Determining Medicare Eligibility for Home Health Services

Before providing home health services that will be reimbursed by Medicare, it’s important for agencies to determine Medicare eligibility. Having the tools you need to verify Medicare eligibility and provide quality care allows you to put patients before paperwork. What Determines Medicare Eligibility? Medicare eligibility for home health services requires the following criteria to be […]

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January 8, 2017

4 Types of Healthcare Information Systems

Healthcare information systems capture, store, manage, or transmit information related to the health of individuals or the activities of an organization that work within the health sector. There are many different types of healthcare information systems, including: Operational and tactical systems for easy classification of information. Clinical and administrative systems for managing patient details on […]

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January 3, 2017

Tips to Improve Your Healthcare Revenue Cycle Management

In the healthcare industry, the “revenue cycle” refers to the process by which providers get paid for the work they do. Managing this process includes keeping track of claims at every stage, making sure payments are collected, and addressing denied claims. Revenue cycle management (RCM) helps to make this process more efficient by decreasing the […]

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December 27, 2016

Pre-Claim Review Demonstration to Expand to Florida in April 2017

On December 19, 2016 CMS announced that it will expand the Home Health Pre-Claim Review Demonstration for Florida for services that begin on or after April 1, 2017. While no further information was provided, CMS did say that the Medicare Administrative Contractors (MACs) would continue outreach in Florida to ensure that home health agencies in […]

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December 20, 2016

CMS Releases Notice Regarding Late Hospice NOEs

On December 1, 2016, CMS released a MLN Matters article addressing timely filing of Notice of Election (NOE) for hospice. Hospices must file an NOE for each patient within five calendar days after the effective date of the election. If an NOE is not submitted and accepted within this time period, Medicare will not cover […]

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December 8, 2016

Free Webinar: Home Health Regulatory Update

CMS recently released the final rule for the Home Health Prospective Payment System (HH PPS) for CY2017. What is on the regulatory horizon and how will it affect you? Please join HEALTHCAREfirst for a discussion of the regulatory changes for 2017, including the final rule. Topics include: Rates/Payment changes Recalibration of case mix Outlier payment changes […]

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November 21, 2016

Celebrating National Home Care and Hospice Month

In honor of National Home Care and Hospice Month, all of us at HEALTHCAREfirst would like to recognize the millions of nurses, social workers, therapists, aides and others who tirelessly care for patients in their homes each and every day. We would like to say THANK YOU and consider it a privilege to work alongside […]

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November 15, 2016

5 Key Steps for Developing a Successful Home Health & Hospice Growth Strategy

Business strategy is defined as the means by which you set out to achieve your desired goals and objectives. In addition, it offers a framework for how you sustain your financial and competitive positioning. Profitable home health and hospice agencies have clearly defined business strategies and know how to utilize available tools to ensure success. […]

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November 9, 2016

We’re Back! NAHC and NHPCO Conference Recap

October was a busy month for HEALTHCAREfirst! Our team traveled to Florida for the NAHC Annual Meeting in Orlando and NHPCO’s The Intensives in Hollywood. We had a great time catching up with our customers, meeting new friends, and showing off what we have been up to. Congratulations to Michelle Prada of Transition Home Healthcare and […]

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November 3, 2016

2017 Home Health Final Rule Published

CMS released the CY2017 Final Rule for Home Health on October 31, 2016. The payment rate portion of the rule is consistent with the proposed rule, with only minor modifications, resulting in a slight rate reduction from 2016 rates. Some important items to note include: Outlier Calculations HHAs who have a high volume of outlier […]

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November 1, 2016
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