PDGM is coming soon
This year, your agency will face unprecedented challenges in the countdown to the PDGM implementation deadline. Though the official final guidance will not be finalized until November, the changes are scheduled to go into effect in January 2020. To ensure your agency is prepared, now is the time to review your processes, documentation, and staffing levels.
Strong documentation supporting correct coding will drive your agency’s success under PDGM. Select Data’s proprietary predictive modeling and coding solutions:
- Minimizes Questionable Episodes by predicting the correct clinical category
- Codes to highest level of specificity, ensuring more accurate Comorbidity Adjustment
- Provides OASIS Recommendations for correct Functional Level score
- Minimizes Audit and Revenue Risks
- Reduces Re-hospitalizations
- Increases Cash Flow
How it Works
Submit your patient records through our secure HIPAA compliant web portal, 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 SmartCare™ to provide missing documentation or answers our questions. All correspondence between your clinicians and our coders are logged in SmartCare™ 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 the PPS 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-10-CM coding conventions and CMS coding guidelines. Final coding recommendations are submitted back to your agency for review, and for billing with a detailed log of our discussions with your clinicians.
We are continuously preparing for transition to PDGM, and are prepared to provide clients feedback on current documentation in order to provide a smooth transition on January 1, 2020.
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.