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  • Determining who should do internal reviews and if knowing they are competent has complicated the review process. There is a solution for both components of this issue – outsourcing therapy audits.

Outsourced Therapy Audits: Reviewing the Reviewer

352-362-6733
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0.00 LBS

Product Description

Therapy documentation to support medical necessity of treatment is a significant issue in home health. Much time and money has been spent educating therapists and those who review records, but achieving long term success mastering this issue has been elusive, with the average risk per record still over $1500.

With a variety of issues competing for the time necessary to conduct internal reviews, they are often placed at the end of the “to do” list. In addition, establishing who should do them and if they are competent has made the process even more complicated. Kornetti & Krafft Health Care Solutions has a solution for both components of this issue – outsourced review of therapy audits.

Structure for Reviewing Your Reviewer:

  • Agency reviews a sample of recently discharged records and completes the audit tool provided by Kornetti & Krafft Health Care Solutions.
  • Kornetti & Krafft Health Care Solutions consultant reviews the same records with the same tools and submits the information to the agency.
  • Results are compared for consistency and results are discussed.
  • The review would be done twice a year with the option for additional reviews as needed due to staff changes
  • The size of the sample is based on a percentage of the census with a minimum of 10 records.
  • Costs would be:
    • $150 per record
    • $250 per one hour conference call to discuss findings and trends as indicated by the review
  • If one record currently risks $1500 then the total cost for a year is the risk in 3 individual episodes of care.

 


As an alternative, Kornetti & Krafft also offers an outsourced audit solution of on-going quarterly reviews. Contact us today to discuss options and determine the best solution for your agency.

(352) 362-6733

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