The Home Health Coding, Quality Assurance, and Billing Services Experts
Our home health coding, quality assurance, and billing teams are second to none, and are ready to help you help your patients.
ICD-10-CM Coding
Affordable, Accurate, and Efficient ICD-10-CM Coding for Episodic Payments
Are you a home health agency struggling to manage the complexities of ICD-10-CM coding while ensuring timely reimbursement? Our services are designed to meet the specific needs of agencies with episodic payment from private insurance.
- ICD-10-CM Coding
$25 per Assessment
- Comprehensive coding
- OASIS Scrubbing & Revenue Optimization
- 485 preparation & review
- Discharge/Transfer OASIS QA
- Review accuracies of notes & orders
- Review and post visits for claims processing
- Submit RAPs & final claims electronically
- Medicare payments monitoring & payment posting
Why choose us?
- Cost-effective solutions: We offer competitive pricing without compromising on quality. Our services are tailored to fit your budget, ensuring maximum value for your investment.
- Rapid turnaround times: We understand the importance of timely reimbursement. Our efficient processes guarantee quick turnaround times, helping you receive payments promptly.
- Expert coding accuracy: Our team of experienced coders is dedicated to providing accurate ICD-10-CM code assignments. We use the latest coding guidelines and tools to ensure optimal results.
- Compliance expertise: We stay up-to-date with the evolving coding regulations to help you avoid penalties and maintain compliance.
- Personalized support: Our friendly and knowledgeable staff is committed to providing personalized support and guidance throughout the coding process.
By partnering with us, you can:
- Maximize your reimbursement: Accurate coding helps you capture the full value of the services you provide.
- Reduce administrative burdens: Our efficient processes streamline your coding workflow, allowing you to focus on patient care.
- Improve your agency’s financial health: Timely reimbursement and accurate coding contribute to a stronger financial position.
Don’t let coding errors hinder your agency’s success. Contact us today to learn more about how our affordable, accurate, and efficient ICD-10-CM coding services can benefit your home health agency.
PDGM Optimization
Optimize Your Revenue with Our Comprehensive Oasis Optimization Tool
Are you looking to maximize your reimbursement under the Patient Driven Groupings Model (PDGM) while ensuring accurate reflection of the true cost of care? Our Oasis optimization tool offers a comprehensive approach that includes comorbidity confirmation and functional impairment score improvement.
Comorbidity Confirmation
- Accurate identification: Our tool helps you verify the presence and severity of comorbidities, ensuring that your patients’ complex health conditions are accurately reflected in their coding.
- Enhanced reimbursement: By accurately coding comorbidities, you can increase your reimbursement and capture the full value of the care provided.
Functional Impairment Score Improvement
- Precise assessment: Our tool assists in assessing functional impairment scores, ensuring that the level of care required for your patients is accurately reflected.
- Optimized coding: By accurately coding functional impairment, you can optimize your reimbursement and avoid undercoding.
- PDGM Optimization
$35 per Assessment
- Comprehensive coding
- OASIS Scrubbing & Revenue Optimization
- 485 preparation & review
- Discharge/Transfer OASIS QA
- Review accuracies of notes & orders
- Review and post visits for claims processing
- Submit RAPs & final claims electronically
- Medicare payments monitoring & payment posting
Additional Benefits
- Data-driven decision-making: Our tool provides you with the data and insights needed to make informed decisions about your coding practices.
- Improved efficiency: By streamlining your coding process, you can reduce administrative burdens and increase your efficiency.
- Compliance assurance: Our tool helps you ensure that your coding practices are compliant with PDGM guidelines.
Don’t miss out on the opportunity to increase your revenue and accurately reflect the true cost of care. Contact us today to learn more about our comprehensive Oasis optimization tool and how it can benefit your home health agency.
Conditions of Participation
Helping HHA’s Meet Medicare’s Conditions of Participation
Understanding Medicare’s Rules
Medicare’s Conditions of Participation (CoPs) rules for home health agencies (HHAs) cover things like how patients are assessed, how care plans are made, and who can work at the agency.
