Hospice Coding & Quality Assurance Services
Eliminate coding challenges and focus on delivering exceptional patient care.
Navigating the complexities of hospice coding can impact timely claim submissions and overall efficiency. Our expert team provides accurate, compliant, and timely coding solutions to ensure smooth operations and error-free billing.
With extensive experience supporting hospice agencies, we deliver reliable services designed to enhance accuracy, improve compliance, and streamline your workflows.
Accurate hospice coding with a focus on compliance and precision
HIS Review (Admission, Recertification, and Discharge assessments)
Plan of Care (POC) review and development
Participation in Interdisciplinary Team (IDT) meetings
Completion and validation of IDT documentation
Comprehensive audit and review of concurrent clinical records
ICD-10 Coding for Hospice Care
We focus on capturing the complete clinical picture to support medical necessity, reduce claim denials, and improve overall billing accuracy. With in-depth knowledge of hospice guidelines and coding standards, we help agencies maintain compliance while optimizing financial outcomes.
HIS (Admission, Recertification & Discharge) Audit Services
Our expert coding and quality assurance team helps your agency strengthen its documentation practices and confidently assess the effectiveness of your current Hospice Item Set (HIS) workflows. We focus on improving accuracy, compliance, and overall performance so you can deliver better patient outcomes.
Detailed review of HIS and Plan of Care across Admission, Recertification, and Discharge stages
Comprehensive evaluation of clinical documentation for consistency and completeness
Validation of diagnosis coding to ensure accuracy, compliance, and optimal reimbursement under PDGM and PDPM
Ongoing Clinical Documentation Review
Our ongoing documentation review services are designed to ensure accuracy, compliance, and consistency across all patient records while care is being delivered.
We conduct thorough, real-time evaluations to identify gaps, reduce risk, and support high-quality patient care.
Patient records including demographics, consents, history & physical, progress notes, and referral documentation
Physician certification and supporting documentation for terminal illness
Clinical assessments validating hospice eligibility criteria
Visit documentation from Nursing, Therapy, MSW, and Home Health Aide services
Physician orders and treatment directives
Care coordination and communication records
Medication profiles and reconciliation documentation
Periodic summaries such as 60-day reviews
Infection control and surveillance reports
Incident and event documentation