HealthRev Partners provides outsourced clinical coding for home health and hospice care agencies, performed by coders holding HCS-D and HCS-O credentials. Charts are reviewed and returned in less than two business days on average, with PDGM-compliant ICD-10 sequencing and OASIS accuracy built into every review.
Home health, hospice, and palliative care coding continues to increase in difficulty, and significant changes such as the Patient-Driven Groupings Model (PDGM) has made getting it right the first time critical to the success of agencies. Our coding and OASIS review experts are certified and highly experienced in navigating the complexities of home health, hospice, and palliative care. As a result, you’ll reduce documentation errors and expedite claim submissions.
Our clear and easy process notifies us of charts ready for review, alleviates administrative headaches, and the need to email or fax patient-specific data.
We fully review clinical documentation and consult with your team about errors to ensure accurate coding and supportive documentation for compliance, proper reimbursement, and outcome reporting.
Enjoy fast turnaround times based on priority and submission deadlines –less than two business days on average.
Our clear and easy process notifies us of charts ready for review, alleviates administrative headaches, and the need to email or fax patient-specific data.
Know exactly where everything stands with full transparency and insight into overall performance through ongoing, detailed reporting of chart quality, clinician specific documentation, case mix, and productivity.
Our leadership team will review your current processes in detail in order to custom tailor a solution that perfectly meets your unique needs.
As the intricacies of home health coding evolve, the challenges are amplified, especially with the advent of the Patient-Driven Groupings Model (PDGM). Our team of certified coding and OASIS review experts brings extensive experience to seamlessly navigate the complexities of home health. By entrusting your coding processes to our skilled professionals, you ensure precision in documentation.
Let us eliminate hospice coding challenges so you can focus on patient care. Managing the complexity of hospice coding for timely submission can prove challenging. Lack of documentation, minor mistakes, and improper coding of primary and related/unrelated diagnosis can tie up reimbursement. This can produce financial challenges and get in the way of providing exceptional patient care.
Don’t allow lack of documentation, mistakes or improper coding create financial challenges. HealthRev Partners can manage the complexities of palliative coding and your palliative revenue cycle management so you can give full attention to patient care.
HealthRev’s coding team holds certifications specifically designed for home health and hospice: BCHH-C (Board Certified in Home Health Coding) or HCS-D (Home Care Specialist). These credentials require ongoing education and demonstrate expertise in the coding frameworks, documentation requirements, and regulatory standards that govern home health, hospice, and palliative care billing.
Under PDGM, accurate ICD-10 coding directly affects how an episode is classified and reimbursed, making coding errors more costly than they were under PPS. HealthRev’s coders review each chart for correct primary diagnosis sequencing, comorbidity coding, and OASIS alignment to ensure the episode is classified correctly before claims are submitted. This reduces the risk of underpayment, audit exposure, and denials driven by coding inaccuracies.
HealthRev returns completed coding reviews in less than two business days on average. This timeline applies to standard chart reviews for home health, hospice, and palliative care. Rush turnaround options are available for agencies with time-sensitive admissions or audit preparation needs.
HealthRev offers levels of review that can cover ICD-10 code assignment and sequencing, OASIS accuracy, clinical documentation completeness, and PDGM classification verification. HealthRev’s coders also flag documentation gaps that could trigger a denial or audit finding and provide specific guidance to the clinical team for correction. We return the review with completed coding and feedback on the changes that have been made within the OASIS or recommendations to the Plan of Care.
Hospice coding operates under different regulatory frameworks than home health, with distinct ICD-10 sequencing rules, terminal diagnosis requirements, and relatedness determinations that affect covered services. HealthRev’s hospice coders apply the appropriate CMS guidelines for hospice ICD-10 sequencing rather than applying home health coding rules to hospice charts.
HealthRev provides reporting on chart quality, clinician documentation patterns, case mix index, and denial rates attributable to coding. Agency leadership can review these reports to identify which clinicians or service lines are generating the most documentation issues and where targeted education would have the highest impact on coding accuracy and reimbursement.
