1800-826-2477
HOSPICE CODING AND QA SERVICES
CLINICAL SERVICES FOR HOSPICE AGENCIES
Let’s put an end to hospice coding challenges so you can focus on patient care.Managing the complexity of hospice coding for timely submission can prove challenging. We can ensure you fast, error-free claim submissions.
Cliniqon’s dedicated Hospice Coding and QA Team will work with your organization to implement reorganized workflows and ensure that the most efficient processes and accurate coding are taking place.
Similar to the services we provide for Home Health Agencies, we also deliver a comprehensive review and audit of all concurrent documentation for Hospice Agencies along with Coding, HIS (Admission, Recertification, and Discharge) Review, POC Review and/or Creation, IDT Meeting Participation and IDT Meeting Form Completion.
ICD-10-CM CODING
Don’t settle for code compliance. Strive for coding excellence.ICD-10-CM codes are important because they are more granular than ICD-10 codes and can provide more information about the severity of a patient's condition. This has impacted Health Care Providers in a variety of ways. From payment to claims processing systems to heightened specificity of clinical documentation, every aspect of the revenue cycle and patient management cycle has been affected.
Our Home Health coders are highly qualified and proficient Registered Nurses (RNs) with Coding Certifications and are up to date with PDGM and PDPM Guidelines by CMS.
HIS (ADMISSION, RECERTIFICATION AND DISCHARGE) REVIEW
We will help your agency get ahead of the game.Our Coding and QA department is comprised of experienced, industry-leading specialists—certified RNs—who are available to elevate your agency’s coding approach and accurately evaluate the quality of your current HIS(Hospice) process.
- Comprehensive HIS and Plan of Care Review of Admission, Recertification, and Discharge
- Overall and Concurrent Clinical Documentation Review
- Appropriate, Valid, and Reimbursable PDGM and PDPM Diagnosis Codes
Each member of our team is well-trained and knowledgeable on HIS Review as we make sure that the intent of each item is understood to better educate the clinicians. We also ensure that responses to each HIS item are supported by the patient’s chart.
We review and create a comprehensive and patient-specific POC within the 5-day time frame.
Concurrent Document ReviewConcurrent Document Review includes, but is not limited to:
- Medical Records – Patient Profile, Admission Consent, H&P, Progress Note, F2F, Referral, etc.
- Physician Certification of Terminal Illness
- Clinical Review for Support of Hospice Eligibility
- Nursing, Therapy, MSW, HHA Visit Notes
- Physician Order
- Communication Log
- Medication Profile
- 60-Day Summary
- Infection Report
- Incident Report
IDT Meeting Participation and IDT Meeting Form Completion
We attend IDT Meetings along with the Medical Director and Clinicians from different disciplines and present the summary of changes we have noted on the patient’s condition during the past 15 days for POC update, if applicable and necessary.