A key part to the OperaCare implementation, you will upload your OASIS documentation to a secure, HIPAA compliant server, where within 15 minutes, OperaCare will produce your Initial Risk Assessment.
The Risk Assessment is our starting point, and will be able to tell us the current state of your agency. Too often, this will indicate how much revenue you have at risk to be lost to suspension of payments by CMS. The Assessment will also indicate those clients that are deemed at “Extreme” or “Very High” risk. These are the clients that CMS will flag for a Review.
|Snapshot Taken: 3/15/2017||Snapshot Taken: 5/24/2017|
|Taken on March 15, 2017, this Florida based agency demonstrated 17.6% Extreme Risk and 34.4% Very High Risk. This meant that 52% of cases were very likely going to be flagged by CMS for an ADR or ZPIC Audit Review. As of May 24, 2017, after going through the OperaCare process, the same agency demonstrated 4% Extreme Risk and 14.1% Very High Risk. This meant that after approximately 2.5 months of the OperaCare solution, only 18.1% of cases would need to be carefully watched. This represents an astounding 33.9% reduction in risk.|
The OperaCare Reports are created within 3 seconds of pressing the button. Once an OASIS form has been submitted to OperaCare, either through an XML file upload or from your favorite Electronic Medical Record (EMR), the software will take the role of the CMS surveyor and review your answers. Written from the perspective of the surveyor, not the nurse, you are given an OASIS that will be standardized across all assessments. We all know that OASIS forms are extremely subjective, but with OperaCare, there is no more room for subjectivity or error.
Key to the success of OperaCare goes beyond the software – it is taking your Quality Assurance staff from a reactive force to being a key part of the nursing team. Take away the laptop from in-between the nurse and their client, and instead have a speaker phone between Quality Assurance, the nurse, and the client.
Live Scribing, already highly successful in the acute sector, is conducted by the QA team back at the office. The nurse and their client work through the OASIS questions in an orderly and streamlined manner. Once QA has completed coding, there is a RAP claim ready within 2-3 hours of the visit.
The Labor Variance Report, or Cost of Care, identifies the amount of money that is currently being paid out to the agency through chaotic and inefficient documentation, and compares that to the amount of money being saved by using the OperaCare method and software. On average, OperaCare will save your agency $50,000 - $70,000 per month through new efficiencies.
OperaCare is not an OASIS scrubber. OASIS scrubbers are snapshots of your OASIS submissions and cannot protect your agency from ADRs. OperaCare takes into consideration the full continuum of care for you clients, which is the only way to truly increase efficiencies and prevent CMS from knocking on your door.
Continuous episode re-certifications trigger audits in many ways. Keep your clients eligible for their home health benefits. Learn how to identify recertification at the Start of care, and manage your recertification’s with OperaCare’s proprietary recertification manager.