- CMS CoP Compliance
$45 per Assessment
- Comprehensive coding
- OASIS Scrubbing & Revenue Optimization
- 485 preparation & review
- Discharge/Transfer OASIS QA
- Review accuracies of notes & orders
- Review and post visits for claims processing
- Submit RAPs & final claims electronically
- Medicare payments monitoring & payment posting
Our Role in Keeping You Compliant
We offer coding and care plan services that help Home Health Agencies meet these rules. Here’s how:
1.Patient Characteristics:
- Diagnosis Codes: We make sure patient diagnoses are coded correctly using ICD-10-CM, which helps determine how much money the agency gets paid.
- Procedure Codes: We also check that procedures and services are coded correctly using CPT, which also affects payment.
2. Care Plan Assistance:
- Care Plan Creation: We help HHAs make detailed care plans that outline patient goals, treatments, and expected outcomes.
- Documentation Support: We help with documenting patient progress, treatments, and outcomes in a way that meets Medicare’s standards.
3. Medicare Regulation Expertise:
- Staying Up-to-Date: We know the latest Medicare rules and regulations.
- Providing Guidance: We help HHAs understand and apply these rules to their specific situations.
4. Quality Assurance:
- Regular Checks: We regularly review coding and chart documentation to find and fix any problems.
- Corrective Actions: Identifying potential errors in the assessment process is the first step in the process to ensure that your patient’s condition is accurately described upon admission.
HHVBP Quality Assurance
Maximize Your Revenue Under the Expanded HHVPB with Our Chart Review Services
Are you a home health agency looking to optimize your reimbursement under the expanded Home Health Value-Based Purchasing (HHVPB) program? Our chart review services can help you ensure that your documentation accurately reflects the care provided and maximizes your revenue, including the potential for a 5% increase or decrease in revenue based on outcomes.
- HHVBP Quality Assurance
$75 per Assessment
- Comprehensive coding
- OASIS Scrubbing & Revenue Optimization
- 485 preparation & review
- Discharge/Transfer OASIS QA
- Review accuracies of notes & orders
- Review and post visits for claims processing
- Submit RAPs & final claims electronically
- Medicare payments monitoring & payment posting
How do our chart review services work?
- Comprehensive review: Our experienced coders and clinicians meticulously review your patient charts to identify any coding gaps, documentation inconsistencies, or missed opportunities for reimbursement, including the 5% difference under the expanded HHVPB.
- Targeted recommendations: Based on our findings, we provide tailored recommendations to improve your documentation and coding practices, specifically addressing the 5% difference requirements, which can be either an increase or a decrease.
- Data-driven insights: Our analysis provides valuable data-driven insights to help you understand your agency’s performance and identify areas for improvement, including the 5% difference under the expanded HHVPB, which can be either an increase or a decrease.
Key benefits of our chart review services:
- Enhanced reimbursement: By identifying and addressing documentation and coding issues, including the 5% difference, you can increase or decrease your revenue by up to 5%, depending on your agency’s performance, and improve your financial performance.
- Improved quality of care: Our chart reviews help ensure that your documentation accurately reflects the care provided, leading to improved quality of care for your patients and better outcomes as measured by the HHVPB program.
- Compliance assurance: Our services help you maintain compliance with the expanded HHVPB program, including the 5% difference requirements, and avoid penalties.
Data-driven decision-making: Our analysis provides you with the data and insights needed to make informed decisions about your agency’s operations, including strategies to address the 5% difference, which can be either an increase or a decrease.
Specific examples of how the expanded HHVBP metrics are tracked:
- Patient outcomes: Readmissions, mortality, functional status
- Patient experience: Patient satisfaction surveys, caregiver satisfaction
- Process measures: Timely assessment, medication management, communication with providers
- Utilization metrics: Length of stay, services provided, referrals
Don’t let documentation errors hinder your agency’s success. Contact us today to learn more about our chart review services and how they can help you maximize your revenue under the expanded HHVPB program, including the potential for a 5% increase or decrease in revenue based on outcomes.
Profit Guarantee
Comprehensive, Turnkey Home Health Business Process Outsourcing
Maximize Your Revenue and Minimize Your Risk
Our Profit Guarantee Program is designed to provide home health agencies with a comprehensive suite of services that ensure optimal reimbursement and financial stability. By combining our expert chart review, coding, and billing services, we guarantee that you will work collaboratively to achieve maximum profitability under the expanded Home Health Value-Based Purchasing (HHVPB) program.
