FAQs
If your question is not here, email us and a coder will answer it directly rather than routing you to a sales call.
All questions
Eight answers, no sales pitch.
These are the questions that actually come up on a first call. We have kept the answers specific.
Healthcare compliance solutions are the frameworks, processes, and tools that help a healthcare organization understand and follow a complicated web of regulations, laws, and ethical standards. The goal is better data privacy and patient safety, and avoiding waste, fraud, and abuse through ongoing monitoring, training, and risk assessment.
Because the cost of getting it wrong lands in three places at once. There are financial penalties and recoupments, there is the risk of losing payer or Medicare participation, and there is the slower damage to patient trust. Consistent compliance also happens to be the cheapest form of revenue protection. Clean documentation is what survives an ADR, a UPIC audit, or a RAC review without a fight.
Patient intake and eligibility, care assessment support, OASIS review, ICD-10-CM coding, prior authorizations, clinical documentation review, visit note auditing, claims submission, denial management, AR follow-up, payment posting, and discharge summaries. Agencies can take the full continuum or pick only the pieces they need.
Standard turnaround is 24 to 48 hours. Dedicated teams work across time zones, so charts submitted at the end of your day are usually back at the start of the next one. Urgent Start of Care episodes can be prioritized by arrangement.
Three come up again and again. Rules change faster than internal policy documents get updated. Documentation is clinically correct but does not evidence what the payer needs to see. And staff turnover quietly resets institutional knowledge. All three are process problems, which is why we treat them with process rather than more headcount.
WellSky, MatrixCare by ResMed, Axxess, Epic, DataSoftLogic, Healthcare Synergy, Devero, Homecare Homebase, and other leading home health platforms. We work directly in your environment rather than exporting data into ours.
No. Most agencies start with one service line or one branch, usually coding and OASIS review, and expand once they can see the QA reports for themselves. There is no minimum volume commitment in the first quarter.
Access is role-based and logged. Coders work inside your EMR rather than downloading records, laptops are locked down, and we run internal security audits on a fixed schedule. Business Associate Agreements are signed before any chart is opened.
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