Harmony Healthcare International Company Overview

Long Term Care

Compliance & Reimbursement

Harmony Healthcare

International

(HHI)

How We

Provide Value

Harmony Healthcare International

How We Provide Value

Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 3

Consulting

EducationTalent

Management

Consulting


Compliance & Reimbursement

Audits/Consulting

•Medicare

•MDS

•PPS

•Case Mix

•Integrity

•RAC

•Survey

Regulatory Preparedness

•Mock Survey

•Mock RAC Audit

•QIS

•Corporate Compliance

•5 Star

Therapy Program Development

•Operational Assessments

•Clinical Assessments

•Staffing Requirements

Denials Management

•Medical Record Review Preparedness

• ADR Management

• Denial Process Education and Training

•Appeal Preparation

Education


Customized Trainings

• MDS Basics & Beyond

• MDS Coordinator Mentoring Program

• Skilled Nursing Coverage Criteria

• How to Manage an In-House Rehabilitation Program in a SNF

Public & Private Trainings

• MDS 3.0 & RUG-IV HHI Competency

• AANAC Certification &Re-Cert Workshops

Webinars

• Denial Management

• Quality Measures

• RUG Intimacy

• ADL Coding for Optimal Revenue

• Nursing & Therapy Documentation

• Medicare Part B Billing

• QAPI

• Quality Measures

• Leadership

• ACOs

Certification & Competency Courses

• CHHRP(Certified Harmony Healthcare Rehab Professional)

• MDS 3.0 & RUG-IV HHI Competency

• AANAC Certification &Re-Cert Workshops

Talent Management


Talent Management Training & Consulting

• Flexible solutions to assist your in-house HR/Recruiting team to improve processes and procedures

Exclusive Partnerships

• Sole provider of recruitment needs

• Priority placements

• Reduced fee structures

Direct Contingency Placements

• The client only pays a placement fee when we are successful in finding and placing the new hire

What We See


What We See

Frustration of ensuring accurate and appropriate reimbursement with documentation that supports a skilled level of care

Concerns as to whether or not your facility is having safe and effective discharges only after a clinically appropriate stay

Worries that additional expertise is needed to ensure clinically appropriate therapy targets reviewed on a case by case basis


What We See

The overwhelming complexity of the MDS review process necessary to reduce coding errors

Unproductive time spent recruiting for vacant positions

Increased exposure to governmental audits

The need for survey compliance & readiness

Billing inaccuracy related to regulatory changes


Our Approach


Our Approach


1

2

3

Identify Needs

Evaluate Options

Resolve Concerns

Our Approach:

Consulting


Our Approach: Consulting

Medicare Part A RUG Analysis:

The HHI corporate office staff prepares a detailed analysis focused on the key elements that represent each RUG classification

This analysis is utilized by our healthcare experts to enhance the Medicare team's approach to MDS Coding and RUG-IV intimacy


Identify Needs

Customized solutions for each facility

Frequency

Medicare Rate Improvement

Case Mix

PPS MDS RUGs



Evaluate Options

Patient Care

Full Access Between Visits

Accuracy of Reimbursement

Survey Preparedness

Compliance



Resolve Concerns

Our Approach:

Education


Our Approach: Education

Clinical Assessment

Compliance/Clinical Issues

Staff Development

Learning Styles/Setting


Identify Needs

Educational Approach

Key Participants

Frequency of Events



Evaluate Options

Patient Care

Compliant Documentation

Survey Preparedness

Regulatory Changes

Quality Care



Resolve Concerns

Our Approach:

Talent Management


Our Approach: Talent Management

Through our one-on-one intake process we will discuss and confirm your current staffing and recruitment training needs


Identify Needs

Contingency Placement

Exclusive Partnerships

Retained Search

Talent Management Training & Consulting



Evaluate Options

ROI

Fees & Guarantees

Resources

Timelines



Resolve Concerns

How

We Do It


Harmony Healthcare International, Inc. 25

Our Core Business Entails a Unique

Medical Record Review Process

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How We Do It

Harmony Healthcare International, Inc. 26

Three Pronged Strategy

1. Accuracy: Through the chart audit process, HHI identifies if the medical record supports the RUG level billed. This in turn yields:

Optimization of the potential RUG level.

Insulation of RUG scores billed.

Copyright © 2013 All Rights Reserved

How We Do It

2. Case Management: Through the chart audit process, HHI provides clinicalrecommendations to the care rendered. For example:

Pendulum Exercises: HHI Consultant finds a Therapist did not realize that a patient with a fractured humerus would benefit from pendulum exercises 4x/day to prevent frozen shoulder.

Staples: HHI Consultant finds that the Nurse is unaware of the need for staple removal underneath ankle cast


How We Do It

3. System Training: Through the chart audit process, HHI identifies educational, training and policy needs.


How We Do It

Site Visit Process

•Total Access

•Report Generation

•Site Visit•Site Visit Preparation

Step 1

Step 2

Step 3

Step 4


How We Do It

How We Do It

Intensive Medical Record Reviews

Teaching, Training and Extensive Chart Audit Process in Order to Ensure:

MDS Accuracy

MDS Supporting Documentation

Nursing Documentation

Therapy Documentation

Clinically Appropriate Care

Compliance


Spectrum of Services

Medicare/MDS/PPS Consulting

Medicare Compliance

Case Mix Consulting

Therapy Program Development

Mock RAC Audits

Mock Survey

MMQ Audits

Seminars

Webinars

CHHRP

Medicare Part A and B Billing Process

Talent Management

Denials Management

Clinically Appropriate Stay

QIS

Medicare Part B Program

MDSC Mentor Program


Results


Results

COMPLIANCE

INCREASE ACCURACY

Company wide education

Preparedness under audits/survey

Better equipped to handle frequent regulatory changes

Greater understanding of the rules and regulations of Medicare


Increased Accuracy Yields Improved Results


$450

$475

$500

$525

$550

Start Date Apr May Jun Jul

$486.07

$506.79 $509.02

$533.94

$545.99

Medicare Part A RateApril - July

$100,000

$175,000

$250,000

$325,000

$400,000

$475,000

$550,000

Start Date Aug Sep Oct Nov

$137,301

$344,102 $351,761 $399,926

$433,584

Total Medicare Part A RevenueAugust - November

“Give good care, document accurately and the results will follow…”

Our Team


Our Team

Harmony (HHI) presently employs 50+ people in the United States

The Harmony (HHI) Consulting Team

More than 25 accomplished cliniciansLicensed OTs, PTs, SLPs, Nurses, Administrators

Cross trained to communicate effectively with all disciplines

Servicing all regions across the United States


Our Mission

To ensure that all patients residing in nursing homes receive the care that they are entitled to regardless of payor source.


Our History

Founded in 1999

Privately owned and operated

Inc. Magazine 5,000 List

Ranked among the top 5,000 fastest growing private companies in America three years in a row

Servicing clients nationwide; for-profit, not-for-profit, standalone, and multi-facility chains

Certified more than 3,000 clinicians on the MDS


“We Care about Care”



Contact Us


1 (800) 530 – 4413

[email protected]

www.Harmony-Healthcare.com

40Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc.

mailto:[email protected]



http://www.harmony-healthcare.com/



Harmony Healthcare International Company Overview

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