Performance and quality measures are becoming familiar industry buzzwords and the maze of reporting becomes more complex. Accessing, understanding, and utilizing these reports can be a challenge. Regulations continue to change to financially reward agencies that are providing higher quality outcomes. Our staff can assist you in accessing and understanding this data to make better management decisions. Below is a partial listing of regulatory reports necessary to keep your agency on track:
Home Health Compare
Certification And Survey Provider Enhanced Reports (CASPER)
Program for Evaluating Payment Patterns Electronic Report (PEPPER)
Consumer Assessment of Healthcare Providers & Systems (CAHPS)
Quality of Patient Care (QoPC) Star Ratings
Value-Based Purchasing (VBP)
Operational Process Reviews
HPS will evaluate all operational processes from intake through and including clearing claims to the revenue cycle department to bill. These reviews typically identify internal control weaknesses, inefficiencies in processes and missing compliance procedures. We can also provide an assessment of your current staffing levels based on your revenue volume. The review will include interviews and observation of key individuals involved in the day to day processes. Recommendations will be made regarding job descriptions, current duties, documentation flow, tracking mechanisms, and overall organizational structure.
These process reviews typically are performed in conjunction with a billing and collection process review to ascertain that claims released to the revenue cycle department are getting billed and collected in a timely manner. The back office functions typically reviewed are auditing, billing, collections, and cash posting.