Who We Serve
Medical Coding and HIM Services for Home Health Agencies
Claims-review and coding support that validates HIPPS, OASIS, and certification documentation against every billed episode.
Overview
Accuracy Across Every Episode of Care
Under PDGM, home health reimbursement turns on the accuracy of the OASIS, diagnosis coding, and the documentation that supports each episode. The HIPPS code, visit disciplines, face-to-face certification, and plan of care all have to align — and small inconsistencies can mean denials, LUPAs, or compliance exposure.
HMI’s specialists perform comprehensive reviews of home health documentation to validate the billed HIPPS code, HCPCS codes for visit disciplines (SN, PT, OT, SW), units, diagnoses, and billable supplies — confirming the OASIS, plan of care, and face-to-face certification are complete and accurate against the final billed claim.
The Challenge
What Home Health Agencies Are Up Against
OASIS & Diagnosis Accuracy
Under PDGM, OASIS responses and diagnosis coding directly drive grouping and payment — accuracy is everything.
HIPPS & Visit Disciplines
The billed HIPPS code and visit disciplines (SN, PT, OT, SW) must be validated against the documentation and claim.
Face-to-Face & Plan of Care
Face-to-face certification and the plan of care must be complete and timely to support the episode.
Denial & LUPA Exposure
Documentation gaps lead to denials and low-utilization payment adjustments that erode margin.
How HMI Helps
How HMI Supports Home Health Agencies
We have been working with HMI since 2010 and the HMI coding staff is extremely knowledgeable and has become an integral part of our coding team. We appreciate the professionalism and teamwork we have with HMI.
Frequently Asked Questions
Home Health Agencies, Answered
What does a home health claims review include?
Do you understand PDGM?
Can you help reduce denials and LUPAs?
Are your coders credentialed and U.S.-based?
Explore More
Related Expertise
Accuracy Across Every Episode
Validate Every Episode
Before It’s Billed
Talk with HMI about home health claims review and coding support for your agency.