CLINICAL PROCESS MANAGEMENT (CPM)

Clinical Process Management (CPM) is about ensuring that healthcare providers are able to utilize their workforce effectively. Office Symmetry offers clinical support that includes arm works by preparing care plans, admission audits, and discharge summarization, among other things on behalf of the nurses who are burdened with bedside care for hospice, home health, skilled nursing facilities, hospitals, clinics, and more.

OFFICE SYMMETRY CLINICAL CAPABILITY

Nurse Case Manager Support
Ensure accuracy and completeness of relevant clinical notes regarding patient’s conditions and care given. Records pain/symptom management/outcomes as appropriate.
Nurse Practitioner Support
Prepare and summarize all pertinent medical records, visit notes, diagnosis, PHQ 9 questionnaire/assessment, and diagnostic test but not limited to HCCRAF coding review and verification
Annual Wellness Visit Scheduler
We take away the worry of scheduling your beneficiaries and members. Our team conducts outreach calls to members and discusses information about required healthcare visits and schedules this using your organization–specific dashboard calendar.
Plan of Care
Initiate a plan of care relevant to the primary admitting diagnosis, and not limited to patients’ co-morbidities, current/active medications, and significant change of condition.
Medical Summarization
Daily preparation of all pertinent medical records, medications, diagnostics results, visit notes, and treatment dates related to current conditions and diagnoses. Obtaining clarification and recommendation from the medical reviewer.
Triage
Review of clinical presentation of the patient call using client-specific guidelines on medical change of condition and refer to RN on-call as needed
Medical Review (ADR), Preparation and Response
Office Symmetry assists your organization in the ADR (Additional Development Request) from data collection, analysis, and development cover skilled services summary for your Medicare and Managed Care / MA Plan covered beneficiaries. Our team is proficient in Medicare / SNF PPS / RUG and PDPM-based payment methodology. We specialize in RAC (Recovery Audit Contractors), Traditional Medicare review, CERT, SMRC audits and many more
Admission Audit
End-to-end review of the newly admitted patient according to client-specific audit tool and parameters and not limited to medication order review, and plan of care.
Billing and Coding
Medical Billing and Coding: Patient Registration, Insurance Eligibility, Patient Appointment, Charge Entry, Timely Claims Submission, Appeals / Denial Management, A/R Follow-up, Payments posting, Patient Collections.
Outreach Program
Deals with healthy lifestyle coaching in various clinical disciplines such as pregnancy care, disease management, and wellness program
Discharge Summary
Summarization of all clinical notes, medical history, and all pertinent hospitalizations, visit notes, laboratory and other diagnostics, missed visits till the end of the services provided

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OFFICE SYMMETRY
US Address:
500 N State College Blvd. Suite 1100 Orange, CA 92868

Telephone:
+1 (909) 548-5560

E-Fax:
+1 (562) 249 1502

Philippines Address:
ATA Building B-13A L-1 Victoria South Alabang Muntinlupa, 1773 Philippines

Telephone:
+63 (02)8332-7488

Email:
info@officesymmetry.com