End-to-end Medical Coding & Billing Services for Home Health and Hospice Care Agencies
CodingDepartment.ph focuses on medical coding and billing services for the home health and hospice industry.
Our company includes medical coding and medical billing experts who are qualified to review your diagnosis and accurately assign medical codes and prepare billing for home health and hospice agencies. We focus on quality assurance and data protection so our clients receive the highest accuracy, safety, and security in the business.
End-to-end Medical Coding & Billing Services for Home Health and Hospice Care Agencies
CodingDepartment.ph focuses on medical coding and billing services for the home health and hospice industry.
Our company includes medical coding and medical billing experts who are qualified to review your diagnosis and accurately assign medical codes and prepare billing for home health and hospice agencies. We focus on quality assurance and data protection so our clients receive the highest accuracy, safety, and security in the business.
Medical Coding
Our HCS-D certified coders are grouped into teams dedicated to our agency clients. This is how we deliver our twin signatures: complete accountability and rock-solid consistency that our clients rely upon.
A supervisor and assistant supervisor manages each team of four to eight coders. The supervisors perform random audits to guarantee the accuracy, lead ongoing training, and maintain optimal turnaround times. Our daily reports outline unresolved issues and keep DONs and Administrators up-to-date throughout the coding process. Here are some of the benefits of partnering with us:
-
Quick Turnaround Time: Our all-agency average days to complete the coding is less than 1.5 days. We make this possible by starting our day in the afternoon and work through the night to complete our work for the next business day.
-
Guaranteed Accuracy: our strenuous approval process ensures that our coding is virtually error-free. In the event of a denial, we also have a specialist that works with payors to resolve any issues.
-
Scalability: With over 100 certified coders on staff, we can seamlessly handle high-volume patient workloads.
HHRG Score Optimizer Tool
In 2020, we developed a tool to ensure our clients maximize their revenue under CMS new PGDM guidelines. By utilizing a proprietary algorithm, we've been able to increase per episode revenues by as much as 10%. The increases can be attributed to functional impairment scores that accurately convey the patient's condition and capture unrealized revenue for specific diagnoses that qualify for comorbidity adjustments.
This new tool has provided us with more data to help highlight areas of opportunity for our clients. We can analyze the data in a variety of ways:
-
Compare clinicians to see who is underperforming on assessment turnaround time and/or charting accuracy;
-
Utilize standardized revenue per episode data to compare agency partners to nationwide revenue benchmarks;
-
Provide teaching materials for the most common OASIS errors;
-
Track optimization metrics to highlight the gap between optimal and actual revenue.
Plan of Care Preparation
Our team of clinicians is an expert in developing care plans that are achievable and fully adhere to the CMS Conditions of Participation. We take pride in our ability to replicate each agency's internal protocols and templates; while also introducing best practices we've developed over the years when necessary. Each agency is assigned to a dedicated team of clinicians to ensure the Plans of Care are consistent and exceed the referring MD's expectations. Ultimately, your POC team will give you the peace of mind knowing that each plan of care provides:
-
Sufficient justification for each patient's need for skilled nursing and/or therapy services.
-
The justification that the patient is, or was, confined at home.
-
Attestation that a face-to-face encounter was conducted within the required timeframe
Comprehensive Episode QA
Upon completion of the plan of care, our QA team gets to work to make sure clinicians provide treatments in line with the physician's plan and document their visits accurately. We pride ourselves on our quick turnaround to ensure clinicians can complete their work in advance of final billing. In addition to visit note QA, we assist with the following tasks:
-
Order Generation
-
Medication Profile Reconciliation
-
Discharge/Transfer OASIS QA
-
Therapy Evaluation QA
Billing & Collection Services
We've recently expanded our services to include episodic payer billing and collections due to our current agency partners' overwhelming demand. The response has been extremely positive, and clients have increased their revenue, while decreasing claim rejections rates due to billing errors.
Revenue Max
Our Revenue Max option truly offers an end-to-end solution, from coding to final payment. Revenue Max guarantees each agency maximizes how much revenue they receive and how fast they receive it. Here are just a few of the tasks included in our Revenue Max services package:
-
Comprehensive QA Performed Before Final Billing
-
Payment Posting
-
T-status and ADR Monitoring
-
Daily Reporting
-
Manage Claim Denials
Medical Coding
Our HCS-D certified coders are grouped into teams dedicated to our agency clients. This is how we deliver our twin signatures: complete accountability and rock-solid consistency that our clients rely upon.
