Kupono Solutions Our Process Hero

A Structured, RN-Led Review Designed to Support Accuracy and Compliance

Our process is designed to integrate seamlessly into your existing workflow.

Kupono Solutions provides RN-led review of ICD-10 coding, OASIS, and Plan of Care documentation to ensure alignment across the entire chart. We identify documentation gaps, coding inconsistencies, and areas of risk while providing clear, actionable feedback your team can use with confidence.

Get a Complimentary Chart Review
U.S. Based RNs • Certified Coding Expertise • Consistent Turnaround
01

Initial Intake

Understanding your agency and identifying the right level of support

We begin with a brief conversation to understand your workflow, patient mix, and documentation needs.

Discuss goals and current challenges
Identify areas of concern (coding, OASIS, compliance)
Recommend appropriate review scope
02

Secure Chart Submission

Simple, secure submission designed to fit your workflow

You provide charts based on the agreed scope, and our team manages everything through secure, HIPAA-compliant processes.

Secure, streamlined chart transfer
Minimal disruption to your workflow
Clear expectations before review begins
03

RN-Led Clinical Review

Comprehensive review focused on accuracy, alignment, and compliance

Our Registered Nurses review coding, OASIS, and Plan of Care documentation to ensure everything aligns with the patient’s clinical picture.

Validate ICD-10 coding accuracy
Ensure OASIS and Plan of Care alignment
Identify documentation gaps and inconsistencies
04

Clear Feedback & Ongoing Support

Practical guidance your team can apply with confidence

We provide clear feedback and support your team in strengthening documentation and maintaining consistency.

Specific corrections and recommendations
Guidance to improve future documentation
Ongoing support available if needed
SERVICE TIERS
Service Tiers Designed for Your Agency’s Needs

Basic Tier

Foundational Compliance & Coding Support

Best for: Agencies needing consistent ICD-10 coding and discharge validation to support accurate and compliant documentation.
  • ICD-10 coding review and validation
  • OASIS discharge review for accuracy and consistency
  • Comparison of discharge documentation to prior assessment (SOC/ROC)
  • Identification of documentation trends and potential gaps
  • Support for consistent, compliant chart completion
Approach: Our team reviews coding and discharge documentation to ensure alignment with the patient’s clinical status and previously documented care, helping maintain consistency across the episode.
Ideal For: Agencies seeking reliable coding support and discharge validation without a full OASIS or Plan of Care review.

Advanced Tier

Clinical Quality & Documentation Assurance

Best for: Agencies focused on Plan of Care accuracy and targeted OASIS validation, without full ICD-10 coding.
  • 485 / Plan of Care review for accuracy, completeness, and compliance
  • Validation of orders, frequencies, and interventions
  • Targeted OASIS review limited to items reflected on the Plan of Care
  • Cross-checking OASIS responses against physician orders and interventions
  • Review for consistency across documentation sections
  • Identification of discrepancies that may impact compliance or survey readiness
Approach: Our RN reviewers ensure that the Plan of Care and selected OASIS items are aligned, accurate, and supported by the clinical documentation — helping reduce inconsistencies and strengthen overall record quality.
Ideal For: Our RN reviewers ensure that the Plan of Care and selected OASIS items are aligned, accurate, and supported by the clinical documentation — helping reduce inconsistencies and strengthen overall record quality.

Premium Tier

Comprehensive Coding, OASIS & Plan of Care Integration

Best for: Agencies seeking full alignment across coding, OASIS, and the Plan of Care with a comprehensive, RN-led review approach.
  • ICD-10 coding with full diagnosis structuring and sequencing
  • Complete OASIS review to ensure accuracy, consistency, and clinical alignment
  • 485 / Plan of Care auditing for order accuracy and intervention alignment
  • Face-to-Face validation to support compliance requirements
  • Review of functional scoring to ensure accurate PDGM representation
  • Validation of medical necessity and documentation support
  • Identification of documentation gaps, inconsistencies, and risk areas
  • Targeted recommendations to strengthen documentation and workflow
Approach: Each chart is reviewed by a Registered Nurse and certified home health coder to ensure documentation is clinically accurate, compliant, and aligned across all components of the chart.
Ideal For: Agencies seeking a full-scope partnership focused on compliance, documentation accuracy, and overall clinical quality.
Education Built Into Every Review

At Kupono Solutions, we believe review alone is not enough. Our RN-led process includes real-time education and feedback, helping your team understand not only what needs to be corrected, but why. We provide clear, supportive guidance that helps clinicians:

  • ✓ Strengthen documentation accuracy
  • ✓ Improve OASIS understanding and scoring consistency
  • ✓ Better align the clinical narrative with the Plan of Care
  • ✓ Recognize and avoid common documentation gaps

This approach allows agencies to improve over time — not just on a single chart, but across their entire documentation process.

Kupono Solutions Chart Review Kupono Solutions Chart Review Team
Support Your Team with Confident, RN-Led Review

Identify documentation gaps, strengthen coding, and reduce audit risk through structured RN review.

Complimentary Chart Review