:

  • Understand what you and your intake, liaison and sales staff need to know now about the PDGM structure related to admission and timing.
  • Understand how to improve the working relationship between your clinical, intake and sales teams.
  • Identify the steps to take now to change your referral source mix.

Gina Mazza and Eileen Freitag provide their best practice recommendations for referral, marketing and intake to position your agency for success under PDGM.

Continue reading “PDGM Readiness Webinar Recording – It all Starts Here: Referrals and Intake”

PDGM – It all Starts Here: Referrals and Intake

Are you aware of the case mix adjuster that’s tied to referral source under the new Patient-Driven Groupings Model (PDGM)? Do you know your referral source mix and, the impact it will have on your reimbursement under PDGM? In this complimentary webinar learn about the admission source and timing components of the PDGM model and, the best practices for the intake, liaison and sales staff that you’ll want to start now. Plus, capturing accurate and specific information at admission is critical to assist clinicians with care planning, accuracy of primary and secondary diagnosis and the entire revenue cycle.

Join us to:

  • Understand what you and your intake, liaison and sales staff need to know now about the PDGM structure related to admission and timing.
  • Understand how to improve the working relationship between your clinical, intake and sales teams.
  • Identify the steps to take now to change your referral source mix.

Gina Mazza and Eileen Freitag provide their best practice recommendations for referral, marketing and intake to position your agency for success under PDGM.

Continue reading “PDGM – It all Starts Here: Referrals and Intake”