1 / 28

Risk Profile Analysis

Risk Profile Analysis. Provided by OCS Education E-learning Network “Confidential – For OCS Client Use Only”. Articulate Presenter -Control Features. Objectives. Demonstrate how to interpret the Risk Profile Analysis Reports List the steps to review for the Risk Profile Analysis reports

penha
Télécharger la présentation

Risk Profile Analysis

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Risk Profile Analysis Provided by OCS Education E-learning Network “Confidential – For OCS Client Use Only”

  2. Articulate Presenter-Control Features

  3. Objectives • Demonstrate how to interpret the Risk Profile Analysis Reports • List the steps to review for the Risk Profile Analysis reports • Describe the overall benefit to your organization in determining your risk

  4. Data Transfer • What files are required? • OASIS and EDI Billing files • How often? • The files are transferred to OCS monthly • When are the reports posted? • By the 15th of the month

  5. Access to Risk Profile Analysis • Prerequisite: Getting Started with OCS • Log into Connection • Go to Report Folios tab • Access Risk Profile Analysis

  6. Risk Profile Report • Risk Profile Analysis • Provides insight intoregulatory and compliance issues • Result of Fraud Enforcement and Recovery Act, May 2009.

  7. Why use this report? Expect increased scrutiny and survey • Recovery Audit Contractors (RAC’s) • HEAT Enforcement • OIG-Office of Inspector General

  8. Compliance Plans • Compliance as part of the culture • Compliance is discussed and addressed • Systems to help report and identify problems • Formal Compliance • Written guidelines & plan tailored to your agency • On-Going Improvement

  9. Getting started • Step by step report review process

  10. Risk Profile Analysis • See where you stand • Dig into the details • Keep tabs on changes • Manage what matters most

  11. RPA Reports • Summary Update - Quarterly • Compliance Metrics – Year-in-Review • Quarterly Trends • Agency Risk Assessment

  12. See where you stand • Understand key areas: • PPS Metrics • HHRG Components • Therapy Metrics • Quality Measures • Do you standoutfrom the crowd? • Will your data raise eyebrows?

  13. Dig into the details • How does your number relate to national and regional performance metrics? • From both the patient (averages) and provider (medians)perspective • What do you find when you dig deeper?

  14. Keep tabs on changes • Where is your performancegoing? • Visualize variation • Understand changes • See the impact of your work • Is your path headingthe right direction?

  15. Manage what matters most • With limited time, and multiple locations, what is yourpriority? • ARA Index • Ranking system to highlight the locations with the highest risk • Who is your problem child?

  16. Report Review Process Step One:Summary Update (one page) Step Two: Compliance Metrics Year-In-Review (3 pages) Step Three: Quarterly Trends Step Four: Study your results Step Five: Determine your priorities Step Six: Investigate and take appropriate action!

  17. Are you ready?

  18. Connection Reference Guide • The Connection Reference Guide • http://marketing.ocsys.com/e-learning.asp

  19. Resources • OCS Client Services • 866.641.TECH (8324) • Email tech@ocsys.com • Live Chat • OCS e-Learning Network • http://marketing.ocsys.com/e-learning.asp • Recorded trainings • Group WebEx Presentations • Roadmaps & Tools • Report Interpretation Guide • OCS eDGE (electronic Discussion Group & Education) • http://ocsedge.activeboard.com

  20. Training Survey Link

  21. For More Information

More Related