Many Agencies Pay A Lot For In-House ICD 10 Coding. Meanwhile, Your Profit Margins Continue To Shrink. Make The Change Today. (Part1)

April 7, 2022

Over the years,  ICD 10 coding has continued to increase in complexity. The days of 3 for diagnosis coding are long gone. Some of us remember those days and how much nicer it seemed. That being said, it is absolutely necessary to have coders who are Oasis and ICD 10 certified. The question then becomes whether or not you keep your coding in-house or whether you should outsource.

Reasons To Keep ICD 10 Coding In-House:

We don't like change.  That's a given, right? We like having coding staff right there alongside everyone else. Access is nice. We like knowing our staff is keeping up-to-date on education and certification. We have peace of mind knowing our staff are trained the way the should be. Often times we have several coders to make sure we don't get behind in times of surge. Here is the biggest issue with all of it: too many agencies can't afford the ICD coding staff they have.

Why Can't You Afford It ?

Let's face it. profit margins aren't suddenly increasing. For many of you, it is the opposite. Many of you have not considered outsourcing coding. As a part of this series on ICD 10 coding, we will look at when the numbers shows you can fiscally afford to have coders on staff and when you can't. If you are a large regional agency or a national chain, then absolutely. If you do any less than 200 Medicare admissions per calendar month in your agency, then you probably lose money on coding in-house. You need to do a dollars and cents comparison. You need to consider the dollars you put into staff such as insurance benefits , vacation, sick leave, and personal time, etc. When you have long-term staff, these benefit dollars can really add up and cut into your bottom line.

Call Kenyon Homecare Consulting:

We have a comprehensive coding program that allows you to outsource ICD 10 coding and save you money in the process of providing high-quality coding and Oasis review. We have nurses who complete the coding process while helping your nurses and agency improve Oasis  scoring so you don't miss the dollars and outcomes you deserve.  Call Kenyon Homecare Consulting today at 206-721-5091 or contact us onlin e to see how we can help you save money. We will complete 5 free recodes to help you check compliance of your current coding solution. We will continue in the next part of this series to break down the dollars of coding in-house versus an outsourced solution, so stay tuned!

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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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