Home health ICD-10-CM CODING
Accurate ICD-10-CM coding is the key to maximizing reimbursement and clinical documentation under the 2026 Home Health guidelines. Cliniqon combines deep industry expertise with proprietary AI technology to deliver fast, compliant, and precise coding. Our hybrid approach ensures you capture every patient detail, stay aligned with CMS PDGM standards, and optimize your agency's financial performance.
- ICD-10-CM Coding
- OASIS Review (SOC, ROC, RCT, SCIC)
- OASIS Discharge Review for Star Rating Management
Why Home Health Agencies Choose Cliniqon?
We assure you 99% accurate submission-ready home health coding and OASIS review within 24 hours.
Combining the proprietary Clinix AI platform with certified RN and PT clinical coders, Cliniqon delivers high-precision coding, a guaranteed 12–24 hour turnaround, and a strong financial ROI. Our credentialed team works natively within your existing EMR to design a tailored, audit-proof workflow that aligns with your agency’s exact operational goals.
Cliniqon’s Home health coding Workflow
Cliniqon utilizes end-to-end AI-enabled, human reviewed home health coding workflow to create completely to consistently deliver submission ready codes within the 24 hour TAT window.
Real HH Coding & QA Outcomes: Our Client Success Stories
We have worked with the Cliniqon team for several years across multiple agencies. During that time, we have expanded the scope of services they provide to us, and Cliniqon has always been receptive to feedback and are willing to provide a high quality of service. They don't hesitate to personalize their clinical review to specific agency preferences. We'd recommend Cliniqon to any agency seeking assistance with QA services.
Clint Rendall
President
Aadi Home Health & Hospice
Our agency began using Cliniqon's coding and QA services in early 2024 and has greatly benefited from their efficient review process and ability to follow our QA protocols. Communication with their team is seamless, and they're always open to discussing regulatory updates and best practices. This partnership has allowed our management team to focus more on care delivery rather than documentation compliance.
Eric Corum
Co-Founder / Administrator
Georgetown Living Home Health & Companions
We've partnered with Cliniqon, LLC for years and greatly value their exceptional service-especially Marionet and Karen. Their expertise in OASIS review, coding accuracy, and POC management ensures compliance and efficiency. Always responsive, reliable, and detail-oriented, they're more than service providers-they're trusted partners dedicated to our agency's success.
Tan Pham
Administrator
Perfect Alliance Home Health, Inc
Cliniqon, LLC's expertise in OASIS review, coding, and POC development has been vital to our home health agency's success. Their knowledgeable, dependable team ensures CMS-compliant documentation and improved workflow efficiency. With professionalism, timely communication, and excellence, Cliniqon remains a trusted partner for expert clinical and coding support in home health.
Lynn Tran
CEO
Golden Horizon Home Health Care, Inc
Cliniqon has consistently demonstrated excellence in coding and quality assurance for our agency. Their knowledgeable team ensures accuracy, compliance, and timely support through daily reviews of all documentation. Working with Karen, Chelsea, and the Cliniqon team has been a pleasure-their dedication and expertise make them an invaluable partner for any Home Health Agency.
Priscilla Jackson
Administrator
Affiliated Home Health Services, Inc
- Comprehensive OASIS and Plan of Care Review of Start of Care, Resumption of Care, Recertification and Other Follow Up Assessments
- Overall and Concurrent Clinical Documentation Review
- Appropriate, Valid, and Reimbursable PDGM Diagnosis Codes
OASIS (SOC, ROC, RCT, SCIC) REVIEW
Stay Ahead of the Game with Expert Coding & OASIS Review
We’ll elevate your agency’s coding approach and evaluate the quality of your current OASIS process. Each member of our team is highly trained and knowledgeable on OASIS Review. They ensure a thorough understanding of each item’s intent and verify that all OASIS responses are supported by the patient’s chart for accuracy and compliance.
Oasis Discharge Review For Star Rating Management
Ensure OASIS Accuracy. Implement Clinical Best Practices. Leverage Technology Solutions.
We help agencies achieve and maintain a higher Star Rating by carefully reviewing the patient’s chart, especially the clinician’s notes within the qualified timeframe and by providing more appropriate responses to relevant OASIS items that affect the Star Rating.
