The RIGHT Tools For The RIGHT Care! 800-479-6374 714-229-8700 info@healthcaresynergy.com
The RIGHT Tools For The RIGHT Care!
HealthCare Synergy | Managed Services
Clinical Documentation Management
- ICD-10 Coding
- OASIS Review
- 485 Preparation
Clinical Documentation Management For Home Health & Hospice Agencies
Ensure that your Agency Receives Maximum Reimbursements & Avoids Delays
Concerned about the new Conditions of Participation and receiving the maximum episode payment, but want to prevent being a magnet for ADR or ZPIC auditors? With HealthCare Synergy's Coding, OASIS Review and 485 Preparation Services, we ensure you receive maximum reimbursement while avoiding payment delays and improving cash flow. Our Coding and OASIS certified clinicians use their knowledge of the Medicare Conditions of Participation, Coding guidelines and OASIS guidelines in providing a quality review and preparation of your critical documents. Be survey ready every day!
Our Team of Clinicians and Coders provide a comprehensive review and assessment of the entire OASIS documentation, not only the OASIS questions. Once we have completed an entire review of your OASIS documentation we complete the diagnosis coding.
All staff are clinicians, experienced in the home health and hospice industry, certified in Coding and OASIS, and follow the latest CMS guidelines.
ICD-10 Coding
Coding-Certified clinical staff experienced in the home health and hospice industry review OASIS answers and provide ICD coding to ensure maximum reimbursement from Medicare.
OASIS Review
OASIS-Certified clinical staff experienced in the home health and hospice industry review entire comprehensive OASIS document. Helps provide justification for changes and ensuring agency is survey-ready.
485 Prep
Clinicians experienced in the home health and hospice industry and trained in Conditions of Participations prepare a patient specific plan of care encompassing the interventions and goals necessary to treat the patient for the episode.
Ensure Your are Receiving Maximum Reimbursement!
*This service can be provided REGARDLESS of which software your agency uses.
ICD-10 Coding
Coding-Certified clinicians experienced in the home health and hospice industry review supporting documents (referral, medication profile, H&P, etc.) and comprehensive OASIS assessment to provide ICD-10 coding to ensure maximum reimbursement and ensure coding is compliant with the latest Coding Guidelines. You’ll never have to worry about Up coding or Down coding with our services. CMS is watching for the use of symptom or manifestation codes as primary, we ensure you don’t have to worry. Our clinicians are trained on new and obsolete codes to deliver the best coding and reimbursement possible.
- Review of patient history and physical, medication profile, doctor orders, visit notes to ascertain a patient’s health status, issues.
- Utilize the above documents in performing a select the appropriate ICD-10 diagnosis codes for OASIS and non-OASIS assessments.
- Utilize clinical knowledge in disease process, co-morbidities, patient status, and medications to locate additional co-morbidities that may require confirmation for appropriate coding.
- Utilize understanding of diagnosis coding guidelines to protect clients from potential coding deficiencies.
- Once clinical review and diagnosis coding is completed, the assessment is returned back to the caregiver for review and application of possible corrections.
- Provide daily report on activity and completed coding performed.
- Maintain HIPAA privacy and confidentiality of all patients’ data.
OASIS Review
OASIS-Certified clinicians experienced in the home health and hospice industry review supporting documents (referral, medication profile, H&P, etc.) and the comprehensive OASIS assessment to provide critical clinical feedback on any changes that should be made by your clinicians. The OASIS is the determining factor in your Medicare episode payment. Ensuring it’s accuracy is our highest priority. Our clinicians utilize the OASIS Guidance and CMS Q & A’s to ensure the most accurate information for your personalized reviews. This review goes well past what the typical OASIS scrubbing software is capable of doing. Thus helping ensure your agency is prepared for a survey or ADR.
- Review of patient history and physical, medication profile, doctor orders, visit notes to ascertain a patient’s health status, issues, available caregiver assistance, and care requirements.
- Utilize the above documents in performing a review of OASIS and non-OASIS assessments for completeness and accuracy.
- Utilize clinical knowledge in disease process, co-morbidities, patient status, and medications to assist in double checking documentation and care provided to ensure best possible outcome for the patient.
- Utilize understanding of Centers for Medicare and Medicaid (CMS) guidelines for conditions of participation and OASIS-C guidance to protect clients from potential documentation deficiencies.
- Identify OASIS and clinical question that demonstrate deficiencies with industry regulations or conflict with one another; this is what sets apart the OASIS Review service from OASIS Scrubber software.
- Note any missing or incomplete items, potential discrepancies and deviation from available CMS and industry guidance in captured data.
- Once clinical review and diagnosis coding is completed, the assessment is returned back to the caregiver for review and application of possible corrections.
- Provide daily report on activity and completed reviews performed.
- Maintain HIPAA privacy and confidentiality of all patients’ data.
485 Prep
Our clinical staff experienced in the home health and hospice industry and knowledgeable in the Medicare Conditions of Participation review the entire comprehensive OASIS document and prepare a patient specific plan of care. They review all orders and ensure the plan of care represents the interventions and visit frequency required to address the deficiencies noted by the doctor, agency and patient as well as include all agency and patient’s stated goals. Justification for any changes is available to ensure the agency understands the changes and is survey ready.
- Review of patient history and physical, medication profile, doctor orders, visit notes to ascertain a patient’s health status, issues, available caregiver assistance, and care requirements.
- Utilize the above documents in preparing a complete and accurate patient specific Plan of Care.
- Utilize clinical knowledge in disease process, co-morbidities, patient status, and medications to prepare a Plan of Care to ensure best possible outcome for the patient.
- Utilize understanding of Centers for Medicare and Medicaid (CMS) guidelines for conditions of participation to protect clients from potential documentation deficiencies.
- Note any missing or incomplete orders, and potential discrepancies and deviation from available CMS and industry.
- Once clinical corrections are completed by the caregiver, the Plan of Care is created.
- Provide daily report on activity and completed Plans of Care.
- Maintain HIPAA privacy and confidentiality of all patients’ data.
Start using HealthCare Synergy for your Coding, OASIS Review & 485 Preparation Services!
Contact us today to receive a free complimentary audit and ensure your home health or hospice agency receives maximum reimbursements and avoids timely delays.
Coding OASIS Review & 485 Prep Package Options
You have the freedom to select which assessments or types of assessments you would like reviewed; thus you can choose only SOC, or SOC and Re-certifications, or any other combination. There is no long term commitment or contract. We can perform a free trial of up to 3 assessments over three calendar days. Invoicing is provided monthly.
*This service can be provided REGARDLESS of which software your agency uses.
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