OperaCare Streamlines Centric Healthcare's Quality Assurance and Compliance

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Texas-based agency uses software and live QA to grow business.

OperaCare has released their case study with client Centric Healthcare, identifying the benefits of automating and standardizing the Quality Assurance (QA) and Compliance process for a Certified Home Health Agency. Based out of Greenville, TX, Centric not only boasts a patient census that is three times larger than the regional average, the case study also reveals OperaCare builds a predictable revenue stream, a happier skilled nursing staff, and a new-found respect for the compliance process.

The study notes that between November 2016 and May 2017, Centric Healthcare saw close to a thirty percent drop in their Very High and Extreme Revenue at Risk. As OperaCare uses the same data points that the Centers for Medicare and Medicaid Services (CMS) uses to target and assign ADR and ZPIC reviews, this was the same revenue CMS was monitoring and could likely trigger a survey in the near future.

“The shock for me was not just the 30% drop in the most volatile revenue, but I had no idea that almost half of my overall revenue was Very High and Extreme at the end of last year.” Said David Ochoa, Centric’s CEO and Owner. “Now that I have a predictable revenue stream, which allows me to grow my business, I can sleep better at night. OperaCare also transitions your QA team from being reactive, to becoming a key member of a client’s care team, and that Live QA not only allows me to submit my claims faster, but means my nurses don’t feel incompetent continuously doing revisions to the OASIS after hours.”

“The fact is that CMS is not in the business of educating us on fraud, waste, and abuse.” continued OperaCare founder Michael McGowan, “They are trying to catch violators – whether those agencies know it or not. Many agencies, like David last year, believe they are compliant, but in reality, have no idea how much high-risk data they are sending to CMS every day. While CMS is armed with hundreds of data points that show patterns of possible fraud, waste and abuse in the OASIS, agencies are doing what ‘feels right’, and therefore believe they must be compliant. It’s like being in a gun fight… and you brought a water pistol.”

The case study is currently available to download at http://www.operacare.com/resources under Whitepapers.

ABOUT CENTRIC HEALTHCARE

Founded in 2015, Centric Healthcare provides quality, cost-effective Home Health and Hospice services in 27 Texas counties. We partner with local Providers, Hospitals and Non-Acute Facilities to bring a patient-centered continuum of care to the communities we serve, reducing avoidable readmissions, improving clinical outcomes and increasing operational performance. For more information, please go to http://www.mycentrichealth.com/.

ABOUT OPERACARE

OperaCare is the only software that automates and standardizes Home Health QA and Compliance. Reorganizing the Quality Assurance and Compliance activities from a reactive 1-2 day process, to a live QA process, pre-alerts your staff to toxic data patterns, and presents risk mitigation strategies that prevents the transmission of audit triggering data to CMS/MAC Claims review auditors.

The software automates the Service Utilization Review, the standard operating procedure of hospitals and other primary care settings. It also standardizes the documentation of the OASIS Assessment, a form of documentation that is notorious for subjectivity and open for what the CMS deem as fraud, waste and abuse. Led by an experienced State/OASIS Coordinator the company's mission is to protect HHA provider revenues, enhance business growth and increase financial stability. For more information please visit http://www.operacare.com or for a demo please contact sales(at)operacare(dot)com.

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Michael McGowan
OperaCare, LLC
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