OASIS, Quality Assurance, and QAPI Services
Excellence in QA Support
Excellence in Every Note: MedBill’s Commitment to Clinical Documentation Quality Assurance
Your Road To Clinical Success
- Certified Physicians As QA Specialists.
- RN, SN, PT, & OT Staff To Review Documents.
- Strict CMS Compliance.
- Payer Specific Guidelines For Medical Necessity.
- OASIS E1, 485 Review & Compliance.
- Experts For Medical Records Review.
OUR QA SERVICES INCLUDE:
- OASIS-E1 Documentation Review & Editing
- CMS 485 Plan of Care Review & QA
- Patient Chart Review & Audit
- Agency Star Ratings Support
- Patient Quality Outcome Measures Improvement
- Utilization Review
- Pre-Bill Chart QA
- PPS/PDGM Compliance Support (Home Health Specific)
- Prior Authorization Support – Medical Necessity Formation & Submission
Our Comprehensive OASIS, Quality Assurance, and QAPI Services
Ensuring Accuracy in OASIS E1 Documentation
Accuracy is crucial for compliance with regulations, proper patient care, and accurate outcome measurement. We at MedBill RCM, ensure that every document has accurate clinical information including HPI (History of Present Illness), ROS (Review of Systems), MDM (Medical Decision Making), CC (Chief Complaint), PE (Physical Examination), A/P (Assessment and Plan), SH (Social History), FH (Family History), PMH (Past Medical History).
Medical Records Review
We offer thorough medical record review, ensuring that patient documentation is complete, accurate, and compliant with regulations. Our experts assess a comprehensive range of clinical notes, including SN, LPN, LVN, OT, PT, ST, MSW, HHA, Mental health notes, progress notes, etc.
EHR Driven QA & HIPAA Compliance
We at MedBill RCM, offer EHR-driven QA systems to manage patient health information electronically, and verify that these systems comply with HIPAA regulations.
485 Plan of Care Review
Our 485 Plan of Care review involves evaluating a patient's home health plan, ensuring it's accurate, complete, and compliant with regulations. This review includes assessing the patient's goals, needs, and the proposed services, as well as the plan's overall appropriateness and physician's certification.
QAPI Insights
We provide QAPI (Quality Assurance and Performance Improvement) Insights and a data-driven approach to improve healthcare quality in different settings. These insights help track progress, identify areas for improvement, and ensure that care and services meet quality standards.
Clinical Documentation Review
Our experts review clinical documentation to ensure patient records are complete and accurate. We focus on verification of supporting documentation for medical necessity, maintaining quality services, and checking patient progress.