Managed Services
Increase both the productivity and efficiency of your agency
with our reliable Managed Services.
Our Clinical Team provides a comprehensive, in-depth review of the patient’s chart, specifically focusing on the episodes in question.
The clinicians identify deficiencies and assist your Clinical Team in drafting responses to appeals.
Our home health Review Choice Demonstration (RCD)
Services ensure the documentation from your Home Health services are appropriate for payment based on your choice!
Our Clinical Team provides a comprehensive, in-depth review of the patient’s chart, specifically the episodes in question.
The clinicians identify deficiencies and assist your Clinical Team with drafting responses to appeals.
Is your agencies QAPI program survey ready?
The new 2018 Home Health Conditions of Participation require your agency have an agency-wide, data-driven quality assurance, performance improvement (QAPI) program that effectively identifies areas for improvement in quality care and patient safety. Healthcare Synergy’s experts will partner with you to develop or strengthen your QAPI program via fact-finding interviews, analyses of your current QAPI practices, and review of outcome results. Your agency will receive a proactive QAPI model that reflects your strategic priorities and the requirements set in the Conditions of Participation for Home Health and or Hospice Agencies.
Our clinical review can assist agencies in scoring higher in Value Based Purchasing and benefit from the bonuses CMS pays to agencies who improved in the quality services provided to patients. Avoid the penalties that may result from VBP for failing to demonstrate quality improvement.
“When performing medical review as part of Targeted Probe and Educate (TPE), Medicare Administrative Contractors (MACs) focus on specific agencies that bill a particular item or service rather than all agencies billing a particular item or service. MACs will focus only on agencies who have the highest claim denial rates or who have billing practices that vary significantly from their peers. TPE involves the review of 20-40 claims per agencies. This is considered a round, and the home health provider has a total of up to three rounds for reviews. After each round, agencies are offered individualized education based on the results of their reviews. Home health agencies are also offered individualized education during a round to more efficiently fix simple problems.” – Center for Medicare/Medicaid Services
You’ll never have to worry about up-coding or down-coding with our ICD – Coding Services. Licensed Clinicians certified in Coding, with experience in the home health and hospice industry, review supporting documents (referral, patient history and physical, medication profile, doctor orders, visit notes profile, etc.) and both comprehensive OASIS and non-OASIS assessment. They provide ICD-Coding compliant with the latest Coding Guidelines to ensure maximum reimbursement.
Prevent becoming a magnet for ADR
or ZPIC Auditors.
Receive MAXIMUM episode payment
OASIS impacts Care Compare scores, 5-Star rating, and Value Based Purchasing calculations.
Our licensed Clinical staff prepare patient-specific Plans of Care to ensure they represent both the doctor and agency’s wellness interventions, visit frequency and goals
Patient specific Plans of Care compliant
with the Conditions of Participation.
Worried about the fixed cost of staff with a fluctuating census? Our services eliminate this concern, allowing you to focus on the strengths of your agency.
Synapses USA’s Revenue Recovery Services are performed by experienced billers who help recover revenue by reviewing previously locked/exported OASIS data to determine if the HIPPS/HHRG can be recalculated or adjusted, as well as identifying any claims to be submitted or payments to be posted.