Kupono Solutions

Kupono Solutions is a U. S.-based clinical coding and compliance partner built specifically for home health agencies. Based in Birmingham, AL, the company offers outsourced RN-led ICD-10 coding and OASIS review designed to close documentation gaps, support accurate reimbursement, and keep records audit-ready. For agencies navigating the complexity of PDGM and Medicare compliance, Kupono brings a clinical perspective to back-office coding work that most outsourcing vendors cannot match. The core of Kupono's work is a structured chart review process that treats coding and documentation as interconnected, not separate tasks. Services include ICD-10 coding accuracy and sequencing, OASIS validation and scoring alignment, Plan of Care (485) review, medication reconciliation and risk identification, and clinical documentation consistency across the full chart. The team also addresses homebound status support and skilled need documentation, helping agencies build compliant, defensible records from the start of care through discharge. Home health agencies are the primary client. Many come to Kupono after experiencing higher-than-expected ADR rates, under-coded claims, or OASIS mismatches that quietly erode reimbursement over time. One case cited on the company's website describes helping an agency increase reimbursement by 37% and recover more than $150,000 in lost revenue. Clients report cleaner claims, fewer payer back-and-forths, and more confidence in submitted documentation. What separates this healthcare BPO company from standard coding services is the RN-led model. Every chart is reviewed by a certified registered nurse based in the USA with direct expertise in ICD-10, OASIS, and Medicare compliance. Rather than routing reviews through non-clinical coders, Kupono aligns the clinical narrative, OASIS responses, physician orders, and medications into a single coherent picture. Education is also built into every review, giving clinicians clear, practical feedback that strengthens documentation accuracy across the agency over time, not just on a single chart. Agencies looking to reduce compliance exposure and recover reimbursement they may already be missing can request a free initial review through Kupono's website. The process is structured to surface under-coded claims and documentation gaps before they become larger problems.