Quick Turnaround
Visible Turnaround of your practice within 24 Hours.
With Spectrum Healthcare Inc. You Stay On Top of Medicare Regulations
Managing Medicare Claims can be an extremely challenging task because ensuring compliance with billing and Clinical Regulations is critical. Our team of experienced billers has extensive knowledge of billing and collecting for a range of payers. Some of our Best Financial Practices for your Home Health Agency include
- Billing compliance audits are performed on all Medicare final claims.
- ICD-10 codes were reviewed to establish medical necessity.
- Daily Medicare billing reports showing all billed & unbilled claims.
- Monthly “overdue claims” reports show the status of all overdue claims.
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Accurate ICD 10 Coding Directly Impacts Home Health Agency Success
Accurate ICD 10 coding directly impacts your home health agency’s financial health and our objective is to ensure that you receive proper reimbursement throughout the process. With a team of over 600 + certified and experienced coders, our focus always remains on Precision and Exceptional coding quality that you can rely on.
- Validate coding is sufficient and accurate.
- Validate that sufficient documentation is provided for proper reimbursement.
- Identify and correct problem areas to avoid denied or unbillable claims, and ultimately an interruption in revenue.
- Identify and communicate corrective information to your clinicians.
- Identify specific training needs for your agency and clinicians.
- Best practices for EMR-specific coding workflow.
Boost Your Agency’s Clinical Compliance
The OUTCOME AND ASSESSMENT INFORMATION SET (OASIS) collects information about home care patients’ health and functional status. It is further used to inform Medicare about the appropriate care needed and provided. Since incorrect OASIS scores can negatively affect compliance and reimbursement, our team of experts evaluates your current methodology and documentation to make recommendations and identify gaps to educate your clinicians to improve the quality of clinical documentation.
Our Home Health DIAGNOSIS coding & OASIS Review service optimizes the accuracy of diagnosis codes and OASIS answers which translates into greater revenue and minimizes the denied claims percentage of your home health agency.
Home Health Agencies across the country are outsourcing many of their back-office functions to Spectrum Healthcare Inc. for coding, OASIS review, complete Plan of Care review, and billing.
Contact us today to know how we can help you improve your Agency Rating, Quality, Profitability, Efficiency, and Growth.
Continuous Coding Education for The Long-Term Success of Your Home Health Agency
Correct ICD-10 coding & OASIS Review is critical for getting the reimbursement you deserve under the Patient-Driven Groupings Model (PDGM). Spectrum Healthcare Inc. offers many educational seminars, webinars, and courses that can be tailored to your organization’s needs.
- Achieve Competent Regulatory Practices.
- Develop Detailed Action Plans.
- Educate Staff on CMS Regulations & Laws.
- Consistently Review Clinical Records for QI and Coding.
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