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QA Reports & PPS Reimbursement QA Reports & PPS Reimbursement WorksheetWorksheet

QA Reports & PPS Reimbursement QA Reports & PPS Reimbursement WorksheetWorksheet

Provided by OCS Education Provided by OCS Education E-learning NetworkE-learning NetworkProvided by OCS Education Provided by OCS Education E-learning NetworkE-learning Network

www.ocsys.com © 2008 OCS, Inc.2

Connection SeriesConnection Series

I – User Management and PMBSII – Inbox, Report Folio and Report Builder-How to Access On-line ReportsIII – QA Reports & PPS Reimbursement WorksheetIV – PatientViewV – Advanced Training & Roadmaps - Report Interpretation and Analysis


Agenda Agenda

OCS e-Learning NetworkUnderstanding data transferPerformance Improvement ProcessQA & PPS Reimbursement Report Review Process for implementationQ&A


Our MissionTo contribute to client success by providing information that improves organizational performance and patient outcomes.


Data TransferData Transfer

OCS Smartlink®Automatic transfer of data to OCS − Daily or when the OASIS Export file is

created

Data transferred for QA & PPS Reimbursement Worksheet− OASIS data


Performance ImprovementPerformance Improvement

Quality Quality AssessmentAssessment and Performance Improvement and Performance Improvement


Tips For SuccessTips For Success

Utilize the OCS Roadmap Tools− http://marketing.ocsys.com/e-learning.asphttp://marketing.ocsys.com/e-learning.asp

Have a well established process flow to utilize OCS reportsKnow who is responsible for data elementsTrack and trend your informationInvolve all staff!


Tools To Help You!Tools To Help You!

OCS Roadmaps−Help you navigate OCS Connection

◘ http://marketing.ocsys.com/e-learning.asp

− Provide a template for specific “working” projects

−Determine key elements of focus


OCS Connection Roadmap

OCS Connection Roadmap

9

INBOX REPORTFOLIOS

REPORT BUILDE

R

Connection (www.ocsys.com)

Disease Management*

QA Reports # & PPS

Reimbursement Worksheet #

Executive Summary (Qtrly)

Heads Up Display (All)* +

P4P Preparedness++

Financial Management Benchmark

Process Management Benchmark

Executive Summary

Bubble Graph

OASIS

AvailabilityQuarterly or

YTDCase Mix+PPS Case

Mix**PPS

Statistics**PPS

Utilization**Quality

Tracking+Select

Clinical Indicator+Joint

Commission IndicatorsUtilization

Data Summary+

LOGIN

KEY * Denotes Risk Adjusted Reports ** Denotes PPS Data ONLY # Real-Time Reports + All Payors that agency has submitted ++ Calculations based from CMS P4P Demonstration Project

PatientView #


Process FlowProcess Flow

Making the information work for you!Embed in agency process flow− Who, what, when, why

What are your priorities?What do you want to do with the

information?Track & Trending your dataInvolve the entire organization


QA Reports


Log into www.ocsys.com Log into www.ocsys.com


Access OCS ConnectionAccess OCS Connection


Adding A User (cont.)Adding A User (cont.)


Access To QA ReportsAccess To QA Reports


Quality Assurance FolioQuality Assurance Folio

Provides “real-time” patient-level information− Data verifications− Patient outcome status− Organized and graphical format

Available Reports: − Patient-level Verification Report− Adverse Events Report− Transfer Report− Recertification Report− Discharge Report− PPS Reimbursement Worksheet


QA Folio - Patient-Level Verification

QA Folio - Patient-Level Verification


QA Folio – Adverse EventsQA Folio – Adverse Events


QA Folio – Transfer QA Folio – Transfer


QA Folio – Recertification QA Folio – Recertification


QA Folio – DischargeQA Folio – Discharge


PPS Reimbursement WorksheetPPS Reimbursement Worksheet

Real-time episodic financial insight

showing what reimbursement you can

expect and why


Back to that Back to that

process flow!process flow!


*Transfer*Discharge

*Recertification*Adverse Event

*Pt. Level Verification

*PPS Reimbursement

Worksheet

QA Reports

Process Flow ChartProcess Flow Chart

Daily ReviewDaily Review

Weekly ReviewWeekly Review

Who/When?Who/When?

Who/When?Who/When?Who/When?Who/When?

Daily ReviewDaily Review

Suggested Process FlowSuggested Process Flow


QA ReportsQA Reports

Step OneStep OneAre any of the QA reports a priority priority for your review?How oftenHow often do you want to review?WhoWho will look at reports?

ExampleExample:: QA Adverse EventDo you want to review daily/weekly?

Example:Example: Pt. Level Verification ReportReview warnings daily?


SummarySummary

Use your roadmaps!Prioritize your work!Establish a good solid process flow for OCS reports!Utilize the OCS e-Learning Forum on eDGE for further assistance!− http://ocsedge.activeboard.com/http://ocsedge.activeboard.com/


ResourcesResources

OCS Websitewww.ocsys.comwww.ocsys.com

OCS e-Learning Networkhttp://marketing.ocsys.com/e-learning.asphttp://marketing.ocsys.com/e-learning.asp

◘ Anytime! Anywhere!◘ Self-Paced

− On-line trainings◘ Recorded◘ WebEx presentations

− Access Training Calendar http://marketing.ocsys.com/training_calendar.asphttp://marketing.ocsys.com/training_calendar.asp◘ Group WebEx Presentations

OCS eDGE (electronic Discussion Group & Education)− http://ocsedge.activeboard.com/http://ocsedge.activeboard.com/


Additional ResourcesAdditional Resources

The OCS-PPS Reimbursement Worksheet RIG− http://marketing.ocsys.com/e-learning.asphttp://marketing.ocsys.com/e-learning.asp

OCS Connection Report Description Guide− http://marketing.ocsys.com/e-learning.asphttp://marketing.ocsys.com/e-learning.asp

OCS Report Builder Data Guide− http://marketing.ocsys.com/e-learning.asphttp://marketing.ocsys.com/e-learning.asp

OCS Client Services− Call 1.866.641.TECH (8324)

− Email [email protected] [email protected] − Live Chat

The OCS-Website: www.ocsys.com− Additional training courses and educational seminars− Important information− Software updates


OCS Education

Sue Blockberger-Miller RN BSN

OCS Director of [email protected]

Leslie Knudsen-Wells, RN BS

Performance Improvement Educator

[email protected]

866.641.8324

[email protected]

www.ocsys.com

For More InformationFor More Information

www.ocsys.com qa reports & pps reimbursement worksheet provided by ocs education e-learning...

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