Medical coding specialist reviewing charts

Kupono's Services

RN-Led Coding & OASIS Review Services

Kupono Solutions provides RN-led ICD-10 coding and OASIS review designed to strengthen documentation, support accurate reimbursement, and ensure audit-ready records.

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U.S. Based RNs • Certified Coding Expertise • Consistent Turnaround
Clinical Led Chart Review
WHO WE ARE
A Clinical-Led Chart Review Partner

Our RN-led review model ensures that coding and documentation are not evaluated in isolation, but aligned with the patient’s clinical condition, Plan of Care, and overall treatment.

We believe agencies deserve accurate coding, compliant documentation, and appropriate reimbursement — supported by a process that is both consistent and reliable.

How We Support Your Agency

We help agencies strengthen documentation and reduce risk through structured review:

Identify coding opportunities that support accurate reimbursement
Reduce denials, Additional Document Requests, and audit exposure
Improve documentation accuracy and clinical alignment
Validate physician orders and Face-to-Face documentation
Support quality measures and Star Rating performance
Strengthen overall compliance and coding consistency
Our Review Focus Includes
  • ✓ ICD-10 coding accuracy and sequencing
  • ✓ OASIS validation and scoring alignment
  • ✓ Plan of Care (485) review and intervention alignment
  • ✓ Medication reconciliation and risk identification
  • ✓ Clinical documentation consistency across the chart
  • ✓ Homebound status and skilled need support
Our Review Focus - Chart Our Review Focus
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.
Support Your Team with Confident, RN-Led Review

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

Complimentary Chart Review