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.
*This service can be provided REGARDLESS of which software your agency uses.
- 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.
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.
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800-479-6374 714-229-8700 info@healthcaresynergy.com