Home Health Coding
ICD-10-CM coding by experienced home health coders.
SOC Coding
Recert Coding
Resumption of Care
Discharge Coding
Hospice Coding
Diagnosis Sequencing
Certified: AAPC & AHIMA | 24–48h SLA
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OASIS Review
Review for accuracy and for the reimbursement that follows from it.
| SOC Review | Recertification Review |
| Transfer Review | Discharge Review |
| Functional Scoring Validation | Case Mix Optimization |
OASIS-E Guidance | Case-Mix Weight Optimization
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Quality Assurance Review
Independent chart audits.
01
Documentation Review
02
Coding Validation
03
OASIS Validation
04
Compliance Audits
05
Trend Analysis
Second-Level Independent Audits | ADR & TPE Defense
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Plan of Care Review
Checks that the plan of care supports the services billed.
Column 1
Medical Necessity Validation
Column 2
Visit Frequency Review
Column 3
Physician Order Review
Column 4
Certification Review
Prior Authorization Services
Authorization work from intake to submission.
01
Intake Review
02
Eligibility Verification
03
Authorization Tracking
04
Documentation Submission
Medicare Advantage & Commercial Payors | 12h Cycle
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Medical Billing and RCM
Claims through to payment and reporting.
Claims Submission
Denial Management
AR Follow-up
Payment Posting
Revenue Analytics
RAP/NOA 5-Day CMS Mandate | Denial Resolution | AR Clean-up
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AI and Automation Solutions
Software support for coding and review teams.
Coding Workflow Automation
AI-Powered Documentation Review
Productivity Dashboards
Compliance Monitoring
EHR Automated Ingestion | NLP Diagnostic Suggestive Logic
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