Home Health Coding and OASIS Reviews

SMART Accuracy rate is 98% versus 90% Compliance

If an organization filed 500 claims each month and submit incorrect coding or OASIS data, it impacts the agency financially, incorrect Outcomes and Medical Review risk. (Eligibility, Compliance and Condition of Payment)

·  98% Accuracy Rate (2% Error Rate) = 10 incorrectly billed claims

·  90% Accuracy Rate (10% Error Rate) = 50 incorrectly billed claims

Accurate billed claims= $2038.22 estimated revenue per claim for a quality compliant agency