We deliver specialized home health coding solutions that support skilled nursing agencies, therapy groups, and home care organizations in maximizing reimbursement while maintaining meticulous documentation and regulatory alignment.
Our certified home health coders work seamlessly within the unique ecosystem of OASIS documentation, ICD-10-CM diagnosis coding, CPT/HCPCS procedure codes, and HIPPS code assignment required under the Home Health Prospective Payment System (HH PPS).
We flag inconsistencies in documentation, resolve LUPA triggers, and prevent revenue leakage from incomplete or unsupported codes.
Every record goes through multi-level reviews to maintain coding accuracy ≥95% and to align with CMS and MAC payer expectations.
Partner with Spy Health for expert medical coding and revenue cycle management solutions. Our team is here to support your growth with precision and reliability.
Accurate. Compliant. Certified.
We provide precise medical coding solutions by certified professionals to ensure clean claim submission and faster reimbursements.
We offer risk adjustment coding services for both Payers and Providers. By provider risk adjustment coding we contribute on
We specialize in designing and implementing Clinical Documentation Improvement (CDI) programs tailored to the needs of hospitals, physician groups, and healthcare
We providing complete full service, end-to-end coding and billing for ED visits. In addition to offering a complete ED revenue cycle management solution, we also
We offer targeted and effective HEDIS coding services that support healthcare plans in achieving excellence in quality reporting. Developed by the (NCQA)
We recognize that every denied claim tells a different story—and resolving it demands more than just routine follow-up. Our approach to (A/R) and Denial Management
We providing highly trained & efficient team for pathology coding services, By utilising Current Procedural Terminology (CPT) codes to describe medical procedures,
We provides expert radiology coding services for our clients with fully knowledge in relevant CPT codes for radiology procedures, such as X-rays
We coding service affords our clients access to specialty-driven coding experts. A designated project manager will serve as your primary point of contact
Streamline Your Billing. Maximize Revenue.
From patient registration to final payment, our end-to-end RCM services help healthcare providers boost cash flow and reduce denials.
Eligibility and Insurance Verification services stand as linchpins in ensuring the
Effective Patient Scheduling is not just about managing Patient Appointments. Effective capture
The primary reason for claim denials is because a patient is not eligible for services billed to the insurer by the provider.
In the realm of effective medical billing, administrators often highlight coding and clinical documentation
Healthcare organizations often grapple with administrative stress caused by outstanding claims and
As the foundation of any healthcare insurance claims, patient’s demographic entry is very important
The process of claims submission involves parsing of claims information from the RCM
Denial management services serve as an indispensable pillar in upholding the
We provide comprehensive patient statement services. We generate patient
Home health coding includes reviewing OASIS assessments, assigning ICD-10-CM diagnosis codes, CPT/HCPCS codes for services rendered, and HIPPS codes for reimbursement under the Home Health Prospective Payment System (HH PPS).
Our coders analyze clinical documentation and OASIS data to map correct Health Insurance Prospective Payment System (HIPPS) codes, ensuring proper grouping and optimal reimbursement.
Yes. Our team is trained in CMS guidelines, PDGM payment models, OASIS scoring protocols, and MAC requirements for each region.
Absolutely. We code for skilled nursing, physical therapy, occupational therapy, speech-language pathology, and home health aide services—each with distinct coding and documentation nuances.
We conduct detailed quality reviews and flag missing or inconsistent assessment elements that impact coding accuracy and HIPPS grouping.
Yes. Our accurate code selection and validation reduce Low Utilization Payment Adjustments (LUPAs) and increase clean claim rates.
Have questions about our services or how we work? We’ve compiled answers to the most common queries to help you better understand what Spy Health offers and how we can support your healthcare organization. Whether you’re new to medical coding and RCM or looking to switch providers, our FAQs are here to guide you.
+1(978) 502-4707
sales@spyhealthrcm.com
Spy Health’s team of over 800 AAPC & AHIMA-certified medical coders precisely assign accurate codes to ensure regulatory compliance and facilitate timely, appropriate reimbursement.
Copyright © 2022 Spy Health. All Rights Reserved.
