Home health, hospice & regulatory blog
The HEALTHCAREfirst blog offers insights and updates to help home health and hospice professionals stay informed. From regulatory news to best practices and tips, we are committed to the success of our customers and the industry as a whole.
Get the Most Out of Your CAHPS Data ׀ Reaching the Highest Level of Quality Achieving Peak Performance Leveraging CAHPS Data Byline: Misty Skinner, Executive VP of Services, HEALTHCAREfirst Simply collecting and reporting patient and caregiver data cannot truly spark performance improvement efforts. To achieve quality peak performance, you really need to dig into your
Be proactive about surviving the PDGM transition with intake preparation guidelines designed to maximize revenue and enhance accuracy Stressed about billing and revenue issues after PDGM implementation? All you need to know is that it all starts with intake. The intake process is the start of care, and if done with purpose, can set
From Clinical to Coding: PDGM Prep for Pros Integrating clinical documentation workflows, coding process efficiency, OASIS accuracy, and communication between coding and clinical staff will be critical under PDGM. Prep wisely and learn how you can help your agency improve in all areas to create a cohesively compliant billing ecosystem. Join this free,
Byline: Misty Skinner, Executive VP of Services, HEALTHCAREfirst With PDGM implementation right around the corner, it’s important that agencies understand home health billing basics to reduce errors – as they can cost you a significant amount in penalties and fees. A large portion of these improper payments was likely due to mistakes. Thus, demonstrating a
August is chock-full of can’t-miss webinars. Go ahead and register now for as many as you can, so you don’t miss a minute of this vital information. Budget 2020: Staying in the Black with the Patient Driven Groupings Model Budget planning is an important priority this time of year as you
August is chock-full of can’t-miss webinars. Go ahead and register now for as many as you can, so you don’t miss a minute of this vital information. The Blueprint for Effective Acute/Post-Acute Information Exchange Learn 3 key goals for information exchange: preventing errors, managing escalations and equipping network care management. Plus, you’ll gain the
There are many reasons why your agency might choose to work with a home health billing services orhospice billing services company. Perhaps you are looking to improve reimbursements or eliminate highclaim rejections. Maybe managing billing has become just too much work and your internal team isstruggling to handle the workload. Don’t worry, however. You’re not alone!
Effective home health and hospice Revenue Cycle Management (RCM) allows you to maintain financial stability, so you can reinvest in growing your agency and serving your patients. Key components to a healthy revenue cycle management cycle include first pass clean claim rates, faster turnaround on claims, quick resolution of ADRs and denials, and tight follow-up and
On April 19, 2019, CMS issued the FY2020 Hospice Proposed Rule. The following is a brief summary of the rule and what it could mean to hospice agencies. FY2020 Hospice Proposed Rule In this rule, CMS proposes to rebase the FY2020 per diem payment rates for Continuous Home Care (CHC), Inpatient Respite Care (IRC), and
In the healthcare industry, “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. Healthcare revenue cycle management (RCM) helps to make this process more efficient by decreasing the
Focusing on techniques to improve your Hospice CAHPS survey response rate is important for accurate survey data that enables you to compare your results with other providers in your area and target efforts on continuous improvement. How many responses do you need? CMS requires at least 30 complete surveys during an eight-quarter reporting period for
Between the growing number of coding changes and the volume of codes to choose from, it’s easy to make a mistake. Home health coding errors can cost your agency thousands of dollars. Trying to juggle a number of responsibilities, coders may develop routine habits and rely on memorized codes rather than assigning more precise codes. This
In today’s challenging environment, many providers are looking for smart ways to realize cost efficiencies, reduce spending, and address value-based care initiatives. They are also looking for opportunities to work with industry experts who can help them succeed while they focus on patient care. One way agencies can address these issues is through medical billing
Home health care billing processes are becoming increasingly more complicated. And with the Patient-Driven Groupings Model (PDGM) looming, it's only going to get more intricate. Implementing home health care billing best practices in your office will provide the framework for success so you can be sure you’re getting paid quickly and accurately. An efficient billing
On February 15, 2019, the Centers for Medicare and Medicaid Services (CMS) announced that effective immediately, all new home health providers will be placed in a provisional period of enhanced oversight. Provisional Period of Enhanced Oversight The provisional period of enhanced oversight means that new home health providers won’t receive Request for Anticipated Payments (RAP)
Between the growing number of coding changes, the sheer volume of codes to choose from, and unplanned employee absences, your coding can take significant time, often resulting in a backlog. Taking advantage of the expertise offered through remote home health coding companies can help you turn around accurate claims quickly. Here are some benefits of
Your agency relies on accurate, efficient home health care coding for timely, accurate reimbursement. Many agencies suffer from a few common coding issues that can seriously hurt them. And with ICD-10, many coders have found themselves overwhelmed, relying on techniques to ward off productivity problems, often at the expense of accuracy. Here is a list
Administering a hospice bereavement program is a requirement by Medicare. However, it’s not a requirement to collect and analyze feedback on your program. But don't think that means you shouldn't do it! The most successful hospices know that it’s something that every agency should do to improve bereavement services and provide the best care possible.
By providing an exceptional bereavement services program, as a hospice, you have an opportunity to further reinforce your mission and strengthen the likelihood that bereaved clients will become advocates of your work within your community. A first step to understanding the impact of your program is to measure and benchmark client engagement and satisfaction. This
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