🏡 Home Health Specialty Upskill Training 🏡

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🔹 What Is Home Health? 🔹

Home Health refers to health care services provided directly in a patient’s home instead of in a hospital or care facility. This includes skilled nursing care, physical therapy, occupational therapy, and other health care services that aid patient recovery, improve health, or enable them to manage chronic conditions safely at home.
Home health care focuses on patient-centric care, cost-efficiency, and prevention of hospital readmissions — making it a growing and crucial sector in health care delivery.

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🔹 Why Home Health Specialty Training? 🔹

With rising demand for home health services and increasing regulations and coding complexities, there’s a strong need for trained coding and health care documentation professionals who can:

✅ Accurately code home health episodes of care (ICD-10, OASIS)
✅ Ensure proper reimbursement under payor guidelines (Medicare, Medicaid, Commercial Insurance)
✅ Support clinician documentation to reflect patient’s health condition and care
✅ Improve care coordination and reduce compliance risk for providers
✅ Align coding practices with industry regulations (PDGM, OASIS-D1, ICD-10)

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🔹 Course Duration 🔹

➥ 60-Days (2 months)
➥ Monday–Friday (1–2 hours per day)
➥ Online delivery (Zoom/Teams)
➥ Placement assistance upon successful completion

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🔹 Detailed Course Syllabus 🔹

Module 1 — Introduction to Home Health

• What Is Home Health?

• Regulations and Guidelines (Conditions of Participation)

• Benefit Coverage (Medicare, Medicaid, Commercial Insurance)

• Role of Coder in Home Health

• Home Health Quality Measures (OASIS, HHC-CAHPS)

Module 2 — Home Health Clinical Operations

• Types of Services (Skilled Nurse, Occupational Therapy, Speech Therapy)

• Plan of Care (POC)

• OASIS Assessments and Data Collection

• 485 Form — CMS’s Plan of Care

• CMS Regulations (COPs)

Module 3 — ICD-10-CM Guidelines for Home Health

• Disease-Specific Guidelines (Heart Failure, Diabetes, Stroke, CKD, etc)

• Injury and Trauma Guidelines

• Disease Manifestations and Complication Reporting

• Primary vs Co-existing Diagnoses

• Sequencing Guidelines for Home Health Encounters

Module 4 — Home Health Payment Methodology (PDGM)

• What Is PDGM (Patient-Driven Groupings Model)?

• Clinical Grouping, Functional Level, Co-morbidity Adjustment

• Impact of PDGM on Reimbursement

• Diagnoses’ Role in Determining Payment

• How Proper Coding Influences Overall Payment Accuracy

Module 5 — OASIS (Outcome and Assessment Information Set)

• Introduction to OASIS

• OASIS-D1 Item-by-item Guidance

• OASIS Quality Measures

• OASIS Impact on Reimbursement

• Coder’s Role in OASIS Accuracy

Module 6 — Quality Improvement and Audit Processes in Home Health

• Quality Improvement Organizations (QIOs)

• Audits (RAC, ZPIC, MAC)

• Appeal Processes

• Record Review Methodologies

• Staying Audit-Ready through Proper Documentation

Module 7 — Compliance, Regulations, and Ethics

• CMS Regulations and Conditions of Participation (COPs)

• Anti-Kickback, False Claims, and Fraud Regulations

• HIPAA and Privacy Rules

• Proper Coding and Moral Accountability

• Staying Updated with Regulations (PDGM, OASIS)

Module 8 — Case Studies and Mock Assessments

• Real-world Home Health Encounters

• Mock OASIS Assessments

• Mock ICD-10 Coding Scenarios

• Clinical Scenario-Based Exercises

• Final Exam Preparation

Module 9 — Final Exam & Certificate

• Final competency assessment (Coding + OASIS + Regulations)

• Certificate upon successful completion

• Resume guidance, interview preparation, and employment assistance

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🔹 Career Opportunities After Course Completion 🔹

✅ Home Health Coder — Working remotely or in a home health agency
✅ Quality Improvement Nurse (with coding expertise)
✅ OASIS Review Specialist
✅ Clinical Documentation Improvement (CDI) Specialist
✅ Coding Auditor (Home Health)
✅ PDGM Reimbursement Specialist
✅ Home Health Coder Team Lead/Supervisor
✅ Utilization Review Specialist
✅ Healthcare Quality Analyst
✅ Consultant (Home Health Regulations and Reimbursement)

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🔹 Salary Expectations 🔹

Salaries for Home Health coding and related roles typically range from:

➥ $45,000–$60,000 per year for entry or junior coder roles
➥ $60,000–$80,000 per year with 2–5 years’ experience
➥ $80,000 or more for supervisors, auditors, or CDI team leads
➥ Compensation varies by experience, credentials, and geographic location

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✅ Placement Assistance:
We provide extensive job placement assistance and guidance upon successful course completion. Our team assists you in:

• Resume preparation

• Mock interview sessions

• Connection with recruiters

• Support to apply for employment with home health agencies, hospitals, insurers, or coding companies.