The implementation of the Affordable Care Act (ACA) significantly expanded healthcare access for all Americans, leading to changes in the budgeting and spending strategies of healthcare systems. Given the current economic constraints, staff shortages, and the need to meet growing demands for healthcare services, Medicare/Payer have adopted a more stringent approach. As patient and physician preferences continue to rise, the home health sector is primed for further growth.
Introducing Clinix, a revolutionary solution that empowers our clients with enhanced accessibility, affordability, and unlimited reach to their financial KPIs, RCM, and Clinical Compliance dashboards.
Our state-of-the-art technology transforms the home health sector, enabling us to deliver dependable AI-powered solutions through user-friendly digital experiences to our valued customers.
Ensured Compliance, and
Unparalleled Outcomesin Home Health and Hospice agencies.
We help our clients discover innovative approaches to growth. Our strategic processes help organizations across the industry develop a steadfast commitment to becoming more customer-centric, helping them drive purpose and establish better patient experiences.View More
OUR SERVICES FOR HOME HEALTH & HOSPICE AGENCIESMedical Coding influences your revenue cycle more than you think
Coding is a small, but essential part of the revenue cycle, and often the most intimidating. When this pace slows down, revenue cycle performance is impacted. If backlogs pile up, you risk missing the timely filing deadlines set by payers.
There is a lot to take your focus away from your primary concern - the patient.
CODING AND DOCUMENTATION REVIEW
The Coding and Documentation Review is an in-depth review of medical record documentation and claims coding that identifies deficiencies and areas of risk. This review will help streamline coding and documentation processes and decrease the risk of external audits.
Avoid unnecessary clutter on your revenue cycle desk. Learn to track your coding patterns and reduce the risk of an audit due to over-coding, or lost revenue due to under-coding.
Let our clinical experts become part of your team to carry out clear, consistent, complete, reliable, legible, precise, and timely clinical documentation services to ensure the reimbursement and compliance you’ve earned while improving patient outcomes.
- OASIS/HIS Review
- 485/POC Review
- Clinician Notes Review (SN, PT, OT, ST, HHA, MSW)
- Medical Records Review (H&P, Progress Notes, Referral Form, Physician Order, Medication Profile, etc.)
CARE MANAGEMENT SERVICES
CHRONIC CARE MANAGEMENT
Chronic conditions such as heart disease, diabetes, hypertension, arthritis, and cancer require ongoing monitoring, medication management, lifestyle modifications, and coordination among healthcare providers to improve the quality of life of patients and provide optimal outcomes. At Cliniqon, we specialize in providing chronic care management services to address these conditions and more. Our approach encompasses continuous clinical monitoring and care coordination while delivering customized solutions and personalized care plans to meet the needs of different health agencies and patients.
PRINCIPAL CARE MANAGEMENT
In principal care management, we focus on addressing a single high-risk disease instead of the multiple chronic conditions typically managed in chronic care management. It is best suited for individuals with high-risk conditions such as diabetes or uncontrolled hypertension, as well as those with other severe medical conditions that require specialized attention and management. Similar to our chronic care management services, we provide continuous clinical monitoring, targeted intervention, and personalized care plans tailored to the specific needs of the patients.
TRANSITIONAL CARE MANAGEMENT
Transitional care management is needed when patients move between different care settings, such as from hospital to home. Transitions can be complex and challenging. Therefore, proper transitional care management is needed to ensure continuity of care and decrease the risk of adverse events during the transition period. At Cliniqon, our transitional care management encompasses personalized support, education, and coordination of services to improve patient outcomes, reduce hospital readmissions, and enhance the overall quality of care.
REMOTE CARE MANAGEMENT
Our remote patient monitoring services bridge the gap between traditional in-person and home care services. It focuses on patients with chronic diseases, post-operative patients, senior citizens, and those living in rural areas. We utilize digital technologies to provide 24-hour monitoring of patient's vital signs and other health data and electronically transmit the information to healthcare providers for assessment.
COMPLIANCE MANAGEMENT SERVICES ON CLINICAL DOCUMENTATIONAccurate clinical documentation equates to accurate coding.
With ICD-10 implementation, increases in government audit from Recovery Audit Contracts (RAC) and other auditors, and Centers for Medicare and Medicaid (CMS) initiatives such as Hospital-Acquired Conditions and Value-based Purchasing that rely on medical record content, it is imperative that providers are as accurate as possible. Furthermore, it may end up serving as a legal document to verify the care provided in several circumstances.
Good clinical documentation improves the quality of care, supports better communication, and reduces claim denials. Enhance your current CDI program with flexible and built-to-suit CDI services guided by highly skilled and passionate medical professionals.
Our competent professionals are experienced in reviewing medical documentation and notifying the physicians of inaccurate documentation.
- End-to-end Episode Review
- Review Choice Demonstration (RCD) Support
- Additional Documentation Request (ADR) Management
- Targeted and Probe and Educate (TPE) Analysis
All modifications, recommendations, and suggestions of change were all appropriate and in line with OASIS guidelines and highlighted the need for service. Also, the feedback structure was good and easy to follow for correction and follow through. Not to mention the positive changes in the HHRG results as well. You are a great help, Cliniqon. Thank you for your assistance!. - Houston Texas
Thank you for all your good help. We have been able to operate more efficiently since we have your company to depend on for Coding and QA services. - Michigan
Cliniqon was referred to me by one of my friends in LA.After working with them for some handful test charts (Coding & QA), I knew that I made the right decision. I am happy to say I was not disappointed. A team that can achieve this level of output has great clinical and compliance knowledge. Our clinician felt happy and motivated as they were able to quickly adapt and understand the compliance and documentation process through our collective education program.Thanks a lot, Cliniqon! - California
I worked with their QA Clinicians, who understands my expectations and never hesitated to offer professional advice and share expertise. Re-building our star rating came with challenges that Cliniqon team did not back down from. They kept me informed every step of the way and met every deadline. We are at 4.5-star rating now all because of their help. I have not hesitated to recommend Cliniqon QA Services to my friends and business associates. - California