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Consulting
Consulting services tailored to your needs
We understand the complexities and challenges that healthcare companies face, especially when it comes to regulatory requirements and meeting patient expectations.
At Oracle, we have the expertise to help you navigate through these challenges. From ensuring compliance and assessing business performance to identifying revenue potential, we are here to support you.
Discover a wealth of consulting services that can transform your business. Contact us today to unlock the full range of our consulting expertise.
Offered Services:
Survey Preparedness
Get your business ready for important health surveys, whether you are state-certified or accredited through another organization such as ACHC, CHAP, TJC, or JHACO, our dedicated professionals will work closely with you to ensure your business is well-prepared.
With our comprehensive approach, we don’t just assess your business – we develop a personalized action plan to help you achieve readiness. You can trust our team to provide guidance and support at every step, so you can improve your business with confidence.
QAPI
As mandated by the Affordable Care Act, it is crucial for healthcare businesses to prioritize quality improvement. Our Quality Assurance/Performance Improvement (QAPI) programs are designed to help you achieve this goal.
We understand that every healthcare business is unique, which is why we offer tailored solutions that align with your specific needs. Our dedicated team will closely collaborate with you to evaluate your existing QAPI practices and identify areas for improvement.
Chart Reviews
Ensuring the accuracy of a patient’s medical history is vital for providing high-quality healthcare and processing insurance claims. Incorrect documentation can lead to serious consequences for healthcare companies, including compliance issues, like failed surveys, and delayed reimbursements.
Our team of experts who specialize in assisting with documentation needs, understand the challenges businesses face and can provide valuable guidance on how to efficiently produce precise medical records.
OASIS Review
Get the reimbursement you deserve by prioritizing quality clinical documentation. Our team utilizes proven best practices to provide a comprehensive OASIS review. This ensures that you receive the most accurate payment and quality outcomes.
Our review encompasses OASIS items that impact your payment, 5-star ratings, and VBP, as well as other crucial areas for your agency. We also identify ongoing opportunities for improvement at both clinical and branch levels. By sharing recommendations and providing education targeted toward improving documentation and internal processes, we help you achieve ongoing success through clinical documentation.
ADR's
Get the help you need with Medicare claims! When your claim is chosen for review, an Additional Documentation Request (ADR) is sent out to request any extra documentation or medical records. Don’t worry, this can happen to any claim submitted to Medicare. A claim might be selected if something on the claim matches certain criteria.
But here’s the important part: you must respond to the ADR request within the specified time frame on the letter. To make sure you know exactly what documents are needed to help you submit them on time, our team of professionals is here for you. We’ll guide you through the process, answer any questions, and address any concerns you may have.
Plan of Care Review
We understand the demands placed on your clinical staff. Our review process identifies errors, omissions, and discrepancies in the plan of care, allowing you to make necessary corrections and improve accuracy and efficiency.
By utilizing our Plan of Care Review, you can reduce or even eliminate the workload of your Clinical Manager. Not only does this free up valuable time, but it also ensures proper payment and enhances clinical outocmes.
Hospice Comprehensive Assessment / His Documentation
Improving your hospice care index score and quality measures doesn’t have to be daunting. Our dedicated team offers comprehensive reviews and educational support to ensure you accurately complete a hospice comprehensive assessment.
With our guidance, you’ll learn how to properly answer HIS measures, develop a comprehensive hospice plan of care, and even capture positive patient satisfaction results.
