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I started in home healthcare in 2006 as an RN case manager. Some years passed and I began to get promoted to positions that requires more knowledge and responsibility. I found myself working as a review nurse looking over clinical charts recommending oasis and plan of care suggestions after an internal coder had coded the charts. It was a slow process as there was just the two of us. Our agency began to develop some financial concerns as growth began. Days to RAP (DTR) began to grow; days in AR along with it. Yearly audits were revealing that we were missing case mix and non-routine supplies (NRS) points on select oasis items which began to affect episode payments. Public outcome and process measures were struggling to keep up with industry averages and we would often have to face questions from our board members what the problems were but nobody appeared to have the answers. If the coder or reviewer were absent from work the flow would become stagnant. We finally had to make some changes. First it was decided that we had to educate ourselves to the process. Reviewers and Coders were sent to formal training classes to understand the coding and quality review process. This definitely broadened my knowledge as I realized an oasis assessment was just not something to get done in a hurry. We began to understand the depth these questions were related to quality and payment and the importance of maintaining a consistent flow of work. As the agency grew we began to realize the project was too big for just a few people to perform. We did some research on outsourcing, found a contractor that worked best for us and the agency never looked back. We ended turning a fiscal year loss to a six figure gain in a years time. Believe me it works!