The Office of Inspector General ( http://oig.hhs.gov) just released an audit report of Personal Care Services in the State of West Virginia.? Over a 2 year audit period, they looked at 100 beneficiary months and of those 18 were found to have a claim or claims that did not meet federal requirements.

 

In total, the audit report recommends that the State agency:

• Refund $360,539 to the Federal Government and

• Improve its monitoring of providers to ensure compliance with Federal and State requirements for personal care services.

To view the full report, click here.

 

The two main deficiencies laid out in this report are Services Not Supported by Documentation and Services Not In Accordance with Plan of Care.? If agencies are still utilizing paper based methods to document services and plans of care, they run a real risk of incurring these types of deficiencies.

 

Everyone knows that auditors are looking very carefully for misuse of Medicaid dollars.? Human error is a fact of life when agencies put their faith in paper, binders and non-electronic sources.

 

For a free report on the most common audit issues for home health and human service provider agencies, click here.? Agencies Management Platforms, such as MediSked Connect, remove human error and eliminate the common audit issues, including the deficiencies listed in this report.

MediSked, the nation’s leader in Agency Management Platform solutions for Disability Provider Agencies, will present on Transitioning to Paperless Using Technology at the 17^th Annual NAQ Conference.

Rochester, NY (PRWEB) Aug 6, 2012 – MediSked, LLC has served disability provider agencies for over ten years by providing web based solutions to manage the operations, records, billing, and HR functionalities within provider agencies. They will share their knowledge on the benefits and challenges of transitioning to technology in a presentation at the NAQ Conference entitled “Transitioning to Paperless: How Technology Assists in Improving Care and Maintaining Compliance While Reducing Costs”


NAQ is the National Association of Qualified Developmental Disability Professionals. NAQ was formed in 1996 to establish a strong resource for research, networking and addressing issues that concern Qualified Developmental Disability Professionals (QDDP) today. A chief concern amongst professionals is managing and navigating through the changing regulatory environment that surrounds them as most agencies are funded through Medicaid waivers. Managing Medicaid dollars efficiently and effectively to provide the highest quality of care to the individuals they serve has become more difficult in recent years as state budgets have seen significant cuts and regulations have grown. A survey conducted by MediSked, LLC to over 1,200 respondents shows that less than 13% of provider agencies use a comprehensive software solution to manage their electronic records and operational data. Brian White, Business Development Manager at MediSked, has been asked by NAQ to discuss the benefits and challenges that face provider agencies in transitioning from paper based systems to a complete web based platform.

“This is a turning point in the home and community based service industry. Disability Provider Agencies have more pressure than ever to be ultra- efficient with Medicaid dollars. At the same time, the demand for real time data on the individuals they serve and the staff serving them will only increase,” stated Brian White. “It’s about making technology work in an easy to use format that’s highly accessible and captures all of the operational moving parts to agencies serving the developmentally disabled.”

For more information on the 17^th Annual NAQ conference, please visit http://www.qddp.org/. Agencies looking for information on using technology to reduce costs, increase capacity, perform better in the event of an audit and increase the quality of care can visit MediSked at www.medisked.com or call 866-633-4753.

Below is a link to an Office of the Inspector General’s report that was just released concerning the State of Colorado and some unallowable payments made to agencies that employed people on the exclusion list. Exclusion list check functionality is built into the Connect Platform – allowing agencies to seamlessly run checks against their list of employees while never having to leaving Connect. If an employee comes up on the check, their record is flagged.

Please read below for the full report on Colorado.

http://oig.hhs.gov/oas/reports/region7/71106026.asp

The trend of States moving health care from Medicaid to Medicaid Managed Care is one that is growing.

This directly affects provider agencies in terms of how their clients are managed, how funding is structured for each client and ultimately how to bill for reimbursement. So far 11 states have some or all of their long term services through private insurers, with another 24 states having applied for demonstration grants.

Within our customer base, we have customers in states that are in all stages the Managed Care trend. Also, we possess the experience to assist to manage the changes while minimizing the administrative impact to the agency.

For more on this growing trend, check out this Forbes article published on Wednesday:

?http://www.forbes.com/sites/howardgleckman/2012/07/11/private-insurers-are-betting-big-on-managed-care-for-dual-eligible-seniors/