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.