7:45am - 8:00am

Arrival 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 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:

• ARD Management
• Rehab Case Management
• Medicare Coverage Criteria
• ADL Coding
• Respiratory Therapy
• Nursing Documentation
• Therapy Documentation

Analysis: During the visit, the consultant collects facility-generated Medicare reports to fax to 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:

• Length of Stay Analysis
• Medicare Part A RUGs Analysis
• Medicare Part A Revenue Analysis
• Medicare Part B Revenue Analysis
• Therapy Staff Productivity

These results are then faxed back to the consultant for review at the exit conference with the facility Medicare Team..

Training: Education and Training is an added service that occurs within the site visit. In-services to the facility staff include:

• ADL Coding
• Nursing Documentation
• Therapy Documentation
• MDS 101
• RUGs Intimacy

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., B.U. and Nurse Unit Managers, Admissions and S.S./Discharge Planners.

Report Write-up: A detailed report is generated and sent to the customer within 7 days of the visit. The report details patient specific findings, includes analysis and a comprehensive summary with recommendations.

Off Site

The Report Details:

• Revenue Opportunities
• Lost Opportunities for learning and future application purposes
• Medicare Revenue Analysis
• Length of Stay Analysis for the Part A census
• Therapy Staffing Analysis
• Therapy Productivity
• Site Visit Patient Specifics
• Facility Systems Analysis and Recommendations
• Program Enhancement Tools
• Industry Updates