Home Health Coding

3Gen Consulting equips home health providers with the customized home health coding solutions and expertise required to tackle all their challenges. We are at the forefront of the industry providing a comprehensive range of home health coding services, including OASIS review, clinical documentation, OASIS coding recommendations, and coding audits, to help organizations maximize reimbursements.

Clinical Documentation

Our team consists of professional and experienced home health RN coding specialists as well as certified coders. Our specialized team thoroughly reviews clinical documents to ensure high accuracy and consistency. Through our reliable home health coding services, we assure our clients that their confidential documents remain safe with us and satisfy the respective requirements for homebound status, medical necessity, or terminal illness. This is achieved before any records are coded for the purpose of payment.

If the clinical documentation is not able to clearly and accurately convey a patient’s specific care plan, it can lead to a wide range of potential issues for any home health provider. Some common issues due to incorrect clinical documentation include increased risk of audits, reduced reimbursement, increased takebacks, issues with patient safety, improper care coordination, and poor quality of referral sources.

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OASIS-D Review & Recommendation

Our services include coding suggestions along with an in-depth review of OASIS-D. Our team is able to review your organization’s documents and provide relevant suggestions for effective ICD-10 coding. We also review OASIS M-items to ensure they accurately reflect patients’ conditions and support the available codes at the time.

Home Health Coding Levels

We code at multiple levels for Start of Care (SOC), Resumption of Care (ROC), REC (Re-Certification) and SCIC (Significant Change in Condition). Our team also provides relevant ICD coding suggestions for all types of complicated illnesses. Along with the comprehensive review of OASIS and Plan of Care (POC), we make accurate modifications and recommendations in compliance with CMS guidelines and the Patient-Driven Groupings Model (PDGM) rules, which help home health agencies improve their Star ratings.

  • Level 1
    Review of certain Star M-items of Patient History & Diagnoses.
  • Level 2
    Review of Level 1 items and certain Star M-items of Sensory, Integument, Respiratory, Elimination, Mental Status & Activities of Daily Living (ADLs).
  • Level 2.5
    Review of Level 2 items and certain Star M-items of Falls/Injury, Medication, Care Management and Functional Abilities & Goals.
  • Level 3/POC
    Review of Level 2.5 Star M-items and 21 POC locators.
  • Level 3.5
    Review of Level 3/POC and running the standard check-list.
  • Level 4
    Review of Level 3.5 and Value Adds.
  • Value Adds
    Pre-Billing QA, Pre-Claim Review (PCR), Review Choice Determination (RCD) and many more.

Why 3Gen

  • Coding credentials include BCHH-C, HCS-H, HCS-O, HCS-D, CCS, CPC-H
  • Strong team of 350+ experienced home health and hospice coders
  • Working with over 200 home health and hospice agencies through billing partners
  • Our team includes home health and hospice certified coders, doctors, B-pharm graduates, RNs, and therapy specialists with several years of experience

Frequently Asked Questions

Coding work is performed by our certified coders with several years of home health and hospice experience. Coding credentials include BCHH-C, HCS-H, HCS-O, HCS-D CCS and CPC-H.

Our in-house training team regularly updates coders on the changing guidelines in the home health industry. This in turn results in updated coding processes to adapt to all changes. 

We pride ourselves in having a separate audit team, built into the coding process, that specializes in comprehensive reviews.

Standard turnaround time is 24 to 48 hours.

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