1. Risk Profile Analysis Provided by OCS Education E-learning Network “Confidential – For OCS Client Use Only”

2. Articulate Presenter -Control Features

3. Objectives  Demonstrate how to interpret the Risk Profile Analysis Reports  List the steps to review for the Risk Profile Analysis reports  Describe the overall benefit to your organization in determining your risk

4. Data Transfer  What files are required? OASIS and EDI Billing files  How often? The files are transferred to OCS monthly  When are the reports posted? By the 15 th of the month

5. Access to Risk Profile Analysis  Prerequisite: Getting Started with OCS Log into Connection Go to Report Folios tab Access Risk Profile Analysis

6. Risk Profile Report  Risk Profile Analysis Provides insight into regulatory and compliance issues Result of Fraud Enforcement and Recovery Act, May 2009.

7. Why use this report? Expect increased scrutiny and survey  Recovery Audit Contractors (RAC’s)  HEAT Enforcement  OIG-Office of Inspector General

8. Compliance Plans  Compliance as part of the culture Compliance is discussed and addressed Systems to help report and identify problems  Formal Compliance Written guidelines & plan tailored to your agency  On-Going Improvement

9. Getting started  Step by step report review process

10. Risk Profile Analysis 1.See where you stand 2.Dig into the details 3.Keep tabs on changes 4.Manage what matters most

11. RPA Reports 1.Summary Update - Quarterly 2.Compliance Metrics – Year-in-Review 3.Quarterly Trends 4.Agency Risk Assessment

12. See where you stand  Understand key areas: PPS Metrics HHRG Components Therapy Metrics Quality Measures  Do you stand out from the crowd?  Will your data raise eyebrows?

14. Dig into the details  How does your number relate to national and regional performance metrics? From both the patient (averages) and provider (medians) perspective  What do you find when you dig deeper?

17. Keep tabs on changes  Where is your performance going?  Visualize variation Understand changes See the impact of your work  Is your path heading the right direction?

21. Manage what matters most  With limited time, and multiple locations, what is your priority?  ARA Index Ranking system to highlight the locations with the highest risk  Who is your problem child?

23. Report Review Process Step One: Summary Update (one page) Step Two: Compliance Metrics Year-In-Review (3 pages) Step Three: Quarterly Trends Step Four: Study your results Step Five: Determine your priorities Step Six: Investigate and t ake appropriate action!

24. Are you ready?

25. Connection Reference Guide  The Connection Reference Guide http://marketing.ocsys.com/e-learning.asp

26. Resources  OCS Client Services 866.641.TECH (8324) Email tech@ocsys.com Live Chat  OCS e-Learning Network http://marketing.ocsys.com/e-learning.asp Recorded trainings Group WebEx Presentations Roadmaps & Tools Report Interpretation Guide  OCS eDGE (electronic Discussion Group & Education) http://ocsedge.activeboard.com

27. Training Survey Link

28. OCS Education Sue Blockberger-Miller MSN, RN OCS Director of Education sueb@ocsys.com 206.569.3084 Leslie Knudsen-Wells, RN BS Performance Improvement Educator lesknu@ocsys.com 866.641.8324 tech@ocsys.com 866.641.8324 www.ocshomecare.com For More Information