A supervisor and assistant supervisor manages each team of four to eight coders. The supervisors perform random audits to guarantee the accuracy, lead ongoing training, and maintain optimal turnaround times. Our daily reports outline unresolved issues and keep DONs and Administrators up-to-date throughout the coding process. Here are some of the benefits of partnering with us:
Quick Turnaround Time: Our all-agency average days to complete the coding is less than 1.5 days. We make this possible by starting our day in the afternoon and work through the night to complete our work for the next business day.
Guaranteed Accuracy: our strenuous approval process ensures that our coding is virtually error-free. In the event of a denial, we also have a specialist that works with payors to resolve any issues.
Scalability: With over 100 certified coders on staff, we can seamlessly handle high-volume patient workloads.
HHRG Score Optimizer Tool
In 2020, we developed a tool to ensure our clients maximize their revenue under CMS new PGDM guidelines. By utilizing a proprietary algorithm, we've been able to increase per episode revenues by as much as 10%. The increases can be attributed to functional impairment scores that accurately convey the patient's condition and capture unrealized revenue for specific diagnoses that qualify for comorbidity adjustments.
This new tool has provided us with more data to help highlight areas of opportunity for our clients. We can analyze the data in a variety of ways:
Compare clinicians to see who is underperforming on assessment turnaround time and/or charting accuracy;
Utilize standardized revenue per episode data to compare agency partners to nationwide revenue benchmarks;
Provide teaching materials for the most common OASIS errors;
Track optimization metrics to highlight the gap between optimal and actual revenue.
Plan of Care Preparation
Our team of clinicians is an expert in developing care plans that are achievable and fully adhere to the CMS Conditions of Participation. We take pride in our ability to replicate each agency's internal protocols and templates; while also introducing best practices we've developed over the years when necessary. Each agency is assigned to a dedicated team of clinicians to ensure the Plans of Care are consistent and exceed the referring MD's expectations. Ultimately, your POC team will give you the peace of mind knowing that each plan of care provides:
Sufficient justification for each patient's need for skilled nursing and/or therapy services.
The justification that the patient is, or was, confined at home.
Attestation that a face-to-face encounter was conducted within the required timeframe
Comprehensive Episode QA
Upon completion of the plan of care, our QA team gets to work to make sure clinicians provide treatments in line with the physician's plan and document their visits accurately. We pride ourselves on our quick turnaround to ensure clinicians can complete their work in advance of final billing. In addition to visit note QA, we assist with the following tasks:
Order Generation
Medication Profile Reconciliation
Discharge/Transfer OASIS QA
Therapy Evaluation QA
Billing & Collection Services
We've recently expanded our services to include episodic payer billing and collections due to our current agency partners' overwhelming demand. The response has been extremely positive, and clients have increased their revenue, while decreasing claim rejections rates due to billing errors.
Revenue Max
Our Revenue Max option truly offers an end-to-end solution, from coding to final payment. Revenue Max guarantees each agency maximizes how much revenue they receive and how fast they receive it. Here are just a few of the tasks included in our Revenue Max services package:
Comprehensive QA Performed Before Final Billing
Payment Posting
T-status and ADR Monitoring
Daily Reporting
Manage Claim Denials
Are You Optimizing Your Revenue Under PDGM?
Lloyd G. Bongaos, HCS-D
Director of Client Coordination
Lloyd has over 7 years of experience in both medical coding and billing field in home health care setting. He is currently the Director of Client Coordination at CodingDepartment.com. During his first year, Lloyd worked in the billing department as part of the coding and administrative team. He exercised his proficiency in coding disciplines of outpatient and home health care.
Lloyd remained in frequent contact with the clients to expedite smooth processing with coding issues and other client needs. He communicates well with the client to ensure healthcare providers meet specific documentation requirements that are essential in proper recordkeeping and claim reimbursement.
Rory Cornell
Vice President of Sales
CodingDepartment.com
David Marshall, CPC
Chief Executive Officer
CodingDepartment.com
Ma. Jennifer E. Benida, BSN-RN
Director of Employee Development
Jennifer is a home health care coder with more than 7 years experience in the medical coding industry. She is currently the Director of Employee Development at CodingDepartment.com.
Jennifer educates aspiring coders in correct documentation and coding and provides educational material. Her experience in home health care provides great insight into clinical operations which includes ICD 10 education, OASIS training, and PDGM education.
Dianne Rose S. Amoma, BSN-RN, CPC, HCS-D, HCS-H
Director of Medical Coding
One of Dianne’s main duties is to supervise all coding employees, assuring the consistency, competency, and accuracy of diagnosis codes. She coordinates and reviews all patient accounts to ensure proper billing-coding following medical guidelines and compliance rules
Clinical Services Request
Sales Inquiries
Client Services Request
Receive A Custom Pricing Quote in Today!
See How HHRG Score Optimization Can Work for You