For providers in the home health industry, accurate coding is more critical than ever. With the complexities of clinical review, coding and OASIS (Outcome and Assessment Information Set) requirements, and the upcoming shift to ICD-11, home health agencies need expert coders to ensure compliance, accuracy and efficiency. Outsourcing coding needs offers a host of advantages that can help providers thrive in this demanding environment.
Access to Specialized Expertise
Outsourcing provides home health agencies with access to Board-Certified Home Health Coders who are experts in the field, ensuring that coding is done according to the latest best practices. These professionals bring a wealth of knowledge and experience, which translates into more accurate and compliant coding.
Cost Savings
Navigating the intricate web of home health coding regulations can be resource intensive. Outsourcing offers a more economical option compared to maintaining an in-house team, reducing the burden of recruitment, training and overhead costs.
Scalability
One of the significant advantages of outsourcing coding is the ability to scale operations up or down seamlessly. Agencies can adjust their capacity without the burden of staffing and associated costs, allowing for greater flexibility and efficiency.
Compliance with PDGM
The Patient-Driven Groupings Model (PDGM) requires precise patient assessment and diagnosis coding. Outsourced professionals are well-equipped to handle these demands, helping your agency remain compliant and avoid costly mistakes.
Expert Case-Mix Categorization
With 432 case-mix groups under PDGM, accurate categorization is essential for proper payment. Outsourced coders are adept at navigating these complexities, ensuring your agency receives appropriate reimbursement.
Ongoing Education
Outsourcing firms often provide continuous education and training on PDGM and other regulatory requirements. This commitment to ongoing education ensures that your coding team is always up to date with the latest changes in the industry, keeping your agency compliant and competitive.
Prompt Task Completion
A dedicated outsourcing team can complete coding tasks quickly, leading to faster billing cycles and improved cash flow. This efficiency is crucial in maintaining the financial health of your agency.
Enhanced Outcome Scores
Accurate OASIS assessments and coding are vital for improving outcome scores, which are increasingly important in a patient-centered healthcare environment. Outsourced coders ensure that your assessments are precise, directly impacting your agency's success.
Preparedness for ICD-11
The projected 2025 implementation of ICD-11 will bring significant changes to coding practices. Outsourced coding teams are already preparing for this transition, ensuring that your agency will be supported and ready when the new system is implemented.
Our expert coders are dedicated to seamlessly integrating with your team, ensuring your back office operates smoothly and efficiently. Let us help you streamline your revenue cycle. Contact us today to learn more.
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ABOUT PROCHANT
Established in 1999, Prochant delivers focused revenue cycle management (RCM) solutions to healthcare providers for the home-based care industry. Our expertise lies in providing end-to-end RCM for home-based care, HME, infusion services, specialty pharmacies and home health and hospice, consistently delivering exceptional results to some of the leading healthcare providers in the country. We combine innovative technology in workflow and analytics and deep industry knowledge to streamline the time-consuming and expensive reimbursement process. As a result, we help healthcare providers accelerate their collections, increase revenue and reduce operational costs while managing risk.