Trinity Publishing Services

1. ICD-10 Coding· Assign accurate ICD-10-CM diagnosis codes for home health episodes in accordance with CMS and agency guidelines. · Ensure coding supports medical necessity and aligns with the Plan of Care. · Validate primary and secondary diagnoses for accuracy and compliance. 2. OASIS-E Review· Review OASIS-E assessments for completeness, accuracy, and compliance with CMS guidelines. · Identify and correct inconsistencies in assessment data and documentation. · Provide feedback to clinicians to improve accuracy and quality of OASIS submissions. 3. Plan of Care (POC) Review – Level 2 & 3· Review POCs for regulatory compliance, patient-centered goals, and accurate service frequency. · Ensure care plans reflect patient needs, functional status, and physician orders. · Collaborate with field clinicians to resolve discrepancies and clarify orders. 4. Quality & Compliance· Maintain up-to-date knowledge of CMS regulations and PDGM requirements. · Perform internal audits of documentation to ensure compliance and accuracy. · Support clinical staff education on documentation and coding best practices.