So, You Think Your ICD 10 Diagnosis Coding Is On Point? You May Need A Back-Up Plan Soon.

Kenyon HomeCare Consulting • March 3, 2021
Right now, you may have a great system in place for ICD 10 coding. Whether in-house or outsourced, it may currently run like a well-oiled machine. Today, we want to talk about about what you do if tomorrow, your system implodes. While awful to think about, it is important to know your back-up plan and have it in place.

Why You Need A Plan In Place Today:
Well, we have all seen when a small office has multiple people out at the same time. You get the call that a nurse just went to surgery unexpectedly and is going to be off for the next 6 weeks. Meanwhile, a billing person is on 3 month family leave after having a child last week. We all know that one missing cog in the well-oiled machine can change everything. It is no different in the world of ICD 10 coding. I am reminded of Dave Ramsey stating everyone needs an emergency fund/rainy day fund. Then, assuring us all that it will rain. It absolutely will! PDGM has forced agencies to be efficient in turnover from the clinical to billing processes. And let’s face it, the no pay RAP hurts. If something happens with coding operations tomorrow, then what do you have planned to do about it today?

Back-Up ICD Coding Options:
If you already use an outsource to complete your coding, then you may not see it as an issue. However, what if your designated coder is not available or something changes with that company’s ability to adequately provide services? Here are some things to consider when looking for a back-up provider:

Turnover Time: Coding companies really need to provide you data within a 24-48 hour window.

Reporting: Does the company provide valuable information to you about individual clinician competencies? Do you require any additional data? You may be paying for Oasis review, so do you receive competency data on the clinicians filling out the assessment tool? If you find that a clinician has 95% accuracy in completion of the tool, then it isn’t necessary to pay for his/her Oasis tools to be reviewed. Conversely, if you have someone who struggles, do you have the proper data to address ongoing coaching with that clinician?

Coder Dedicated To Your Agency: Your  clinicians need a point person. It becomes difficult to establish rapport with clinicians if they never interact with the same coder.
Accuracy: This one is huge. Not all coding companies are created alike. If you are in the market for a back-up coding company, ask them to code 5 of your charts for free. Compare those findings to that of your current provider. You may uncover some issues in your current system or a need to look at a different company for back-up.
Ability To Handle Surge: You know your average range of admissions, recerts, and discharges. What do typical surges look like at your agency? Make sure your coding provider can accommodate it.

Let Us Help You Get A System In Place:
Kenyon Homecare Consulting can assist with every step of the coding process including Oasis review up to review and completion of the 485s. Call us today at 206-721-5091 or contact us online to see how we can help you secure your plan for ICD 10 coding. We will provide 5 free recodes to help determine accuracy of your current system or become part of your back-up plan.a different source.

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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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