How Much Surge Is Your ICD 10 Coding Prepped To Handle? Stop And Get A Back-up Plan

June 9, 2023

Things go quickly in home health. You receive the referral, see the patient, and develop the care plan typically within 48 hours. So, where does ICD 10 coding fit into the mix? Well, it should be an integral cog in your clinical wheel. To keep the process flowing through to billing, ICD 10 coding cannot fall behind. One of the biggest issues we see; Agencies are not prepared for surge. So, how do you make sure you can handle it when things really get busy? 

In-House ICD 10 Coding: 

For those of you with in-house coding, do you know what surge your current staff can handle without falling behind? We know that employees can increase productivity to accommodate for a brief period. The question is whether the quality of coding during surge declines. If your staff increases productivity by 20% during a surge time, have you measured the data to determine if HHRG decreases? Are you missing things in the coding because the staff does not have time to dig into the clinical documentation? If so, then what dollars are you missing and what potential coding errors have been made in the process? 

Outsourced Coding: 

For those of you that currently outsource, you should know your coding provider’s ability to manage surge. If you come to them tomorrow with an increase in charts that need ICD 10 coding, how many can they handle before they are behind? If you do not know, then you should find out.  

Using Outsourced Coding as A Surge and Back-Up Plan:  

Your ICD 10 coding solution does not have to fit into a cookie cutter format. An in-house solution does not mean an outsourced contract is not necessary or beneficial at times. You need to consider surge as well as planned and unplanned absences of current coding staff. If a coder walks into your office and states he or she must be off for the next 3 months for surgery, what will that mean for productivity in that department? What about planned vacations? In the past, you may have just gotten behind and it took some overtime pay to catch up. We do not have that luxury in our timelines anymore. So, put a backup plan in place so you do not miss anything when you are down a coder, or your agency has surging numbers. In the agencies we have worked with, having a backup plan in place helps decrease stress among staff and keep timelines moving in the right direction. Get something in place now before you are in the middle of an issue.  

Kenyon Homecare Consulting can be your full-time outsourced coding solution or your backup in times of surge or in-house coding absences. We have nurses certified in Oasis and ICD 10 with years of experience in the field. We partner with you to help clinicians improve Oasis accuracy and clinical documentation in the process. Call us today at 206-721-5091 or contact us online to see how we can help you be prepared! 


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controlling chronic diseases
By Ginny Kenyon April 25, 2026
In the rapidly evolving landscape of healthcare, the burden of care is increasingly shifting from clinical facilities to the home. As the population ages, the prevalence of chronic conditions—such as heart disease, diabetes, and respiratory disorders—has reached unprecedented levels. For home care agencies, the quality of service is no longer just about assistance with daily living; it is more and more defined by the clinical competencies and disease-specific knowledge of your field staff. Chronic disease education for home care staff is not a luxury, is a strategic necessity that directly impacts patient outcomes, caregiver confidence, and the business’s bottom line. 1. Enhancing Clinical Outcomes and Safety Home care staff are the "eyes and ears" of the healthcare system. When aides and clinicians are highly educated on chronic disease processes, they can identify subtle shifts in a patient's condition before they escalate into emergencies. · Early Intervention: An educated caregiver can recognize the early signs of fluid retention in a Congestive Heart Failure (CHF) patient or skin changes in a diabetic patient, allowing for proactive adjustments rather than reactive ER visits. · Medication Adherence: Understanding why a medication is prescribed for a specific chronic condition helps staff reinforce the importance of adherence to the patient, reducing the risk of complications. 2. Reducing Hospital Readmissions Hospital readmission rates are a primary metric for home health success. Chronic diseases are the leading cause of "revolving door" hospitalizations. By providing specialized education, agencies empower their staff to implement Evidence-Based Practices at the bedside. When staff can effectively manage symptoms and educate patients on self-care, the likelihood of a patient staying stable at home increases dramatically. This not only benefits the patient but also strengthens the agency’s reputation with referral sources like hospitals and physician groups. 3. Boosting Staff Confidence and Retention The home care industry faces significant challenges with staff turnover. Often, burnout is fueled by the stress of feeling unprepared for complex patient needs. Knowledge is Empowerment: When staff members receive robust training, they feel more confident in their roles. This professional growth fosters a sense of value and belonging within the organization, leading to higher job satisfaction and lower turnover rates. 4. Improving Documentation Accuracy In an era of increased regulatory scrutiny, clinical documentation must be precise. Education on chronic diseases ensures that staff members use the correct terminology and focus on the most relevant clinical indicators during their assessments. · OASIS Accuracy: For Medicare-certified agencies, a deep understanding of chronic conditions leads to more accurate OASIS scoring, which directly influences reimbursement and quality ratings. · Audit Readiness: Well-educated staff produce notes that clearly reflect the necessity of care, making the agency much more resilient during regulatory surveys or audits. 5. Bridging the Communication Gap Effective chronic disease management requires a multidisciplinary approach. A caregiver who understands the nuances of a disease can communicate more effectively with: · Physicians: Providing clear, clinical updates that help doctors make informed decisions. · Family Members: Offering clear explanations and peace of mind to stressed family caregivers. · The Internal Team: Ensuring a seamless transition of care and consistent messaging across all disciplines. Conclusion Investing in chronic disease education is an investment in the agency’s future. By elevating the knowledge of the frontline workforce, home care providers can transform from basic service agencies into high-value clinical partners. In the end, the goal is simple: providing the highest quality of life for patients in the comfort of their own homes, a goal that can only be met through a highly trained and knowledgeable staff. If you do not know where to get comprehensive education for Chronic diseases, contact Kenyon Homecare Consulting at gkenyon@kenyonhcc.com or call 206-721-5091. We are here to help
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