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.

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.

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.