harmony healthcare international company overview
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Long Term Care
Compliance & Reimbursement
Harmony Healthcare
International
(HHI)
How We
Provide Value
Harmony Healthcare International
How We Provide Value
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Consulting
EducationTalent
Management
Consulting
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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
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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
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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
Harmony Healthcare International
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
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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
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Our Approach
Harmony Healthcare International
Our Approach
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1
2
3
Identify Needs
Evaluate Options
Resolve Concerns
Our Approach:
Consulting
Harmony Healthcare International
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
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Identify Needs
Customized solutions for each facility
Frequency
Medicare Rate Improvement
Case Mix
PPS MDS RUGs
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Our Approach: Consulting
Evaluate Options
Patient Care
Full Access Between Visits
Accuracy of Reimbursement
Survey Preparedness
Compliance
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Our Approach: Consulting
Resolve Concerns
Our Approach:
Education
Harmony Healthcare International
Our Approach: Education
Clinical Assessment
Compliance/Clinical Issues
Staff Development
Learning Styles/Setting
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Identify Needs
Educational Approach
Key Participants
Frequency of Events
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Our Approach: Education
Evaluate Options
Patient Care
Compliant Documentation
Survey Preparedness
Regulatory Changes
Quality Care
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Our Approach: Education
Resolve Concerns
Our Approach:
Talent Management
Harmony Healthcare International
Our Approach: Talent Management
Through our one-on-one intake process we will discuss and confirm your current staffing and recruitment training needs
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Identify Needs
Contingency Placement
Exclusive Partnerships
Retained Search
Talent Management Training & Consulting
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Our Approach: Talent Management
Evaluate Options
ROI
Fees & Guarantees
Resources
Timelines
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Our Approach: Talent Management
Resolve Concerns
How
We Do It
Harmony Healthcare International
Harmony Healthcare International, Inc. 25
Our Core Business Entails a Unique
Medical Record Review Process
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How We Do It
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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.
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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
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How We Do It
3. System Training: Through the chart audit process, HHI identifies educational, training and policy needs.
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How We Do It
Site Visit Process
•Total Access
•Report Generation
•Site Visit•Site Visit Preparation
Step 1
Step 2
Step 3
Step 4
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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
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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
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Results
Harmony Healthcare International
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
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Increased Accuracy Yields Improved Results
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$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
Harmony Healthcare International
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
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Our Mission
To ensure that all patients residing in nursing homes receive the care that they are entitled to regardless of payor source.
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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
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“We Care about Care”
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Harmony Healthcare International
Contact Us
Harmony Healthcare International
1 (800) 530 – 4413
www.Harmony-Healthcare.com
40Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc.