POC Compliance Provider Override

Providers can request to override the POC Required Compliance setup at the Office Level to further restrict compliance. The following table provides POC Compliance Override guidelines.

If selected…	Then the Provider can…
Contract Compliance	No change can be requested (strictest level of compliance).
No Compliance	Request to set the compliance to Contract Compliance, Personal Care Compliance, or Patient POC Compliance.
Patient POC Compliance	No change can be requested; however, a Provider can add additional Duties to the Patient’s POC.
Personal Care Compliance	Request to set the compliance to Contract Compliance or Patient POC Compliance.

For a high-level view of Compliance Requirements, go toAdmin > Contract Setup > Contract Search. On the search results, refer to the Required Compliance column for defined compliance settings. To view the Required Compliance settings, click the applicable Contract Name link.

Select the Scheduling/Confirmation tab. The compliance options are listed under the POC Duty Compliance field as well as the Count Refused Duties Toward Compliance Totals. These fields are un-editable; settings are based on the Provider’s Office level data configured by HHAeXchange.

When scheduling a Visit under Patient > Calendar, select the applicable POC under the POC field. Once the Visit is saved, the system calculates the POC Compliance based on the Provider settings. If the Visit does not pass the applied POC Compliance Requirements, then it appears in the Prebilling Review with a POC Compliance problem.

To review a Patient’s POC, go to Patient > POC. When POC information is updated, the system recalculates unbilled visits to verify that these visits remain POC compliant. POC is also recalculated after the POC Override request is processed by HHAeXchange. If a visit does not pass POC Compliance Requirements, then it appears in the Prebilling Review.