Key Components of Our Profit Guarantee Program:
- Comprehensive Chart Review: Our experienced coders and clinicians meticulously review your patient charts to identify any coding gaps, documentation inconsistencies, or missed opportunities for reimbursement.
- Expert Coding: Our team of certified coders ensures that your patient records are coded accurately and comprehensively, maximizing your reimbursement potential.
- Optimized Billing: Our billing services streamline your revenue cycle management, ensuring timely claims submission and follow-up.
Profit Guarantee: We guarantee that your agency will achieve maximum reimbursement under the expanded HHVPB program. If your revenue falls short of our projected amount, we will cover the difference.
- Profit Maximizer
6% of Revenue
- Comprehensive coding
- OASIS Scrubbing & Revenue Optimization
- 485 preparation & review
- Discharge/Transfer OASIS QA
- Review accuracies of notes & orders
- Review and post visits for claims processing
- Submit RAPs & final claims electronically
- Medicare payments monitoring & payment posting
Benefits of Our Profit Guarantee Program:
- Enhanced Reimbursement: Our services help you maximize your reimbursement under the expanded HHVPB program, including the potential for up to a 5% increase or decrease in revenue based on outcomes.
- Improved Quality of Care: Our chart review services help ensure that your documentation accurately reflects the care provided, leading to improved quality of care for your patients.
- Reduced Administrative Burdens: Our billing services streamline your revenue cycle management, saving you time and resources.
- Guaranteed Profitability: Our Profit Guarantee ensures that you achieve maximum profitability, providing you with peace of mind and financial stability.
How Our Profit Guarantee Program Works:
- Assessment: We conduct a comprehensive assessment of your agency’s current operations to identify areas for improvement.
- Implementation: We implement our chart review, coding, and billing services to optimize your revenue cycle.
- Monitoring: We continuously monitor your agency’s performance to ensure that you are achieving maximum reimbursement.
- Profit Guarantee: If your revenue falls short of our projected amount, we will cover the difference.
Join our Profit Guarantee Program today and experience the difference. Contact us to learn more about how our services can help your home health agency achieve maximum profitability.
Audit assistance
Custom Services for ADRs, State Surveys, Audits, and Medicare Accreditation
Are you a home health agency facing the challenges of ADRs, state surveys, audits, and Medicare accreditation? Our custom services are designed to provide you with the temporary expertise and support you need to ensure a successful outcome.
Our services include:
- Expert Consultation: Our team of experienced professionals can provide guidance and support on a wide range of topics related to ADRs, state surveys, audits, and Medicare accreditation.
- Temporary Staff Augmentation: We can provide temporary staff to assist with your documentation, coding, or other administrative tasks, ensuring that your agency is prepared for any regulatory review.
- Training and Education: Our experts can provide training and education to your staff on best practices for documentation, coding, and compliance with regulatory requirements.
- Mock Surveys and Audits: We can conduct mock surveys and audits to help you identify potential areas of weakness and make necessary improvements.
Tailored Solutions: Our services are customized to meet the specific needs of your agency, ensuring that you receive the support you require.
-
Audit
Assistance
$75 per Episode
If you are facing the challenges of ADRs, state surveys, audits, and Medicare accreditation, then we can help.
We design Custom Services to provide you with the temporary expertise and support.
- Comprehensive coding review
- OASIS Analysis
- 485 review
- Discharge/Transfer OASIS QA audit
- Perform QA on all notes & orders
Benefits of Our Custom Services:
- Improved Outcomes: Our services can help you improve your outcomes on ADRs, state surveys, audits, and Medicare accreditation.
- Enhanced Compliance: We can help you ensure that your agency is fully compliant with all regulatory requirements.
- Reduced Stress: Our temporary staff can help alleviate the stress and workload associated with regulatory reviews.
- Improved Efficiency: Our training and education programs can help your staff work more efficiently and effectively.
Don’t let regulatory challenges hinder your agency’s success. Contact us today to learn more about our custom services and how they can help you achieve a successful outcome.
Billing Services
Streamline Your Home Health Billing with Expert Services
Accurate, Efficient, and Reliable Payment Processing
In the ever-evolving world of home health care, accurate and timely billing is crucial for the financial health of your agency. Our team of experts specializes in providing comprehensive billing services tailored to the unique needs of home health agencies. We understand the complexities of Medicare, Medicaid, and private insurance reimbursement, ensuring that your claims are processed efficiently and accurately.
