OperaCare’s live QA processes and Pre-Claim Predictive Analytics eliminate the primary source of ADR’s and ZPIC audits – something that standard OASIS scrubbing software and industry standard QA process cannot do. OperaCare ensures that your assessment data matches your documentation and billing data, eliminating hundreds of preventable ADR and ZPIC Review Risks. You can proactively create and manage your data, or defend what you submitted. Getting it right the first time is “the” cost effective way to grow your business.
The OperaCare Recertification Manager predicts and allows the clinician to judge the client’s length of stay based on OASIS data, not a subjective assessment. You will know which clients will show rapid outcomes, and produce quick cash flow and experience improved STAR scores.
Live interactive Quality Assurance (QA) processes stop the unnecessary “back and forth” corrections cycles that destroy clinical productivity. Live QA boasts a 40% increase in Clinician productivity, sending your staff home with no after hour’s documentation. Happy Nurses = happy patients.
Read more about Service Utilization Reviews here WHITE PAPER.
Predictable costs are produced by systematized Live QA processes which allocate resources based on OASIS acuity rather than the traditional seems right feels right approach hours or days after the OASIS assessment is completed. Hospitals and ACO’s love this while administrators appreciate the accelerated cash flow it produces.
Eliminate preventable ADR and ZPIC Review Risks. We promise when you see what CMS sees; you’ll do a few things differently. Pre-claims analytics deliver audit risk alerts with risk mitigation instructions BEFORE you submit your data. You can proactively create your data, or respond to what you submitted. Getting it right the first time is “the” cost effective way to grow your business.
Agencies will quickly learn that in the HHVBP world, “the way we’ve always done it” will no longer be relevant. And those that intent to cling to ineffective processes that simply don’t work anymore will suffer the consequences in a new competitive environment.
OperaCare introduces new processes supported by proprietary software that facilitate patient centric care, increase your daily cash on hand, and reduce your costs.
Efficiency demands all OASIS processes must facilitate rapid cycle Utilization Review, establish a plan of care, determine recertification probabilities, manage visit utilization, and identify ADR risks before the clinician doing the OAISS leaves the home.
The only granular method that predictably does this is a team approach using OperaCare’s supplemental software during each OASIS encounter. Simply put, OperaCare gives you the best service utilization tool in the industry, period.
To compete, you must keep costs down and quality up. Our automated QA assures you have the information you need to streamline your care, focus on the outcome and give your company the edge.
Predictable labor costs are produced by a systematized Live QA process, which allocates resources based on OASIS acuity rather than the traditional seems right, feels right approach hours or days after the OASIS assessment is completed. Administrators appreciate the accelerated cash flow, and predictability this produces for each payroll cycle.