How Many Thousands Is Your Agency
Losing to Coding Errors?
Under PDGM, a single misassigned clinical group can reduce episode reimbursement by $200–$600. Across dozens of episodes per month, the impact adds up fast.
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Where Coding Errors Hit Your Bottom Line
Incorrect Primary Diagnosis Selection
Under PDGM, the primary diagnosis directly determines your clinical grouping and case-mix weight. A misassigned group can mean the difference between a higher and lower payment tier for the entire 30-day episode.
OASIS Scoring Inconsistencies
Inconsistent functional and clinical scoring triggers Additional Documentation Requests (ADRs) and payer audits, creating administrative burden and payment delays.
Ungroupable Diagnosis Codes
Invalid or ungroupable ICD-10 codes delay billing entirely, requiring manual rework and resubmission that can push payment out by weeks.
Documentation Gaps
Misalignment between OASIS responses and visit notes is a leading cause of claim denials. Experienced coders catch these discrepancies before they become problems.
The HH Coder Difference
Coding Accuracy
Our rigorous vetting process and quality assurance deliver accuracy well above the industry average.
Certified Coders
Every coder holds HCS-D and/or BCHH-C certification with real clinical backgrounds (RN, LVN, PT).
Home Health Experience
Minimum two years of dedicated home health coding experience. Most of our coders have significantly more.
Per Assessment
The cost of a single denied claim pays for multiple coded assessments. Accurate coding is an investment, not an expense.
What Agencies Typically See After Switching
Agencies that move to professional coding services generally experience improvements across several key metrics:
Lower Denial Rates
Agencies with high denial rates often see significant improvement when switching to certified professional coders.
Faster Cash Flow
Accurate coding with same-day turnaround helps reduce Days Sales Outstanding (DSO) and improve cash flow consistency.
Clinical Staff Freed Up
When coding is handled by specialists, your clinical team can focus on what they do best — patient care.
See What Accurate Coding Looks Like
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