Our Services
- Payment Posting and Reconciliation: Our skilled professionals handle all aspects of payment posting, ensuring that every payment is accurately applied to the corresponding patient account. We reconcile your accounts regularly to identify any discrepancies or errors.
- Ensuring Accurate Notices of Admission (NOAs): We meticulously review and verify NOAs to ensure compliance with regulatory requirements and avoid claim denials. Our team works closely with your clinical staff to gather the necessary documentation.
- Managing T-Status and ADRs: We stay on top of T-status changes and ADR requirements, ensuring that your agency receives timely payments. Our expertise in managing these complexities saves you time and effort.
- Claim Denial Resolution: We proactively address claim denials, identifying the root causes and taking necessary steps to resubmit claims or appeal denials. Our goal is to maximize your reimbursement and minimize revenue loss.
- Daily Total Billed and EFT Tracking: Stay informed about your daily billing activity and EFT tracking. We provide real-time updates on the total amount billed and EFTs processed, ensuring transparency and accountability. Access detailed reports and analytics to gain valuable insights into your financial performance.
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Billing
Services
3% of Revenue
Need expert billing services without the hassle? Our dedicated team specializes in handling all aspects of your billing process, from claim submissions to payment posting. We’re committed to maximizing your revenue and minimizing your administrative burden.
- Payment posting and reconciliation
- Ensuring Accurate Notice of Admission (NOAs)
- Managing T-Status and ADRs
- Claim Denial Resolution
- Co-Payment Collection Services
Why Choose Us
- Expertise and Experience: Our team has years of experience working with home health agencies, providing in-depth knowledge of industry best practices and regulatory requirements.
- Accuracy and Efficiency: We are committed to delivering accurate and efficient billing services, ensuring that your claims are processed promptly and correctly.
- Customer Satisfaction: Your satisfaction is our top priority. We strive to build strong relationships with our clients by providing personalized service and exceptional results.
- Cost-Effective Solutions: Our services are designed to help you optimize your billing processes and improve your bottom line.
Contact Us
Ready to streamline your home health billing? Schedule a Demo today to learn more about how our services can benefit your agency.
Small Business Solutions
Pricing Plans for Startups and Growing Agencies
At CodingDepartment.com, we’re committed to providing superior coding, quality assurance, and billing services to home health agencies of all sizes. While we don’t have minimum patient requirements, we do have a revenue minimum for startups and small agencies to ensure that we can effectively support your growth and provide the highest quality services.
Why a Revenue Minimum?
- Efficient Resource Allocation: To maintain operational efficiency and deliver exceptional service, we need to ensure a certain level of incoming revenue.
- Scalability: As your agency grows, so does our workload. A revenue minimum helps us anticipate and plan for future demands. As your patient volume grows, we can switch to per patient pricing.
- Quality Assurance: We invest a ton of money in technology, so you don’t have to. We are able to reduce the variable cost simply by reducing everyone’s cost per patient.
- Small Business Solutions
The specific revenue minimum will vary depending on factors like the size of your agency, the complexity of your needs, and your geographic location. To get a personalized estimate, contact our sales team for a consultation.
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Audit
Assistance
$75 per Episode
If you are facing the challenges of ADRs, state surveys, audits, and Medicare accreditation, then we can help.
We design Custom Services to provide you with the temporary expertise and support.
- Comprehensive coding review
- OASIS Analysis
- 485 review
- Discharge/Transfer OASIS QA audit
- Perform QA on all notes & orders
-
Billing
Services
3% of Revenue
Need expert billing services without the hassle? Our dedicated team specializes in handling all aspects of your billing process, from claim submissions to payment posting. We’re committed to maximizing your revenue and minimizing your administrative burden.
- Payment posting and reconciliation
- Ensuring Accurate Notice of Admission (NOAs)
- Managing T-Status and ADRs
- Claim Denial Resolution
- Co-Payment Collection Services
- ICD-10-CM Coding
$25 per Assessment
- PDGM Optimization
$35 per Assessment
- CMS CoP Compliance
$45 per Assessment
- HHVBP Quality Assurance
