The Harmony audit process is an intensive detailed review of the medical record content for potential revenue opportunities, medical record accuracy and compliance concerns.
Before Harmony arrives at the facility we spend time collecting data to make our visit efficient and effective. Getting a head start in this process allows our healthcare experts to find the most financial opportunities during our on-site visit.
Medicare Part A RUGs Analysis: Harmony corporate office staff prepares a detailed analysis focused on the key elements for managing the Rehab RUGs III groups. Based on monthly Medicare Part A days and scores provided to Harmony by the facility, our tool breaks down each component contributing to eliciting a more robust RUGs III level as well as MDS 3.0 and RUG's IV implimentation and training.This analysis is utilized by our healthcare experts to enhance the Medicare team's approach to increase the Medicare Part A rate and revenue.
7:45am - 8:00amArrival at the facility: Connect with key staff members, walk physical plant, establish auditing location
8:00am - 8:30am Follow-up: The first order of business for subsequent visits is the follow-up of the facility’s completion of the prior visit recommendations. The follow-up process entails review of facility implementation and completion of Harmony’s last visit recommendations.
8:30am - 3:00pm Audit: The core business of Harmony Consulting services is the chart audit. Comprehensive medical record review includes audit of current Medicare Part A patients. This process enables the consultant to identify areas of opportunity in:
Analysis: During the visit, the consultant collects facility-generated Medicare reports to fax to the Harmony Healthcare corporate office. The corporate office completes a comprehensive and detailed analysis which is returned to the consultant by the end of the site visit for discussion purposes. Areas include:
3:00pm - 5:00pm Exit Conference:At the end of each visit, an exit conference is performed with the Administrator, MDS Coordinator, Director of Nursing, Rehab Director and Therapy Staff. (Referred to as the Medicare Team). The facility may opt to invite other team members; i.e., Business Office Manager and Nurse Unit Managers, Admissions, Social Service and Discharge Planners.
Our Audit Process far exceeds any other you will experience as our healthcare experts have the tenacity and persistence to perform in-depth, patient-specific medical record audits. We go to great lengths for our clients by spending extensive periods of time extracting the patient-specific detail. The result of this detail oriented medical record review is a customized facility report which is a resource for staff to conquer the constant challenge of enhancing patient care. Harmony believes that the foundation to increasing revenue is teaching staff to understand the core coverage components which in turn builds a great healthcare team. Our clients benefit from the Harmony in house support staff who prepares a multitude of behind the scenes reports during and between facility site visits.
Report Contents:
Check out what to expect of a Harmony site visit.