USE CASES
Redefining Home Health & Hospice Coding, Billing, RCM and Compliance with AI-Powered Outputs
Use Cases
Reducing time, cost, effort and increasing revenues
Coding Report
- AI scans visit notes and auto-assigns ICD-10 codes.
- Flags mismatches between clinical documentation and selected codes.
- Reduces coding errors, boosts claim accuracy, and speeds billing.
Coding + OASIS Review Report
- AI validates OASIS assessments against coded diagnoses.
- Detects inconsistencies (e.g., functional scores vs. documented conditions).
- Helps agencies stay compliant with CMS requirements and improve reimbursement outcomes.
Coding + OASIS Review + POC Review Report
- AI cross-checks diagnosis coding, OASIS data, and the Plan of Care.
- Highlights gaps where treatment plan doesn’t align with coded conditions or assessment findings.
- Ensures clinical, operational, and billing documentation are in sync.
OASIS Inconsistencies Checker
- AI reviews OASIS forms for errors, missing fields, and logical inconsistencies.
- Suggests corrections to improve data quality and STAR ratings.
- Supports accurate risk adjustment and better patient outcome tracking.
Face-to-Face Encounter Audit Report (Basic)
- AI verifies that required elements of physician F2F encounter documentation are present.
- Flags incomplete or non-compliant physician narratives.
- Reduces rejection risk for claims tied to F2F requirements.
Face-to-Face Encounter Audit Report (Advance)
- AI provides a deeper compliance audit of F2F encounters.
- Checks alignment between encounter notes, diagnoses, and the Plan of Care.
- Offers detailed feedback for clinicians to ensure end-to-end compliance.
ADR Review Report (Home Health)
- AI reviews Additional Documentation Request (ADR) packets in under 60 seconds.
- Validates that all required forms (F2F, OASIS, POC, visit notes) are included.
- Flags missing or incomplete elements to reduce denials.
ADR Review Report (Hospice)
- AI rapidly audits hospice ADR submissions for accuracy and completeness.
- Ensures physician certifications, face-to-face notes, and recertification forms are consistent.
- Helps hospice agencies avoid costly delays and denials.