The MasterCoding Process™
This year, your agency will face unprecedented challenges in the countdown to the OASIS C2/ICD-10-CM implementation deadline. To ensure your agency is prepared to comply with the new coding conventions, now is the time to review your processes, documentation, and staffing levels.
CMS is predicting a 50% loss of productivity due to the introduction of over 70,000 new procedure codes and 55,000 new diagnosis codes. Initial pilot results also showed an accuracy rate of only 63%, which is predicted to lead to higher ADR and denial rates. Preparing your agency is daunting and expensive, and mistakes could result in a cash flow crisis by years end.
Thanks to Select Data, you don’t have to face these challenges alone. Coding to the highest level of specificity, our certified coders comply with ICD-10-CM coding conventions and CMS OASIS C2 coding guidelines. We are actively preparing for OASIS-C2/ICD-10-CM, so we’ll be ready to switch smoothly and immediately on January 1, 2017. We perform many quality assurance functions for your agency. Outsourcing your coding to Select Data, eliminates your agency’s need to hire and retain specialized coding staff. That way, your clinicians can spend less time on paperwork and more time caring for people.
- Improved Documentation
- Accurate Coding
- Compliant Billing
- Reduced ADRs
- Lower Re-hospitalization Rates
How it Works
Submit your patient records through our secure HIPAA compliant web portal, SmartChart™ or provide us with a user license for your EMR and we will retrieve your documents for you.
Our team of experienced home health RN coding specialists and credentialed coders review your documents for accuracy, thoroughness, and consistency. We ensure that the documents satisfy homebound status or terminal illness and medical necessity requirements before records are coded for payment.
Your agency is notified electronically of any questions regarding missing and incongruent data, and your clinician is prompted to log into SmartChart™ to provide missing documentation or answers our questions. All correspondence between your clinicians and our coders are logged in SmartChart™ at the record level.
Our OASIS review is performed by experts who can read narrative notes and detect errors that automated OASIS scrubbers can miss. We review a minimum of twenty-two OASIS assessment data elements, plus the discipline-specific care plan to ensure each OASIS assessment is accurate. Our coders make specific OASIS recommendations based on all documentation provided, ensuring your agency is coding all services rendered for accurately billing.
We review final corrected documentation and affixes compliant codes to the highest level of specificity. We comply with ICD-9-CM and ICD-10-CM coding conventions and CMS coding guidelines. Final coding recommendations are submitted back to your agency for billing with a detailed log of our discussions with your clinicians.
We are actively preparing for transition to OASIS-C2/ICD-10-CM, so we will be able to switch smoothly and immediately on January 1, 2017.
We provide your agency with a live tracking tool, allowing your administrators to review all documentation requests and errors, categorized and benchmarked by clinician and error type.
Additional reports provide detailed information on key performance indicators, identifying opportunities for continuing education for your clinicians to improve their productivity.
We can also provide quarterly analysis of your agencies performance trends, showing you how to improve your profitability and compliance by reviewing your protocols against national benchmarks for utilization.
As an added feature to our MasterCoding™ service, our clients have access to SmartChart™, our paperless chart system eliminates the need to have paper records in the office. SmartChart™ allows agencies to combine EMR data with history and physicals, and lab results, eliminating the need of a paper chart in the office and the limitations that come with having a physical chart. Gone are the days when clinicians need to come into the office to view records. SmartChart™ allows for user access from any computer, tablet or smartphone with a web connection, allowing employees to view the records remotely and converse with the office personnel.
- Multi User Access from multiple locations and devices
- Entire record stored in one central repository
- EMR data combined with physical records
- Reduces chart size and streamlines audits
- Provide the caregivers a single web-based paperless chart.