QA Professionals, LLC

QAP - your experts in Home Health and Hospice documentation.

We find the devil hidden in the details that can raise the eyebrows of surveyors and auditors.

Home Health & Hospice can seem complicated!

Experience + Quality = Results

At QAP our experts will simplify regulatory, operations and documentation resulting in increased revenue!

Unlocking the Potential of Home Based Healthcare Organizations:


At QA Professionals, LLC, we understand the complex landscape of home-based healthcare. Like you, we have experienced the challenges of delivering exceptional patient care while complying with stringent Federal regulations and navigating the complexities of payer requirements.

Together, we can educate, collaborate, and transform your home-based healthcare organization, unlocking its full potential for excellence in patient care and operational efficiency.

DO YOU STRUGGLE WITH:

  • Needing to fill key leadership roles? We can provide talented INTERIM LEADERSHIP to stabilize your agency at a moments notice on site or remote.

  • Are you a start-up operation Finding guidance and answers as a start-up operation?

  • Overwhelmed leadership unable to manage the constant document flows through QA which then slows claim submission or creates claim denials reducing revenue?

  • Being paid for your care or are penalties being applied reducing your revenues?

  • Current staffing shortages placing managers and leadership in the field to support your patients?

Are you a START-UP OPERATION -

New businesses in the Home based care arena have many questions as they create business plans, and submit the required documentation.

  • What is required by Medicare

  • How will we document?

  • Where can I get operational manuals?

  • Who will teach and mentor my team?

  • Which EHR will suit our needs?

  • Who will complete onboarding as we grow?

ARE YOU SEEING DELAYED OR DECLINED CLAIMS?

Your providing care, spending money, and worrying over how to get paid.  Claims are not being generated timely.  Claims are denied due to missing documentation. 
QAP has experienced leaders in Home Health and Hospice to help you.

DO INCREASING AUDITS HAVE YOU CONCERNED?

Medicare’s increasing demands for timely documentation and its focus on fraud and abuse whether intentional or not have you concerned?  the cms 2024 Final Rule has given us notice that intensity and icreased audit frequency will become the new normal.

QAP can review and manage your QA workflows with staff versed in most EHR solutions. ADR, TPE, UPIC, RAC audits by the MAC's are increasing are you ready?

A common denial reason relates to the Election of the Hospice Benefit.  Recent reports indicate MACs are focusing here.  Flaws in the Election document may result in claim denial with CMS actively working to recoup payments it deems as fraud or improper.  In 2023, CMS reported $31.23M in flagged overpayments or improper payments which it is requiring to be paid back!

Ask yourself what factors are holding you back from reaching your full potential as a 5 STAR agency.

When expenses exceed income where do you look to correct the ship? Your greatest asset is you and your team. Let us help guide you to a real work life balance.

Our reasonable rates and experienced team will strive to exceed your expectations and help guide you to the next level.

“Learning what not to do is sometines more important than learning what to do”
— Rick Patino

Services

  • Our team at QA Professionals is here to guide you every step of the way. Many of us have travelled with teams as they have undergone change management, staffing challenges and or complaince recovery. We have been clinicians in the field and know what compassion your staff shares each and every day as they deliver excellent care to your clients.

  • Let QA Professionals be your trusted partner in home health and hospice care. We'll provide you with all the details you need to make an informed decision.

Discover more about our exceptional service and promise.

Let us tell you a little bit about who we are, where we came from, and what inspires us.

We are passionate about helping you meet your goals and achieve success. Our expert team of industry experts and professionals, provides comprehensive Home Health and Hospice consulting services.

This great gathering of trusted experts from all levels of the Home Health & Hospice have all been in your shoes. We have led start-ups, managed large enterprise agencies, performed agency audits and due diligence reviews, led quality teams, consulted and stood beside agencies in difficulty - turning their operations and teams in a better direction and on a new journey to success.

Whether you need operational guidance, clinical expertise, interim leadership, OASIS scrubbing, or Home Health /Hospice QAPI programs, we've got you covered. We will ensure your billing and claims are available for timely filing and reimbursement.

We also offer document review services to ensure accuracy and compliance. Trust us to be your reliable partner on your journey towards excellence.

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