Review hospice claims the way an auditor would

1:03

Review hospice claims the way an auditor would. 1:03.

For a UPIC record pull, each benefit period is checked for face-to-face timing and copied recertification narratives, with the page one click away.

When a UPIC wants the claims, ask Lōgos AI to review every benefit period the way an auditor would. Face-to-face timing is checked from benefit period three on. The walkthrough catches a face-to-face two days late, after the recertification was signed, and two recertification narratives copied word for word. Each citation opens the exact page.

Who it is for: Hospice teams preparing for a UPIC review
What you need first: The hospice claims and benefit-period records in the audit pull. The walkthrough uses a twelve-month UPIC request.
Applies to: Home health and hospice

What the walkthrough shows

A UPIC wants twelve months of hospice claims.
Ask it to review every benefit period the way an auditor would.
Face-to-face timing, checked for every benefit period from three on.
It catches a face-to-face visit two days late, after the recert was signed.
And two recertification narratives copied word for word.
Click any citation to open the exact page, with the passage highlighted.
Fix or explain each issue first.

Full transcript

A UPIC wants twelve months of hospice claims. Ask it to review every benefit period the way an auditor would. Face-to-face timing, checked for every benefit period from three on. It catches a face-to-face visit two days late, after the recert was signed. And two recertification narratives copied word for word. Click any citation to open the exact page, with the passage highlighted. Fix or explain each issue first.

Questions

What does the audit-risk review check?

Face-to-face timing for every benefit period from the third on, plus recertification narratives. The walkthrough flags a face-to-face two days late, after the recertification was signed, and two narratives copied word for word.