Home care services are offered through three separate, but related legal entities, PROFESSIONAL HOME CARE SERVICES, PROFESSIONAL CARES, and PROFESSIONAL HEALTH CARE NETWORK.
For the past fourteen years, The Professional Companies have successfully managed home health capitation contracts, both locally and statewide, with major Arizona health plans (AHCCCS, Medicare Advantage, and commercial) resulting in full contractual compliance, lower medical expenses, improved health outcomes and higher patient satisfaction. The Professional Companies currently provide coverage to approximately 350,000 members through contracts with several health plans throughout Arizona. These capitation contracts have significantly reduced plan costs, resulting in lower hospital and skilled nursing facility re-admissions.
Since 1987, PROFESSIONAL HOME CARE SERVICES, a privately held Arizona certified home health agency, has had a distinguished record relative to financial stability, service performance, and quality outcomes.
Absent of regulatory deficiencies for more than a decade, PROFESSIONAL HOME CARE SERVICES meets or exceeds CMS certification measures and standards.
PROFESSIONAL HOME CARE SERVICES provides coverage on a twenty-four hour basis, seven days per week with more than fifty qualified, experienced professional staff committed to service excellence.
PROFESSIONAL CARES and PROFESSIONAL HEALTH CARE NETWORK offer statewide coverage through an established contract network consisting of one hundred fifteen (115) Medicare Certified and over fifty (50) AHCCCS registered home health agencies.
PROFESSIONAL CARES and PROFESSIONAL HEALTH CARE NETWORK comply fully with contractual terms, standards and reporting requirements, including but not limited to: HIPAA, CMS, and AHCCCS encounters.
PROFESSIONAL CARES and PROFESSIONAL HEALTH CARE NETWORK service levels and performance measures are routinely monitored, tracked, and reported. Monitoring includes service timeliness, medication reconciliation, physician appointments, re-admission rates, and patient satisfaction. Overall patient satisfaction rates are very high with less than 1% dissatisfied.
PROFESSIONAL CARES and PROFESSIONAL HEALTH CARE NETWORK operations are supported by a robust infrastructure capable of accepting and tracking referrals and processing claims in a timely and accurate manner.
In 2014, PROFESSIONAL CARES and PROFESSIONAL HEALTH CARE NETWORK accepted approximately 23,000 referrals and adjudicated more than 90,000 claims with a ninety-nine percent (99%) accuracy rate. The system is flexible, adaptable and scalable to accommodate new business lines and patient growth.