SimiTree quality is rooted in competency, compliance and commitment.

SimiTree takes a different approach to the value of coding and OASIS E review.

This expertise drives your bottom line. That’s why SimiTree has built its business model around delivering the quality necessary to align business and care for your home health or hospice organization and to ensure ongoing ROI.

Value and integrity are SimiTree bywords. SimiTree experts provide the best available review to ensure coding accuracy, documentation compliance, and maximized revenue opportunities. Your fully trained, certified and HIPAA-compliant team is performance tested and monitored for accuracy — but that’s only the foundation for the quality services delivered. Layer upon layer of training and comprehension are built into the SimiTree coding structure, supporting staff with a constant flow of direction, information, and training to keep abreast of rapidly changing healthcare coding and OASIS conventions and guidance. 

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“We understand the drivers of reimbursement under PDGM and the challenges agencies are facing. We can help with troublesome cash flow issues, address assessment and documentation errors, improve patient outcomes and make a crucial difference to an agency.”

SimiTree Principal, SVP, Coding J’non Griffin, RN, MHA, HCS-D, COS-C, HCS-H

30+ years
team member Todd Montigney

“Our focus is always on adding more value. We know that quality pays for itself. It’s necessary for better ROI and a stronger and healthier bottom line.”

SimiTree Managing Principal Todd Montigney

20+ years

The SimiTree team becomes a friendly and helpful extension of your own team.

They partner with you to achieve efficiency and compliance, improve your workflow, eliminate costly medical billing and coding errors, and accelerate cash flow.

SimiTree experts deliver: 

  • Consistent, reliable quality
  • Best possible reimbursement based on PDGM’s patient-specific requirements
  • Clinical expertise and guidance
  • Easy-to-read real-time metrics and benchmarking
  • Timely turnaround
  • Industry-renowned leadership

Services include:

 

  • Coding & OASIS Review
  • QAPI Outsource
  • Review Choice Demonstration (RCD) review and submissions
  • Plan of Care (POC) Review
  • Education & Training

Accreditations:

  • ACHC Certified - QAPI Program: In recognition of demonstrating compliance with the Accreditation Commission for Health Care (ACHC), SimiTree is certified for the QAPI program. As a QAPI-certified practice, SimiTree demonstrates its commitment to quality for patients, payers, and the medical community. 
  • CHAP Verified: SimiTree has been awarded the prestigious “CHAP Verified” status by Community Health Accreditation Partner (CHAP) for its Quality Assessment and Performance Improvement (QAPI) program.

SimiTree's Coding and OASIS experts improve clinical accuracy and documentation compliance.

When SimiTree experts review an OASIS, they scrutinize its accuracy based on medical documentation, OASIS guidelines, and CMS rulings. This competent, certified and experienced team makes recommendations or changes (you decide which) along with a rationale to the clinician for acknowledgment and finalization. Your home health and hospice agency will benefit from the following medical and healthcare billing and coding services:

  • SimiTree makes certain the POC is defendable and compliant. Your clinically certified team will review all necessary documents to assist your staff in completing a compliant and defendable Plan of Care.

  • Review Choice Demonstration (RCD) Review and Submissions: SimiTree’s knowledgeable RCD experts handle the work for agencies, including submissions. Have a backlog of pre-claim review submissions? SimiTree can assist you with that backlog. When it’s time to make a choice in the next selection cycle, SimiTree offers consulting services to help agencies choose between pre-claim or post-payment review, depending on circumstances unique to their organizations. Learn more.

  • QAPI Outsourcing: SimiTree helps agencies develop effective programs to address quality of care in key areas scored by payers, including bed and toilet transfers, bathing, re-hospitalizations, and more. With the nationwide rollout of the Home Health Value-Based Purchasing Program, QAPI has the potential to boost performance-related pay adjustments. It can also assist agencies with infection control measures and bring additional value to ongoing efforts to comply with OSHA safety standards. With the nationwide roll-out of the Value-Based Performance model, QAPI has the potential to boost performance-related pay adjustments in 2025, improve star ratings, drive retention through higher staff satisfaction, and more. QAPI Outsourcing with SimiTree enables agencies to meet monitoring and reporting requirements for their QAPI programs without overburdening staff. Learn more.

  • SimiTree’s leaders bring clinical expertise and years of experience. PDGM complexities require clinical expertise, an in-depth understanding of Medicare payment model nuances, and impeccable clinical documentation. Clinical knowledge and experience is a hallmark of SimiTree leaders. These industry-renowned experts have decades of experience. SimiTree quality managers are sought-after speakers at industry events for their knowledgeable and engaging presentations. Your SimiTree team puts it all to work for you, helping you avoid costly delays, identify assessment errors that chip away at reimbursement, and correct issues impeding your organization’s profitability.

  • You’ll see the metrics that matter. Wondering what’s causing the delays at your agency? Interested in identifying what’s shortchanging your reimbursement? SimiTree’s agency-specific dashboard tracks metrics important to patient outcomes, quality, and reimbursement. With just a few clicks, see average chart turn-around time, important patient characteristics and payment components under PDGM, and more. Data is presented in an uncluttered, easy-to-read format to help you quickly determine where additional training is needed.

  • SimiTree has the highest of standards. The SimiTree coding and OASIS team approach is structured for full support, ongoing training and stringent quality review. Accuracy and skill are demanded from the outset, with rigorous competency testing and certification requirements.

 

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SimiTree transforms businesses.

SimiTree never stops improving, raising high standards with regular quality checks and ongoing training in coding guidance. Plus, for your convenience, your SimiTree staff of experts is also trained in multiple EMRs. With SimiTree, you'll never stop learning and the opportunities for ongoing training and education are endless. Visit our Webinars page to view all the outsourced services and OASIS E related learning materials to take home to your home care or hospice agency today. 

At SimiTree, every solution is a strength. Clinical, financial and operational expertise uniquely delivers top-notch services and approaches to raise performance levels for clients across the spectrum.

SimiTree’s team of expert coders and reviewers are supported by the full SimiTree network of resources devoted to knowledge, training and helping clients become more successful. This coding expertise makes organizations stronger, healthier and better able to focus on patient needs.

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