Why Is Proper Home Health Coding Important?

Health Coding

The home health care industry has grown tremendously within the last few years. Patients feel most comfortable staying in their own homes as long as possible. In order for all parties to be correctly reimbursed, it is imperative that proper coding is applied to all insurance claims. The coding must comply with the guidelines set forth in the official ICD-10-CM instructions.

To ensure that proper coding is applied, a physician should verify the paperwork before it is sent to the insurance company. Each code should be as specific as possible so that the correct diagnosis is determined, and the sequencing of the diagnoses listed should reflect the seriousness of each condition.

Claims That Signal a Red Flag to Auditors

Health coding errors can result in delays and insufficient reimbursement. To avoid these errors, home health coding workers must be properly trained. There are many training programs available for those seeking to become a home health coder.  

Some typical coding errors include the following:

  • A coding diagnosis can’t be supported by the documentation.
  • The exact same coding diagnosis shows up in many patients’ claims submitted for reimbursement.
  • Listing too many diagnostic codes in one claim.

With the growth of the home health care industry, it is imperative to employ well-trained coders to ensure all paperwork is handled properly.

Reducing Health Insurance Costs

Health Insurance

Health insurance is an essential but often costly benefit to provide to employees. Taking steps to help your workforce be healthier with primary care engagement can help reduce their healthcare needs and costs.

The Importance of Primary Care

Encouraging primary care can have a big impact on your employees’ overall health. Wellness checkups can help people stay conscientious about basic healthcare concerns such as weight and blood pressure. Moreover, it can help alert people to serious conditions early in their development when they will be easier to treat.

Time Off for Wellness Exams

Some employees may avoid making medical appointments when they’re well simply because they don’t want to take the time away from work. Reinforce the importance of wellness exams by giving everyone time off that’s specifically allocated to a wellness exam.

Helpful Reminders

Include reminders about making wellness exam appointments in company-wide mass emails or send periodic reminders in company newsletters. You could also consider addressing the topic in regular staff meetings. If you have an annual meeting to discuss benefits elections and updates, that would be a great forum to encourage primary care visits.

Ultimately, minimizing the frequency with which employees need to utilize benefits can lower the cost of premiums. In addition, facilitating better preventative healthcare will create a stronger and more productive workforce.