POC Review and Creation
We review and create a comprehensive and patient-specific POC within the 5-day time frame.
Concurrent Document Review
Concurrent Document Review includes, but not limited to:
FAQs
We offer ICD-10 coding, OASIS reviews, QA audits, Plan of Care reviews, and clinical documentation support.
We deliver coding and QA reviews within 12–24 hours based on volume and priority.
Yes, we work with home health agencies of all sizes—from startups to enterprise-level providers.
We serve agencies across the U.S., including major states like Texas, Florida, California, New York, and more.
Yes, we follow strict HIPAA policies, secured data handling, and PHI protection protocols.
Our team is trained continuously in CMS, OASIS, and PDGM updates to ensure compliance.
Cliniqon provides cost-effective coding and QA solutions tailored for small to mid-sized home health agencies. The Clinix AI Engine and a layered review process sit behind every chart. Its census-based model requires no contracts or setup fees. Agencies get audit-ready OASIS reviews and accurate coding that reduces claim denials, supports compliance, and streamlines ACHC survey preparation.
Low risk & flexible scaling — no contracts or minimums
No rigid volume minimums: Pricing scales directly with active patient census, making it cost-effective for growing agencies.
Zero lock-in contracts & setup fees: Agencies avoid onboarding charges and long-term commitment obligations.
Risk-free 5-chart trial: Agencies can evaluate clinical accuracy and turnaround times firsthand with 5 charts reviewed at zero cost.
No. Cliniqon provides flexible operational support without rigid volume minimums, setup fees, or lock-in contracts. Our pricing scales with your agency's active census, so a single-location hospice gets the same fit as a multi-state provider. You can evaluate our clinical coding and QA accuracy through a 5-chart review trial. No setup costs, no long-term commitment.
Cliniqon's medical coding and QA review team includes doctors, licensed Registered Nurses (RNs), and Physical Therapists (PTs). Every member holds active clinical coding certifications such as HCS-D, BCHH-C, CPC, and HCS-O. They also carry specialized training in PDGM and ICD-10-CM diagnosis sequencing, plus current competency in HOPE and OASIS-E assessment standards.
When choosing a home health coding company, evaluate providers on six operational and clinical factors:
Dual Clinical and Coding Credentials
Charts should be audited by active Registered Nurses (RNs) or Physical Therapists (PTs) holding specialized credentials such as HCS-D or BCHH-C. Back that with CHAP verification and ISO 27001 data security standards.
Full-Chart Review Depth
Coders must review visit notes, physician orders, H&Ps, and therapy evaluations against OASIS items. Auditing the assessment form on its own misses the clinical context that justifies the codes.
Layered Quality Architecture
Look for a multi-tier review pipeline: automated pre-screening plus secondary QA gates. Ask for the documented affirmation rate. It should sit between 99% and 100% on Pre-Claim Review (PCR) and Review Choice Demonstration (RCD) submissions.
Guaranteed less than 24 Hour Turnaround Time (TAT)
Strict turnaround prevents Notice of Admission (NOA) penalties, billing bottlenecks, and elevated days sales outstanding (DSO). A vendor quoting best-case timing is not committing to anything.
PDGM and Full OASIS Scope
This covers four things: primary diagnosis sequencing precision, comorbidity subgroup capture, CMS-485 Plan of Care delivery inside the 5-day window, and outcome M-item review across all timepoints from SOC to Discharge. Together they protect Care Compare Star Ratings.
Native EMR Integration with Zero Lock-In
Coders must work directly inside your native EMR, such as Homecare Homebase, WellSky, MatrixCare, or Axxess. No third-party portal exports, no double data entry. Pair that with no volume minimums and an upfront proof-of-concept trial.
Cliniqon makes sure every patient detail is captured accurately across your medical coding, OASIS reviews, and plan of care documents. That includes comorbidities such as diabetes or heart disease, which are easy to miss and costly to leave out.
We also run pre-audits to help you clear ACHC surveys and other regulatory reviews. When we spot issues in physician charts, we flag them right away so your team can correct them early rather than after a denial. And we train your physicians on documentation practices that support stronger Star Ratings.
Are You Ready To Start Seeing Extraordinary Results?
Schedule a time to speak with our team by clicking the button.
