Medical Coding Services
Expert coding solutions for home health and healthcare providers to ensure compliance and efficiency.
Home Health Coding
Accurate Primary Focus of Care Determination
Our expert coders meticulously review clinician notes and face-to-face documentation to determine the most accurate primary focus of care. This ensures agencies receive the highest possible reimbursement while maintaining full compliance with CMS guidelines.
Precise Diagnosis Coding & Sequencing
We thoroughly analyze referral documentation to accurately code and sequence secondary and other essential diagnoses. This approach enhances coding precision, supports optimal reimbursement, and ensures compliance with industry standards.
Proactive Querying for Coding Accuracy
To maintain the highest level of accuracy, our coders proactively query agencies when clarification is needed. This ensures that no critical diagnoses are overlooked, supporting comprehensive and compliant documentation.
Provider Data Validation for Optimal Reimbursement
Our team carefully reviews referral materials to identify valid provider data, ensuring that all coding is accurate and aligned with regulatory requirements. This meticulous approach helps agencies maximize reimbursement while staying fully compliant with CMS standards.
OASIS and POC Review
Precise Determination of Hospice Primary Diagnosis
Our experienced coders carefully review the Certification of Terminal Illness (CTI) notes to accurately determine the hospice-specific primary diagnosis. securing the appropriate reimbursement for hospice services.
Thorough Review of Referral Documentation
We meticulously examine all provided referral materials, coding all relevant secondary and comorbid diagnoses that impact the patient’s care. Our detailed approach ensures that all conditions affecting the patient’s end-of-life care are properly documented, supporting holistic and patient-centered care planning.
Certified Coding Team for Accuracy & Efficiency
Our highly trained and certified hospice coding team delivers precise and compliant reviews, minimizing claim denials and payment delays. With a focus on accuracy and adherence to industry standards, we help agencies streamline their billing process and maximize reimbursement while maintaining full regulatory compliance.
Hospice Coding
Accurate OASIS Review for Compliance & Reimbursement
Our expert coders conduct a meticulous review of OASIS assessments to ensure the most precise responses based on the patient’s current condition. By thoroughly analyzing clinician notes, therapy evaluations, and all available documentation, we provide well-informed recommendations that optimize reimbursement while maintaining strict compliance with CMS guidelines.
Detailed Plan of Care Review
We carefully assess the Plan of Care to recommend patient-specific goals and interventions. Our approach ensures that individualized needs are accurately documented, supporting high-quality patient care while meeting regulatory requirements.
Ongoing Re-Evaluation for Continuity of Care
To maintain the highest standards of patient care, our team conducts periodic re-evaluations to reflect patient progress, new needs, and changes in condition. This enables providers to make necessary adjustments, ensuring comprehensive, up-to-date, and effective care plans.