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.

"I have never worked with a company that has been more willing to provide assistance, even for small issues. Help is always friendly and on time. I have worked on five other systems and have never experienced the customer service I do with Synergy! "
-Jan W. (Director of Nursing)
"Synergy's clinical staff are gems- the accuracy in their coding and reviews is exceptional! The owners are very pleased with the outcomes."
- Val L.(Administrator)
"Ever since elevating our working relationship with Synergy, we have received nothing but excellent customer service, advice and feedback on the documents being coded and reviewed by their staff. They are gems - the accuracy in their work is exceptional!"
-Val L. (Administrator)
"Synergy has a great team - they are organized, provide quality work with so much friendliness, professionalism and enthusiasm for what they do. I know any issue I have will be understood and resolved as quickly as possible. Everyone has been easy to work with, and every experience has been great. I am especially happy with how our patient's charts look."
-Maneet Dhami-Bal (Nurse)
"HealthCare Synergy is performing our Coding, OASIS Review, and 485 Prep Services – the Services are fantastic! Not only is their Clinical Team very time efficient but they are also excellent at communicating with my internal staff and reporting issues, deficiencies and producing desired results. If I were to ever find myself in a compromising situation, I know I have HealthCare Synergy’s Clinical Team to back me up and get me back on track. I’d definitely recommend these services!"
-Arun Mahtani (Owner)
"I have been using Coding and OASIS Review and Billing Services through HealthCare Synergy for over 15 years. I can honestly say that our productivity in the office has increased every year and this has had a positive effect on our revenue stream! Whenever we had any concerns or issues with Joint Commission, or changes in Medicare regulations Michael Tidd was always quick to step in and respond to provide his clinical insight and guidance. I am very satisfied with Services provided!"
-Jack Trickett (Manager)
"The Clinical Team performing our Clinical Services provides timely Coding and review of our charts. Christian is absolutely fantastic to work with and is always offering to assist our staff when we have Coding issues. Also, our Billing Manager loves working with the Billing Team – they too resolve all our issues with accuracy and efficiency. The Clinical and Billing staff assigned to work with us are definitely contributors to our agency’s success. Thank you for all you do!"
- Cricket Phillips (DON)
ICD-10 Coding

Home health agencies are required to electronically submit OASIS assessments to CMS within 30 days of completion date of a patient assessment or they face risk a 12 month 2% penalty for failing to submit timely. Of 4.6 million claims submitted each day, roughly 10% of ICD-10 claims are rejected, according to CMS.

You’ll never have to worry about up-coding or down-coding with our ICD-10 Coding Services.

Licensed clinicians certified in Coding with  experience 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. Complimentary Coding Audit available!

♦ Maintain HIPAA privacy and confidentiality of all patients’ data.

♦ Review of patient history and physical, medication profile, doctor orders, visit notes to ascertain a patient’s health status, issues.

♦ Use the above documents in performing a select the appropriate ICD-10 diagnosis codes for OASIS and non-OASIS assessments.

♦ Apply 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.

  • ♦ Provide daily report on activity and completed coding performed.
OASIS Review

Allow our OASIS-certified licensed Clinical staff to ensure your OASIS assessments and supporting documentation is clinically accurate.

Complimentary OASIS Audit available!

♦ Maintain HIPAA privacy and confidentiality of all patients’ data.

♦ Run a comprehensive check of all the Non-OASIS clinical items. 

♦ Provide review of the entire comprehensive OASIS document, not just the OASIS questions and completes diagnosis coding. 

♦ Deliver warnings the clinician should consider to ensure clinical and OASIS questions agree. 

♦ Offer regulatory guidance and justifications as to why recommended changes should be applied.

♦ Once Coding is completed, the assessment is returned back to the caregiver for review and application of possible corrections.

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’s medical record (history and physical, medication profile, doctor orders, visit notes) to ascertain a patient’s health status, issues, available caregiver assistance, and care requirements.

♦ Using patient’s medical record and agency generated documents in preparing a complete and accurate patient specific Plan of Care.

♦ Employing 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.

♦ Enforcing 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 generated.

♦ 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