Clinical Compliance Consulting for Home Care & Hospice Agencies

Mock Surveys

Whether Home Care or Hospice, whether initial certification survey or recertification survey, agencies are in the mode of survey preparation on an ongoing basis. HPS stands ready to assist in all aspects of survey readiness with highly experienced clinical consultants.

Mock surveys include, but are not limited to the following:

• Review Infection Control Program
• Review Performance Improvement Program
• Review Emergency Preparedness Program
• Review QAPI Program

In addition to the above procedures, HPS will also clinically review a sample of patient charts to identify compliance and regulatory documentation issues and perform home visits with a sample of clinicians.

Clinical Compliance Chart Reviews

All Medicare certified home care and hospice agencies are required to conduct quarterly clinical compliance consulting chart reviews per the Conditions of Participation (CoPs). HPS is prepared to help you meet this requirement. HPS can perform these reviews on a quarterly, semi-annually, annually or on an as needed basis. These reviews can be performed on-site or remotely.

The charts will be reviewed for compliance with frequency and duration of orders, appropriately documented and signed physician orders prior to billing, OASIS submission & acceptance prior to billing, etc. You will also be provided a full Error Summary.

Our review staff will be available for one-on-one consultations with clinical staff that are struggling with home care or hospice documentation. All chart reviews will be conducted by qualified consultants with the clinical and billing expertise necessary to identify compliance and regulatory issues to maintain seamless documentation

Quality Assurance/Performance Insect (QAPI)

Quality Assurance and Performance Improvement (QAPI) – process dedicated to achieving positive results for your agency, individual employees and patients. The process helps identify factors that contribute to a desired performance or outcome and how those factors can be maintained, improved or strengthened across the spectrum of care.

Home health agencies and Hospices employ a variety of methods in monitoring quality performance and improvement in outcomes including, continuous quality improvement, quality assurance, quality management, process improvement and positive outcome-based quality measures.

Home Health and Hospice agencies must develop, implement, evaluate and maintain an effective, ongoing, agency wide, data driven program and be able to demonstrate to CMS its operations by maintaining documentary evidence of its QAPI program.

The HPS clinical compliance consulting team can assist with ensuring you have an effective QAPI program in place to improve patient care outcomes and agency performance while meeting regulatory compliance with the Medicare Conditions of Participation and standards for the QAPI program requirements.

• Review current or assist in developing QAPI program for regulatory compliance and provide recommendations.
• Develop agency annual QAPI plan to be approved by the governing body by identifying agency specific quality indicators for data collection and analysis including clinical record reviews.
• Assist with developing and implementing Performance Improvement Projects (PIPs) to ensure proper data is being collected with focus on High Risk, High Volume or Problem prone areas.
• Complete quarterly chart reviews to be included in the data collection and analysis used to identify trends for opportunities for quality improvement.