Process
OUR PROCESS
Codexpo’s Coding, OASIS & 485 Review Workflow
Secure Case Intake
Case submission begins when the agency provides the required patient documentation for review. Codexpo reviews submitted records, OASIS assessments, and related documentation to support ICD-10 coding, QA findings, correction recommendations, and Plan of Care/485 fill-in draft support. If information appears missing or inconsistent, Codexpo may request clarification or provide correction recommendations before completion. Final clinical review, approval, and signature remain the responsibility of the appropriate licensed clinician and agency leadership.
OASIS Review & ICD‑10 Coding
Codexpo reviews submitted OASIS assessments, ICD-10 coding, and supporting medical records for documentation consistency, coding accuracy, and quality assurance. Our team reviews the records against the submitted assessment, identifies missing information or discrepancies, and provides correction recommendations when needed.
ICD-10 codes are supported by the clinician documentation provided by the agency. Codexpo does not perform clinical assessments, determine medical necessity, establish diagnoses through independent clinical judgment, or author clinical narrative. Final clinical review, approval, and signature remain with the agency’s appropriate licensed clinicians and leadership.
Plan of Care (485) Fill-In Draft Support
After ICD-10 coding and OASIS review are completed, Codexpo assists with the initial filling-out and formatting of the CMS-485 Plan of Care draft based on documentation provided by the agency. Our team helps transfer provided clinical information into draft format, insert ICD-10 codes from clinician documentation, pre-fill medication lists when supplied, and flag missing or inconsistent documentation for agency review. Final clinical review, approval, dating, and signature remain with the appropriate licensed clinician, physician, Director of Nursing, Case Administration, or agency leadership.
Cycle Complete — Finalized for Agency Review
Once ICD-10 coding, OASIS review, and applicable 485 fill-in draft support are completed, Codexpo delivers the completed work back to the agency in a clear, organized format. Our deliverables may include coding results, OASIS review notes, 485 form support, QA findings, and correction recommendations based on the documentation provided. Any final clinical review, approval, signature, and billing decision remain the responsibility of the agency and the appropriate licensed clinician. Codexpo's role is to support documentation quality, accuracy, and workflow efficiency while helping agencies identify issues before final submission.
