SERVICES

Patient Intake & Verification

Our intake team manages everything from insurance verification to demographic data entry and physician order tracking. We ensure each referral is processed quickly and accurately, setting the foundation for a clean, complete chart. With UNICQA handling the front end, your clinical team can focus on patient care instead of paperwork.

We help your case managers stay on top of every patient’s journey. From chart progression and authorization follow-ups to field staff coordination, we keep the process moving and nothing overlooked. Our support ensures timely documentation, reduces delays, and keeps your internal workflows smooth and compliant.

Case Management Support

OASIS Review & Quality Assurance

Coding & Documentation Review

Billing & Claims Management

Our certified coders assign accurate ICD-10 codes, ensuring each patient’s condition is fully captured and compliant with PDGM standards. We match codes to supporting documentation and optimize HHRG calculations to help you receive the reimbursement you deserve — without risking an audit.

From RAPs and NOAs to final claims, we handle billing with precision. We ensure timely submission, track rejections, process appeals, and communicate regularly so you know exactly where your revenue stands. With UNICQA, your cash flow stays consistent and your team stays informed.

Before any chart is submitted, our QA team performs a thorough review of all OASIS documentation. We flag inconsistencies, identify missing data, and make sure everything aligns with CMS requirements. This extra layer of review protects your agency from costly errors, denials, and audit risks.

Plan of Care (POC) and 485 Review

Our nurses review every Plan of Care for accuracy, completeness, and payer compliance. We validate diagnoses, frequencies, disciplines, and certification periods to ensure that all services are justified and documented. The result is a solid, defensible POC that supports both care delivery and billing.

Audit Support & Compliance Checks

We prepare your agency for success in audits and reviews by assembling proper documentation, identifying high-risk claims, and conducting routine compliance checks. Whether it’s an ADR, TPE, or internal QA, we help you stay proactive, prepared, and protected.

Staff Training & Workflow Optimization

Beyond processing, we support your growth with training, onboarding, and process improvements. We help your team understand best practices, reduce redundancies, and implement systems that scale with your agency. Our goal isn’t just to do the work — it’s to help you work better.