The Plus Side to Outsourcing

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Home health billing requires considerable review of documentation, signature, and dates that must be in place before the final claim is submitted. Determining that the source documents are in place, complete, properly signed and dated, is the first step in the Claim DNA performed by MJS & Associates, LLC. But we do much more before the claim is determined to be properly developed.

Claim DNA activities performed by your assigned Account Management Team member include, but are not limited to, confirmation of the following:

• Payor eligibility check with demographic match-up in software
• Written or verbal order from physician ordering the services 
• Confirmation of the performance of the initial visit

• Type of Bill, Admission/Start Date of Care Origin of Admission, Discharge Status checked Condition Code 47 entered for Transfers 
• F2F encounters and attestations as required
• Diagnoses matched to OASIS and POC diagnoses
• Clinical note completions to match billed charges
• Clinical note to support each billed charge 
• Billable, ordered skill on each clinical note
• Signatures and dating on all documents and more!

The Account Management Team has access to MJS compliance team for answers to questions regarding eligibility and medical necessity. This team approach has proven invaluable to the clients for whom we bill.

Preventing billing mistakes will prevent denials! Claim DNA offers “peace of mind” to agency’s financial and compliance managers!

Call today for a quote or send email for more information to: claimDNA@mjanspears.com.