Documenting and Coding Superficial Skin Tears

Documenting and Coding Superficial Skin Tears

According to OASIS guidelines, the care of skin tears is typically not covered by Medicare because the wound care is simple. There are certain circumstances where the skin tear may be coded as an open wound instead of superficial injury.

Wound Care Documentation in Home Health

Wound Care Documentation in Home Health

20% of the cases were documentation requests related to wounds indicating a scope for education on understanding and documenting wounds and skin tear. RNs were documenting thoroughly, and the OASIS…

CMS Probe & Educate

CMS Probe & Educate – F2F in spotlight!

CMS is conducting pre-payment reviews of home health claims for episodes that began on or after August 1, 2015. The purpose of this Probe and Educate process is to ensure that HHAs understand and are compliant with new patient certification…

ICD-10 Simplified

ICD-10 Simplified!

Our Certified Coders and OASIS Instructors are ICD-10 trained. Their expertise enables precise translation of your documentation to ensure compliance and make appropriate recommendations for improved documentation.

Examples of ICD-10 codes causing claim denials

Fracture: Make sure the specified site and laterality is documented and ask the physician for more information if necessary. Example: right neck of femur fracture in…