Home Health & Hospice Care Agencies
“Wisdom Wins Wealth” has been the foundation of all of our services. This is especially true on the backdrop of ever-changing rules and complexities in CMS payment systems. In addition, vulnerabilities to different types of statutory audits like MAC/CERT/RAC/ZPIC are scaring enough to secure our services.
- BDS has certified home health coders/billers/CDI and OASIS specialists
- We ensure maximization of allowable reimbursements while keeping the tab on statutory audit liabilities to reduce payment cuts, sanctions and penalties, as minimum as possible
- Our niche services are our USPs help us become the enablers of growth of Home Health and Hospice care Agencies with whom we work in true spirit of partnership of trust-faith and commitment
- We work not just in a capacity of Billing-Coding-OASIS-CDI service providers but as your true knowledge partner to help you grow
- Our R&D division keeps the track of ever-changing rules and regulations and we keep imparting necessary education to help you make prudent clinical documentation. This process helps us ensure correct coding and OASIS congruence, the errors in which otherwise come heavily on quantum of payments to surface out the audit red flags
Ensuring Accurate Coding, CDI & Oasis-e Congruence for HHAS for Maximization of Allowable Revenues & Compliance
Accurate ICD-10-Coding
- We undertake complete chart review to ensure accurate ICD-10 coding for helping HHAs getting them most appropriate PDGM and hence the optimally paying HIPPS code in congruence with the Clinical Documentation.
Curbing Audit Vulnerability
- We maintain Congruence between UB-04, CMS-485, Clinical Documentation and ICD-10 Coding for establishing the Medical Necessity and conduct sensitization sessions on Value Care parameters (OBQM/PBQM) to help clients stay in compliance with OASIS-E.
OASIS-E Congruency
- We ensure logical congruence between clinical documentation, ICD-10- coding and OASIS-E to maximize revenue.
Clinical Documentation Improvement & training
- We undertake sensitization & training sessions of HHAs & Clinical staff to ensure logical congruence, and help them prepare compliant OASIS-E and clinical documentation, by generating timely PQP/CQP.
- Claim Generation
- By integrating the data from coding-OASIS-Clinical Documentation and CMS-485, we prepare bills in UB-04 format to be submitted electronically to your RHHI.
- Accounts Receivable follow-up
- Efficient collection is just not linked to accuracy and productivity of the Medical Billing and Coding Team. It ultimately boils down to being successful in bridging the gap between awareness of payor’s ever-changing policies and procedures (Denial Analysis) and staying on the top of the issues by the data team while generating and submitting the claims. Our Specially Trained and Experienced Team works closely with clients by adopting and implementing customizable solutions that ensures significant reduction of the pending claims, improving the percentage of collection against the submitted claims.
- Cash posting
- On request we also undertake cash posting services on receipt of EFT/ERA/EOB alert.