Outsourced Coding and Record Review for Hospice

Improve Accuracy for Correct Reimbursement and…

Hospice agencies are facing increased regulatory rules and scrutiny and are now subject to public reporting.  With these and other mounting pressures, hospices are turning to Fazzi’s outsourced coding services to ensure maximum allowable reimbursement, compliance and operational efficiencies.

You’ll get our fast and accurate coding with your own team of certified coders, HIPAA compliant integration with your EMR for efficiency and to keep your PHI secure.  And, you’ll benefit from the depth of expertise of the oldest and largest coding company in the home health and hospice industry!

We’re pleased to offer you the option of choosing our Hospice Level I or Level II services as described below.

Hospice SecureCoding:  Level I

Our certified coders review all relevant patient information to accurately code the primary diagnosis with appropriate co-morbidities, noting which are and are not related to terminal prognosis.  We will make specific recommendations for changes, based on findings, and communicate with the clinician who will make the final decision on accepting those recommendations. We review the following documentation and information (if uploaded and available) in order to accurately code each record:

  • Notice of Election (NOE)
  • Admission Documents
  • Certificate of Terminal Illness (CTI)
  • Face to Face
  • Assessment
  • Plan of Care
  • Additional tools/items in clinical documentation can also be reviewed, such as KPS, PPS, FAST score, Mac measurements, and weight

Hospice SecureCoding and Extended Audit:  Level II

Hospice Level II is designed to ensure consistency among the HIS selections, visit notes, and assessments with subsequent connection to a patient-centered plan of care.  Hospice Level II services include everything as explained in Level I as well as an extended review of the following HIS items.  We will make specific recommendations for changes, based on findings, and communicate with the clinician who will make the final decision on accepting those recommendations.

Hospice Item Set (HIS):

  • A0205: Site of Service at Admission
  • A0220: Admission Date
  • A0245: Date Initial Nursing Assessment Initiated
  • A1802: Admitted From
  • I0010: Principle Diagnosis
  • J0900C: Pain Screening
  • J0905: Pain Active Problem
  • J0910: Comprehensive Pain Assessment
  • J2030: Screening for Shortness of Breath
  • J2040C: Type(s) of treatment for shortness of breath initiated
  • N0500: Scheduled Opioid
  • N0510: Was a PRN Opioid Initiated or Continued
  • N0520: Bowel Regimen
  • Z0400: Signature of Persons Completing the Record

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We take your Security Seriously

We’re pleased to tell you that Fazzi’s services are conducted in a highly secure environment.  Fazzi’s HIPAA compliant infrastructure meets the most rigorous data security standards in the industry.