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PPS Monitor. Provided by OCS Education E-learning Network “Confidential – For OCS Client Use Only”. Articulate Presenter -Control Features. Objectives. Learn about OCS! Understand the process of Data Transfer
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PPS Monitor Provided by OCS Education E-learning Network “Confidential – For OCS Client Use Only”
Objectives • Learn about OCS! • Understand the process of Data Transfer • List the reports available within PPS Monitor • Identify which reports are available to your agency • Review PPS Monitor Reports
Our Mission • To contribute to client success by providing information that improves organizational performance and patient outcomes.
Data Transfer Verification/Error Checking Industry’s Largest Database Your Data Strategic Reports for Your Business!
What is the PPS Monitor? Clinical Operational Financial Satisfaction
PPS Monitor Reports • Current Clients: FREE upgrade • Monthly Summary Snapshot • Quarterly Summary Snapshot • Additional Report Options: • New Episode Tracking • Completed Episodes • Actual Therapy
PPS Monitor Whoshould view these reports? • Executives • Financial leaders • Directors • Clinical Managers
Report Delivery • In order for your agency to receive reports • Data is due by the 7th of each month • OASIS/EDI(Billing) files are uploaded via Smartlink • For Smartlink Transfer – Agency’s will need to upload EDI(Billing)files • PPS Monitor Reports will be posted by the 15th of each month
Report Postings When are the reports available? • MONTHLY (rolling) • Monthly Summary Snapshot • New Episodes report • Completed Episodes report • Actual Therapy report • Quarterly • Quarterly Summary Snapshot
PPS Monitor: What you get Content: • Count and percent of episodes (Standard, LUPA, Outliers) • Distribution of early and late episodes • Average anticipated and adjusted reimbursement • Visit utilization and costs • Contribution margin • Upcodes and downcodes • Therapy accuracy (upgrade only)
PPS Monitor:Monthly Summary Snapshot • Agency specific information ONLY • Data Trending • Three months of agency data • Details • Metrics • Standard • LUPA • Outlier • Case Weight & Reimbursement • Therapy and timing categories (only for standard episodes/non LUPA’s or non-outliers) • Contribution margins
PPS Monitor:Quarterly Summary Snapshot • National compare norm • Data Trending • One quarter’s worth of agency data • Metrics • Same categories as monthly report • Benchmark information
Additional Report Offerings Completed Episodes New Episode Tracking PPS Therapy
PPS Monitor:Completed Episodes • Data Trending • Monthly with six month timeframe • Metrics • CMS upcoding and downcoding –help you understand where adjustments happen and why? ( $ expected versus paid) • Case Weight • Standard, Outlier and LUPA episodes • Use • Track utilization patterns • Track the source of income loss • Episode type impact on agency financials
PPS Monitor:New Episodes Tracking • Data Trending • Monthly with six month timeframe • Metrics • SOC versus Re-certifications • Case Weight • Uses • Track important data trends related to • new episode, • re-certifications • income and resource allocation needs
PPS Monitor:Actual Therapy • Data Trending • Monthly with six month timeframe • Metrics • Therapy visits – only standard episodes • NOT LUPA or Outlier • Use • Therapy prediction patterns, accuracy, & utilization • Track therapy by discipline (in first graph) • Breakdown of expected versus actual by therapy threshold category
Resources • OCS Website www.ocsys.com • Important information • Software updates • OCS e-Learning Network http://marketing.ocsys.com/e-learning.asp Access to: • Recorded trainings • Group WebEx Presentations • Roadmaps & Tools • Report Interpretation Guide • OCS eDGE (electronic Discussion Group & Education) http://ocsedge.activeboard.com/
Resources • OCS Client Services • Call 1.866.641.TECH (8324) • Email tech@ocsys.com • Live Chat • The OCS-Sales Support • Call 888-325-3396