Medical Review Activity, QAPI, and OASIS Coding Accuracy with Decision Health and Ashley Benson

Medical Review Activity, Quality Improvement Programs, and OASIS Coding Accuracy Q & A with Decision Health and Ashley Benson, RN, COQS, CHHCM, HCS-D, LSSGB

In this episode, we have a Q&A session with Ashley Benson, an expert on medical review activity, quality improvement programs, and OASIS coding accuracy. Ashley provides valuable insights to help home health agencies navigate the complexities of these critical areas.

Some key takeaways:

- Strategies for responding accurately and timely to different types of medical review audits to mitigate denial risks. The top denial reasons include not submitting records on time, insufficient face-to-face documentation, and certification/plan of care issues.

- Best practices for developing an effective and compliant Quality Assessment and Performance Improvement (QAPI) program. This includes understanding regulatory requirements, collecting and analyzing relevant data, and focusing on health outcomes, patient safety, and quality of care.

- Importance of keeping clinicians up-to-date on OASIS coding changes, especially the new GG functional items that will impact Home Health Value-Based Purchasing payments starting in 2025.

Ashley will be speaking at the upcoming Home Health Quality Outcomes and Documentation Conference hosted by Decision Health on September 16th. Use the promo code QUALITY75 for a $75 discount when registering at decisionhealth.com/QOD2024.