Home Health Coding

3Gen Consulting equips home health providers with the customized home health care 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 the Outcome and Assessment Information Set (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. As one of the leading home health coding companies, 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.

Home Health Clinical Documentation

OASIS Review & Recommendation

Our services include coding suggestions along with an in-depth review of OASIS. Our team is able to review your organization’s documents and provide relevant suggestions for effective ICD 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.

Home Health Coding Levels
  • Level 1
    Coding Only
  • Level 2
    Coding & OASIS Review
  • Level 2.5
    Coding & Comprehensive OASIS Review
  • Level 3
    Coding, Comprehensive OASIS Review & Plan of Care (POC)
  • Level 3.5
    Coding, Comprehensive OASIS Review, POC & Pre-Billing QA
  • Level 4
    Coding, Comprehensive OASIS Review, POC, Pre-Billing QA & QA Notes
  • Value Adds
    Pre-Claim Review (PCR), Review Choice Demonstration (RCD), OASIS Review and many more

Why 3Gen

  • Coding credentials include BCHH-C, HCS-H, HCS-O, HCS-D, CCS, CPC-H
  • Strong team of 350+ certified and experienced home health & hospice coders
  • Working with over 300 home health and hospice agencies through billing partners
  • In-house team of home health and hospice certified trainers and auditors with several years of experience

Frequently Asked Questions

Frequently Asked Questions of Home Health Coding

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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