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Tips for success Find out what is expected to be included in the documentation for home health cases under the patient driven groupings model (PDGM) , and how that coding affects reimbursement.
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Woodland Hills, California, United States
Phone: 310-740-2707 Email: Ranjbar@usc.edu
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At medbillingcoding.com, We're here to change healthcare for good!
We strives to create positive change in healthcare by improving the patient experience through our innovative services, and our unparalleled commitment to personalized customer service.
For more than 20 years, we had been improving patient care and positively impacting the lives of healthcare professionals and patients.
Founded with the goal to close the gaps in health care, reduce medical errors, and save lives, we developed a set of solutions to support this mission.
Our team is made up of experienced professionals who are dedicated to providing exceptional service. We work closely with our clients to understand their needs and provide tailored solutions that exceed their expectations.Each member of our team is inspired and driven to go beyond the customer service experience and help grow medbillingcoding by improving the current operations and processes.Passionate about technology and helping others, we go beyond making next quarter's number and focuses on providing cutting edge technology to change the way health care providers run their practices.
At medbillingcoding , our mission is simple: to improve our clients’ profitability by offering exceptional billing and collection services. What separates us from the rest of the pack is our team, which is composed of experienced clinicians working alongside our billing and coding specialists to get you the results you deserve. And our professional team has spent decades operating successful treatment centers, doctor’s offices, and labs just like yours.
Our hands-on experience in the industry means that we see things from your perspective, and as a result, we are able to represent you just as your own billing department would.
Coding for home health agencies has moved to the forefront of quality review and agency scrutiny with the implementation of the Patient Driven Groupings Model (PDGM) and the most recent clarifications of the involvement of the primary diagnosis coding with the Face-to-Face Encounter. Medical Review and the Review Choice Demonstration (RCD) have forced agencies to have heightened awareness of the coding aspect of documentation. In addition to the review aspect, coding has a significant impact on the calculation of reimbursement under the PDGM model. The primary diagnosis on the claim drives the Clinical Grouping portion of the PDGM case-mix grouping, while the secondary diagnoses are used in determining the comorbidity status. Therefore, inaccurate coding leads to inaccurate payment!
Ensuring that your principal/primary diagnosis on the plan of care aligns with the Face-to-Face encounter is crucial to the documentation health of your charts and can impact your bottom line! The principal/primary diagnosis on the plan of care must have been treated during the Face-to-Face encounter and that treatment documented on the encounter note.
we offer flexible home care billing solutions to custom-fit your agency needs. We can bill and collect for Medicare, Non-Medicare, or all payers. Each billing and collections proposal is created following an inquiry of your current billing and collections needs.
Your home care billing and collections package includes:
We offer flexible billing solutions to custom-fit your agency needs. We can bill and collect for Medicare, non-Medicare, or all payers. Each billing and collections proposal is created following a careful review of your current billing and collections needs.We work hard to ensure that your hospice agency receives the most reliable billing and collections solution available.
Your hospice billing and collections package includes these essential services.
Our Billing Consultant on Call program connects you with an experienced specialist who can provide fast and dependable solutions for any claim-related issues that need urgent attention.
We provide personalised hassle-free support for frustrating claim issues, including:
If your receivables have increased due to staff turnover, lack of knowledge, or a recent acquisition, We can provide collection services on your home health and hospice aged claims on an interim basis.
Outsource all or part of your aged receivables to us, including:
We can provide interim revenue cycle management for home care and hospice when an Agency has an unanticipated vacancy to key revenue cycle staff. Recruiting and hiring the right leadership staff for your Agency can be a time-consuming process. It is critical to have this role in place during any type of leadership transition to be able to provide for a consistent flow of funds to the Agency. Below are some benefits of having us provide these services:
We understand the intricacies of rehab center operations and the critical role accurate billing and coding plays in optimizing financial performance. That's why we offer comprehensive and specialized billing ,coding support and auditing services tailored specifically for rehab facilities. In rehabilitation centers, specific codes are used to capture services provided, including therapy codes for physical, occupational, and speech therapy. Coding in rehabilitation centers can be complex due to factors such as therapy modifiers, timed codes, and concurrent therapy rules. Accurate coding requires a thorough understanding of therapy procedures and techniques. Our consulting service identifies specific areas of financial and compliance risk, provides pertinent information and educates clients on proper documentation, billing and coding practices.
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