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.

Standing Out in the Insurance Market

Insurance Market

 There is a lot of competition in the insurance industry, and sometimes it is more beneficial for two providers or companies to merge to best serve the market and their longevity. This was the case when Republic Insurance acquired a business deal with Starr International Co. Inc. The changes were able to bring customized casualty and property insurance products to a new region and provide clients with more access to claims management, loss control, and reinsurance services.

Signs of a Good Insurer

The many options in the insurance market can make it difficult to find companies that will be meet your coverage needs. Making your company stand out from the rest requires that you implement a few of these best practices.

  1. Don’t always upsell the customer. Your company should provide the client with the most holistic view of their coverage needs even if it isn’t your most expensive policy.
  2. Be transparent about your pricing. Your customer needs to know what they are paying and what they are paying for. Mergers can often lower premium costs while expanding service opportunities.
  3. Empower the customer with information. Make sure your clients have the resources they need to understand their risks and liabilities. These factors impact the cost and nature of coverage.

Stay competitive in a crowded market with these best practices, but always look for other creative growth options.