FAQs

FAQs

Frequently Asked Questions

  • What documentation do you need to begin ICD-10 coding?

    Typically referral records, physician documentation, OASIS information, and any supporting clinical or medication records. The more complete the documentation, the more accurate and consistent the coding can be.

  • Do you code from the OASIS assessment?

    OASIS information is reviewed alongside the clinical record to support diagnosis selection and check for consistency, but coding is based on the documentation as a whole rather than the OASIS alone.

  • Who reviews the coding?

    Coding is completed under physician-led (MD) oversight. Diagnoses are reviewed for documentation support, sequencing, and alignment with the home health plan of care before the record is returned to your team.

  • Do you sign or finalize the 485?

    No. We prepare the fill-in draft and review it; final review, approval, dating, and signature always remain with the agency’s authorized licensed clinician.

  • What do you need to prepare a 485 draft?

    Typically the OASIS, physician orders, referral and clinical documentation, and any supporting records. More complete documentation supports a more consistent draft.

  • How is the 485 reviewed for accuracy?

    Under MD-led oversight, the draft is checked against the OASIS and clinical record for diagnosis support, order consistency, and documentation alignment.

  • Do you complete or correct the OASIS for us?

    No. We provide review findings and correction recommendations; the licensed clinician makes any final changes and approves the assessment.

  • What records do you need for an OASIS review?

    The OASIS assessment plus supporting clinical and referral documentation. More complete records support a more thorough review.

  • What kind of issues do you flag in an OASIS review?

    Inconsistencies between the OASIS and the clinical record, unclear or missing documentation, and items that may need clinician follow-up.

  • Do you make corrections to our records during an audit?

    No. We provide QA findings and correction recommendations; the licensed clinician and agency make any final corrections.

  • What records do you audit?

    Referral records, physician documentation, OASIS, medication lists, and other supporting clinical records.

  • How are audit findings delivered?

    As clear QA findings with correction recommendations your team can act on before finalizing the chart.

  • How long does turnaround take?

    Coding is returned within 2 business days; a full coding-plus-485 bundle within 5 business days. The clock starts the moment you submit the chart in Boltflo. Cases inside the Medicare 20-day window are flagged urgent and move to the front of the queue.

  • How do we send you records?

    Through Boltflo, our secure case portal. Log in, enter the patient, pick the service — ICD-10 coding, 485 drafting, or both — and attach the paperwork. No email chains, no fax, no wondering where a chart is.

  • What happens if a chart is missing something?

    We place a hold and tell you exactly what we need. You answer in the portal — attach the file or reply to the question — and work resumes. Every hold shows how long it has been waiting on your side.

  • How do corrections and discipline updates work?

    Request a correction from the case in Boltflo — coding, 485, or both — and track it to resolution. When a physician order adds a discipline, record it in the case and we adjust. Every episode for a returning patient links to the prior ones by MR number.

  • How are we billed?

    Monthly, with an itemized invoice that lists every case. You can download or print it from the portal.

  • Is our data secure?

    Boltflo is HIPAA-aware by design. Your data is yours — no agency ever sees another agency’s cases, and every action on a chart is logged with who did it and when.

  • How do we get started?

    Request access to Boltflo, our secure case portal, through the contact page or by calling (818) 836-1515 — we will have you set up the same day. Your team gets its own logins, and you can submit your first chart in about two minutes. Please do not send patient information through the contact form.

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